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dc.contributor.authorSowah, L.A.
dc.contributor.authorSchmalzle, S.A.
dc.contributor.authorKhambaty, M.
dc.contributor.authorBuchwald, U.K.
dc.date.accessioned2020-02-04T17:04:33Z
dc.date.available2020-02-04T17:04:33Z
dc.date.issued2020
dc.identifier.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85077786393&doi=10.1177%2f2325958219899530&partnerID=40&md5=27c216d42395a81a1d11e46f6343c2db
dc.identifier.urihttp://hdl.handle.net/10713/11682
dc.description.abstractPeople 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.en_US
dc.description.urihttps://doi.org/10.1177/2325958219899530en_US
dc.language.isoen_USen_US
dc.publisherSage Publishingen_US
dc.relation.ispartofJournal of the International Association of Providers of AIDS Care
dc.subjectanal cancer screeningen_US
dc.subjectanal dysplasiaen_US
dc.subjecthigh-resolution anoscopyen_US
dc.subjectpatient perceptionen_US
dc.subjectprovider barriersen_US
dc.titleEstablishing an Anal Cancer Screening Program in an Outpatient HIV Clinic: Referral Patterns and Patient Perceptions Surveyen_US
dc.typeArticleen_US
dc.identifier.doi10.1177/2325958219899530
dc.identifier.pmid31934806


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