{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,19]],"date-time":"2025-08-19T11:01:31Z","timestamp":1755601291976,"version":"3.37.3"},"reference-count":37,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2020,3,1]],"date-time":"2020-03-01T00:00:00Z","timestamp":1583020800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"Department of Defense: Breast Cancer Research Program","award":["W81XWH-04-1-0548"],"award-info":[{"award-number":["W81XWH-04-1-0548"]}]},{"DOI":"10.13039\/100000002","name":"NIH","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,4,27]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>Cancer and diabetes are two severe chronic illnesses that often co-occur. In cancer patients, diabetes increases the risk for treatment complexities and mortality. Yet patient-reported outcomes with co-occurring chronic illness are understudied.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design<\/jats:title>\n                  <jats:p>This preliminary study investigated the association of diabetes with breast cancer-related morbidity among underserved Latina breast cancer survivors (BCS).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Participants<\/jats:title>\n                  <jats:p>137 Latina BCS were recruited from the California Cancer Registry and hospitals.<\/jats:p>\n                  <jats:p>Setting and Main Outcome Measure(s): BCS completed a self-administered mailed questionnaire assessing demographic and medical characteristics e.g. Type2 diabetes mellitus (T2DM).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>28% Latina BCS reported co-occurring T2DM at twice the general population rate. Diabetes was most prevalent among Latina BCS\u00a0&amp;gt;\u00a065\u00a0years (43%). Latina BCS with diabetes were more likely to report advanced cancer staging at diagnosis (P\u00a0=\u00a00.036) and more lymphedema symptoms (P\u00a0=\u00a00.036). Results suggest non-significant but lower general health and greater physical functioning limitations among BCS with T2DM.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>This study has relevance for precision population medicine by (i) consideration of routine diabetes screening in Latina BCS, (ii) underscoring attention to disease co-occurrence in treatment planning and care delivery and (iii) informing follow-up care and survivorship care planning e.g. patient self-management, oncology and primarily care surveillance and specialty care. Our findings can inform providers, survivors and caregivers about the impact of disease co-occurrence that influence clinically and patient responsive care for both initial treatment and long-term follow-up care to address disparities.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/intqhc\/mzz130","type":"journal-article","created":{"date-parts":[[2019,12,4]],"date-time":"2019-12-04T20:11:14Z","timestamp":1575490274000},"page":"120-125","source":"Crossref","is-referenced-by-count":9,"title":["Exploring the association between diabetes and breast cancer morbidity: considerations for quality care improvements among Latinas"],"prefix":"10.1093","volume":"32","author":[{"given":"Kimlin Tam","family":"Ashing","sequence":"first","affiliation":[{"name":"Center of Community Alliance for Research and Education, Department of Population Sciences, City of Hope National Medical Center, 1500 E. Duarte Rd., Duarte, CA 91010, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lily","family":"Lai","sequence":"additional","affiliation":[{"name":"Department of Surgery, City of Hope Medical Center, 1500 E. Duarte Rd., Duarte, CA 91010, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eva","family":"Meyers","sequence":"additional","affiliation":[{"name":"Cecilia Gonzalez De La Hoya Cancer Center, White Memorial Medical Center, 1720 Cesar Chavez Ave., Los Angeles, CA 90033, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mayra","family":"Serrano","sequence":"additional","affiliation":[{"name":"Center of Community Alliance for Research and Education, Department of Population Sciences, City of Hope National Medical Center, 1500 E. 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