{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T13:06:51Z","timestamp":1784120811647,"version":"3.55.0"},"reference-count":22,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2012,9,28]],"date-time":"2012-09-28T00:00:00Z","timestamp":1348790400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthritis &amp; Rheumatism"],"published-print":{"date-parts":[[2012,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Previous study findings have suggested that patients with chronic diseases such as rheumatoid arthritis (RA) do not receive optimal preventive medical services, including cancer screening tests. This study was undertaken to evaluate cancer screening rates in RA patients compared to non\u2010RA control populations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Using data from a large US commercial insurance plan, we examined rates of screening tests for cervical, breast, and colon cancer in patients with RA compared to control subjects without RA (non\u2010RA controls) or control subjects with hypertension. Individuals were included in the RA cohort if they had at least 2 visits coded for a diagnosis of RA and had received at least 1 prescription for a disease\u2010modifying antirheumatic drug during the study period. Multivariable Cox proportional hazards models were used to compare the rates of different cancer screening tests between RA patients and non\u2010RA controls.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>RA patients (n = 13,314) and control subjects (non\u2010RA and hypertension controls) (n = 212,324) were screened, on average, once every 3 years for cervical cancer and once every 2 years for breast cancer during the followup period (mean 2.3 years of followup). In the age\u2010adjusted Cox regression model, women with RA were more likely to receive \u22651 Papanicolaou smear (hazard ratio [HR] 1.21, 95% confidence interval [95% CI] 1.17\u20131.24), \u22651 mammogram (HR 1.49, 95% CI 1.45\u20131.53), and \u22651 colonoscopy (HR 1.69, 95% CI 1.61\u20131.77) compared to female non\u2010RA control subjects. Men with RA were also more likely to receive at least 1 colonoscopy (HR 1.52, 95% CI 1.40\u20131.64) than were male non\u2010RA control subjects. These results were robust in multivariable analyses adjusted for age, number of physician visits, percentage of visits made to primary care physicians, and the Charlson Comorbidity Index.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Patients with RA did not appear to be at risk for receiving fewer cancer screening tests when compared to individuals without RA. The majority of both RA patients and non\u2010RA control subjects were screened regularly for cervical, breast, and colon cancer, in accordance with current recommendations.<\/jats:p><\/jats:sec>","DOI":"10.1002\/art.34542","type":"journal-article","created":{"date-parts":[[2012,7,10]],"date-time":"2012-07-10T19:48:57Z","timestamp":1341949737000},"page":"3076-3082","source":"Crossref","is-referenced-by-count":29,"title":["No differences in cancer screening rates in patients with rheumatoid arthritis compared to the general population"],"prefix":"10.1002","volume":"64","author":[{"given":"Seoyoung C.","family":"Kim","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Schneeweiss","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica A.","family":"Myers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel H.","family":"Solomon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,9,28]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.22979"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.30277"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0049-0172(95)80031-X"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1080\/03009740410005845"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.3322\/caac.20096"},{"key":"e_1_2_6_7_2","unstructured":"US Preventive Services Task Force. Recommendations for adults. 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