Anal Cancer Screening in an Urban HIV Clinic

In this article, we sought to understand the perceptions and practice of providers on anal cancer screening in HIV-infected patients. Providers in an academic outpatient HIV practice were surveyed. Data were analyzed to determine the acceptability and perceptions of providers on anal Papanicolaou te...

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Bibliographic Details
Published in:Journal of the International Association of Providers of AIDS Care 2015-11, Vol.14 (6), p.497-504
Main Authors: Sowah Leonard Anang, Buchwald, Ulrike K, Riedel, David J, Gilliam, Bruce L, Khambaty Mariam, Fantry Lori, Spencer, Derek E, Weaver, Jeffery, Taylor, Gregory, Skoglund, Mary, Amoroso, Anthony, Redfield, Robert R
Format: Article
Language:English
Subjects:
Anal cancer
Anus
Cancer
Colorectal cancer
Females
HIV
Human immunodeficiency virus
Males
Medical screening
Patients
Tests
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Summary:In this article, we sought to understand the perceptions and practice of providers on anal cancer screening in HIV-infected patients. Providers in an academic outpatient HIV practice were surveyed. Data were analyzed to determine the acceptability and perceptions of providers on anal Papanicolaou tests. Survey response rate was 55.3% (60.7% among male and 47.4% among female providers). One-third of the providers had received screening requests from patients. Female providers had higher self-rated comfort with anal Papanicolaou tests, with a mean score of 7.1 (95% confidence interval [CI] 4.7-9.5) compared to 3.6 (95% CI 1.5-5.7) for male providers, P = .02. Sixty-seven percent of male providers and 37.5% of female providers would like to refer their patients for screening rather than perform the test themselves. Only 54.2% of our providers have ever performed anal cytology examination. Our survey revealed that not all providers were comfortable performing anal cancer screening for their patients.
ISSN:2325-9574
2325-9582
DOI:10.1177/2325957415601504