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High-resolution anoscopy in HIV-infected men: Assessment of the learning curve and factors that improve the performance.


ABSTRACT: OBJECTIVE:To determine the required learning time for high-resolution anoscopy (HRA)-guided biopsy to detect histological high-risk squamous intraepithelial lesions (hHSIL) and to identify factors that impact on the training process. METHODS:All HIV-infected, screening-naïve men-who-have-sex-with-men who underwent HRA conducted by one single observer from 2010 to 2017 in a Spanish HIV-outpatient clinic were analysed. RESULTS:Eighty-five (14.7%) of the 581 patients included presented hHSIL. The factors associated with the capacity to detect hHSIL [adjusted odds ratio (aOR), 95% confidence interval (95%CI)] were the presence of cytological HSIL (3.04, 1.78-5.21; p?

SUBMITTER: Neukam K 

PROVIDER: S-EPMC6374501 | biostudies-literature | 2019 Jun

REPOSITORIES: biostudies-literature

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High-resolution anoscopy in HIV-infected men: Assessment of the learning curve and factors that improve the performance.

Neukam Karin K   Milanés Guisado Yusnelkis Y   Fontillón María M   Merino Laura L   Sotomayor César C   Espinosa Nuria N   López-Cortés Luis F LF   Viciana Pompeyo P  

Papillomavirus research (Amsterdam, Netherlands) 20190201


<h4>Objective</h4>To determine the required learning time for high-resolution anoscopy (HRA)-guided biopsy to detect histological high-risk squamous intraepithelial lesions (hHSIL) and to identify factors that impact on the training process.<h4>Methods</h4>All HIV-infected, screening-naïve men-who-have-sex-with-men who underwent HRA conducted by one single observer from 2010 to 2017 in a Spanish HIV-outpatient clinic were analysed.<h4>Results</h4>Eighty-five (14.7%) of the 581 patients included  ...[more]

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