Establishing an Anal Cancer Screening Program in an Outpatient HIV Clinic: Referral Patterns and Patient Perceptions Survey.
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. Ba...
| Publicado en: | Journal of the International Association of Providers of AIDS Care Vol. 19 |
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| Autores principales: | , , , |
| Formato: | research Journal Article |
| Publicado: |
Sage Publications Inc.
1/14/2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=141527439&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 141527439 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23259582 FUHQ jtl: Journal of the International Association of Providers of AIDS Care issn: 23259582 maglogo: Y pubinfo: dt: 1/14/2020 vid: 19 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 141527439 141527439 NLM31934806 141527439 10.1177/2325958219899530 NLM31934806 141527439 ppct: 1 formats: tig: atl: Establishing an Anal Cancer Screening Program in an Outpatient HIV Clinic: Referral Patterns and Patient Perceptions Survey. aug: au: Sowah, Leonard A. Schmalzle, Sarah A. Khambaty, Mariam Buchwald, Ulrike K. affil: Institute of Human Virology, University of Maryland School of Medicine, Baltimore, MD, USA sug: subj: Outpatients Psychosocial Factors Anus Neoplasms Diagnosis HIV Infections Complications Referral and Consultation Statistics and Numerical Data Early Detection of Cancer Psychosocial Factors Health and Welfare Planning Adult Early Detection of Cancer Methods Ambulatory Care Facilities Female Papillomavirus Infections Complications Anus Neoplasms Risk Factors Human Prospective Studies Incidence Homosexuality Papillomavirus Infections Diagnosis Anus Pathology Male Middle Age Outpatients Statistics and Numerical Data Comparative Studies Multicenter Studies Evaluation Research Validation Studies Impact of Events Scale Scales Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: 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. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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