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    Establishing an Anal Cancer Screening Program in an Outpatient HIV Clinic: Referral Patterns and Patient Perceptions Survey

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    Author
    Sowah, L.A.
    Schmalzle, S.A.
    Khambaty, M.
    Buchwald, U.K.
    Date
    2020
    Journal
    Journal of the International Association of Providers of AIDS Care
    Publisher
    Sage Publishing
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.1177/2325958219899530
    Abstract
    People living with HIV are at high risk for anal cancer (AC); however, the impact of screening for and treatment of precancerous anal lesions on AC incidence remains uncertain. In 2013, we conducted a survey of HIV providers evaluating the perceived need for an institutional AC screening program. Based on an overwhelmingly positive response, we established a dedicated AC screening clinic (including provision of high-resolution anoscopies) embedded within the institutional HIV clinic. Here, we describe that referral of high-risk patients in the first 3 years was lower than expected. Referral patterns suggest that screening practices vary widely among HIV providers within the institution. Anal cancer clinic patients who completed a perception survey rated the value of AC screening as high, with perceived positive health impact, and identified their providers as the main source of information on AC and AC screening. Our findings imply remaining provider-related barriers to AC screening.
    Keyword
    anal cancer screening
    anal dysplasia
    high-resolution anoscopy
    patient perception
    provider barriers
    Identifier to cite or link to this item
    https://www.scopus.com/inward/record.uri?eid=2-s2.0-85077786393&doi=10.1177%2f2325958219899530&partnerID=40&md5=27c216d42395a81a1d11e46f6343c2db; http://hdl.handle.net/10713/11682
    ae974a485f413a2113503eed53cd6c53
    10.1177/2325958219899530
    Scopus Count
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    UMB Open Access Articles 2020

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