Integration of Anal Dysplasia Screening into the Primary Care of Persons Living with HIV

被引：3

作者：

Mangusan, Ralph F. ^{[1
]}

Harmon, James L. ^{[2
]}

Wallenius, S. Todd ^{[1
]}

Parker, Warren S. ^{[1
]}

Thompson, Julie ^{[2
]}

Abbott, Jennifer ^{[1
]}

机构：

[1] Western North Carolina Community Hlth Serv, Asheville, NC 28801 USA

[2] Duke Univ, Sch Nursing, Durham, NC USA

来源：

JANAC-JOURNAL OF THE ASSOCIATION OF NURSES IN AIDS CARE | 2018年 / 29卷 / 06期

关键词：

anal dysplasia; anal pap; cancer screening; HIV; primary care; SQUAMOUS INTRAEPITHELIAL LESIONS; HUMAN-PAPILLOMAVIRUS; INFECTED MEN; HIGH-RATES; CYTOLOGY; PREVALENCE; CANCER; WOMEN; SEX; COHORT;

D O I：

10.1016/j.jana.2018.06.009

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Anal dysplasia can lead to anal cancer which affects persons living with HIV (PLWH) more than people in the general population. Screening for anal dysplasia is recommended to detect anal cancer at an early stage. The aim of our process improvement project was to improve compliance and consistency in implementing anal dysplasia screening for PLWH receiving care at a Ryan White facility covering 18 counties in western North Carolina. There were 291 PLWH screened for anal dysplasia during the 9-month data-gathering period. The compliance rate significantly increased from a preintervention rate of 31.3% to 57.5% (p < .001). There were 109 (37.5%) abnormal screening results. PLWH who had abnormal screening results were more likely to be White. Gender and age were not significantly associated with abnormal screening results. Anal dysplasia screening is a simple procedure to detect precursors to cancer that can be integrated into the primary care of PLWH. Copyright (C) 2018 Association of Nurses in AIDS Care

引用

页码：858 / 865

页数：8

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