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

Autor: Karin Neukam, Yusnelkis Milanés Guisado, María Fontillón, Laura Merino, César Sotomayor, Nuria Espinosa, Luis F. López-Cortés, Pompeyo Viciana
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Papillomavirus Research, Vol 7, Iss , Pp 62-66 (2019)
Druh dokumentu: article
ISSN: 2405-8521
DOI: 10.1016/j.pvr.2019.01.003
Popis: 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
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