@article{ATM6103,
author = {Nengliang Yao and Fabian T. Camacho and Askar S. Chukmaitov and Steven T. Fleming and Roger T. Anderson},
title = {Diabetes management before and after cancer diagnosis: missed opportunity},
journal = {Annals of Translational Medicine},
volume = {3},
number = {5},
year = {2015},
keywords = {},
abstract = {Background: Few studies have examined the management of comorbidities in cancer patients. This study used population-based data to estimate the guideline concordance rates for diabetes management before and after cancer diagnosis and examined if diabetes management services among cancer patients was associated with characteristics of the hospital where the patient was treated.
Methods: We linked 2005-2009 Medicare claims data to information on 2,707 breast and colorectal cancers patients in state cancer registry files. Multivariate logistic regression models examined hospital characteristics associated with receipt of diabetes management care after cancer diagnosis.
Results: The rates of HbAlc testing, LDL-C testing, and retinal eye exam decreased from 72.7%, 79.6%, and 57.9% before cancer diagnosis to 58.3%, 69.5%, and 55.8% after diagnosis. The pre- and post-diagnosis diabetes management care was not significantly different by hospital characteristics in the bivariate analysis except for that the distance between residence and hospital was negatively related to retinal eye exam after diagnosis (P},
issn = {2305-5847}, url = {https://atm.amegroups.org/article/view/6103}
}