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Establishing an Anal Cancer Screening Program in an Outpatient HIV Clinic: Referral Patterns and Patient Perceptions Survey.
Sowah, Leonard A; Schmalzle, Sarah A; Khambaty, Mariam; Buchwald, Ulrike K.
Afiliación
  • Sowah LA; Institute of Human Virology, University of Maryland School of Medicine, Baltimore, MD, USA.
  • Schmalzle SA; Institute of Human Virology, University of Maryland School of Medicine, Baltimore, MD, USA.
  • Khambaty M; Division of Infectious Diseases, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.
  • Buchwald UK; Institute of Human Virology, University of Maryland School of Medicine, Baltimore, MD, USA.
J Int Assoc Provid AIDS Care ; 19: 2325958219899530, 2020.
Article en En | MEDLINE | ID: mdl-31934806
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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias del Ano / Pacientes Ambulatorios / Derivación y Consulta / Infecciones por VIH / Detección Precoz del Cáncer / Implementación de Plan de Salud Tipo de estudio: Diagnostic_studies / Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies / Screening_studies / Sysrev_observational_studies Aspecto: Implementation_research Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Int Assoc Provid AIDS Care Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias del Ano / Pacientes Ambulatorios / Derivación y Consulta / Infecciones por VIH / Detección Precoz del Cáncer / Implementación de Plan de Salud Tipo de estudio: Diagnostic_studies / Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies / Screening_studies / Sysrev_observational_studies Aspecto: Implementation_research Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: J Int Assoc Provid AIDS Care Año: 2020 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos