| Summary: | 碩士 === 元培醫事科技大學 === 醫務管理系碩士班 === 105 === Objective: This study was to investigate the relationship between type 2 diabetes mellitus and breast cancer and the relationship between type 2 diabetes and urban and rural cancer.
Methods: This study was conducted using the Million Sampling Files issued by the Ministry of Health and Welfare in 2016 for the 2000-2014 National Health Insurance Database, including: National Health Preservation and Treatment Details - Health and 02 (Health-07). Taking the main diagnosis of 250 diabetes in 2002, and to exclude the 2000-2000 suffering from breast cancer and diabetes, were a total of 2,902 subjects. Using descriptive statistics, chi-square test and logistic regression analysis, survival analysis, using SPSS 21 version of the data processing and statistical analysis to explore the incidence of breast cancer patients with breast cancer and the associated risk factors.
Results: The demographic distribution of diabetes mellitus and non - diabetic groups included age, degree of urbanization, insured salary, and Charlson comorbidity index. From the age level can be learned whether it is diabetes or non-diabetic groups, age falls between 50-69 years old, followed by 31-49 years old. Intern of age, there were no significant difference between two groups. In the CCI variants and diabetes groups, the p-value <0.001, paired statistically significant difference was found by paired t, indicating that CCI variants would affect the risk of developing diabetes. (95% CI = 1.28-3.12), and the risk ratio of diabetes to breast cancer was 3.14 times p <0.01 (95% CI = 1.53-6.44). The risk of breast cancer was 1.37 times higher than that of diabetes mellitus group (95% CI = 1.28-3.12).
Conclusion: Age and CCI are the risk factors of breast cancer in female patients with diabetes mellitus. It is suggested that high risk groups of women with diabetes mellitus aged over 30 should be regularly screened for early detection of early treatment.
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