Evidence map›Paper›PMID 26103446›Full record

ReviewJournal of lower genital tract disease2015

Screening for Anal Cancer in Women.

Anna-Barbara Moscicki, Teresa M Darragh, J Michael Berry-Lawhorn, Jennifer M Roberts, Michelle J Khan, Lori A Boardman, Elizabeth Chiao, Mark H Einstein, Stephen E Goldstone, Naomi Jay and 5 more

Open access · greenAbstract readReview
In one paragraph

Review in Journal of lower genital tract disease, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 2 pooled it
11.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 2 syntheses or guidelines pooled it, 150 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. International journal of molecular sciences · 2025
    Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Cytology-based Screening for Anal Intraepithelial Neoplasia in Immunocompetent Brazilian Women with a History of High-Grade Cervical Intraepithelial Neoplasia or Cancer.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2022
    Article
  14. Review
  15. Article
  16. Anal High-risk HPV and Liquid-based Cytology of Immunocompetent Brazilian Women with Genital High-risk HPV.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2022
    Observational
  17. Article
  18. Is there a higher frequency of anal dysplasia and infection by human papillomavirus in Crohn's disease patients?Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2022
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 10 institutions in 2 countries.

Anna-Barbara Moscicki1Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California, San Francisco, CA, USA; 2Department of Clinical Pathology, University of California, San Francisco, CA, USA; 3Division of Hematology Oncology, University of California San Francisco, CA, USA; 4Douglass Hanly Moir Pathology, Sydney, Australia; 5Division of Women's Reproductive Healthcare, Department of OB/GYN, School of Medicine, University of Alabama at Birmingham, AL, USA; 6Florida Hospital for Women, Florida Hospital System, University of Central Florida College of Medicine, FL, USA; 7Center for Innovations in Quality, Effectiveness, and Safety, Michael E. DeBakey VA Medical Center, Houston, TX, USA; 8Department of Obstetrics and Gynecology & Women's Health, Albert Einstein College of Medicine, Montefiore Medical Center, New York, NY; 9Icahn School of Medicine at Mount Sinai, New York, NY, USA; 10Anal Neoplasia Clinic, Research and Education (ANCRE) Center, University of California, San Francisco, CA, USA; 11College of Medicine, Department of Obstetrics and Gynecology, University of Tennessee Health Science Center, Memphis, TN, USA; 12Obstetrics and Gynecology, Boston Medical Center, Boston, MA, USA; 13Colon and Rectal Surgery, Stanford University School of Medicine, Stanford Hospital and Clinics, Stanford, CA, USA; 14School of Nursing, University of California, Los Angeles, CA, USA; 15Department of Infectious Diseases, University of California, San Francisco, CA, USA.
Teresa M Darragh
J Michael Berry-Lawhorn
Jennifer M Roberts
Michelle J Khan
Lori A Boardman
Elizabeth Chiao
Mark H Einstein
Stephen E Goldstone
Naomi Jay
Wendy M Likes
Elizabeth A Stier
Mark L Welton
Dorothy J Wiley
Joel M Palefsky
University of California, San Francisco · USUniversity of Alabama at Birmingham · USAlbert Einstein College of Medicine · USBoston Medical Center · USCenter for Innovation · USDouglass Hanly Moir Pathology · AUIcahn School of Medicine at Mount Sinai · USStanford Health Care · USUniversity of California, Los Angeles · USUniversity of Central Florida · US

Funding

Core-010UL1TR001073 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI KELLER, MARLA J, SHAMOON, HARRY · 2013 to 2017
$21.3M
Natural History of HPV Infection to NeoplasiaR37CA051323 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MOSCICKI, ANNA-BARBARA · 2005 to 2014
$15.4M
The Effectiveness of Screening HIV-Infected Women for Anal Cancer PrecursorsR01CA163103 · NCI · BAYLOR COLLEGE OF MEDICINE · PI CHIAO, ELIZABETH Y. · 2011 to 2015
$2.8M
Mucosal immune response of the anus in women to HPV, intercourse, smoking and OCsRC1AI086051 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MOSCICKI, ANNA-BARBARA · 2010 to 2010
$498k
NCATS NIH HHS UL1 TR001073NCI NIH HHS R01 CA163103NCI NIH HHS R37 CA051323NCI NIH HHS R37 CA51323NIAID NIH HHS RC1 AI086051NIAID NIH HHS RC1 AI86051-01
6 · The paper itself

Abstract

objectiveThe incidence of anal cancer is higher in women than men in the general population and has been increasing for several decades. Similar to cervical cancer, most anal cancers are associated with human papillomavirus (HPV), and it is believed that anal cancers are preceded by anal high-grade squamous intraepithelial lesions (HSIL). Our goals were to summarize the literature on anal cancer, HSIL, and HPV infection in women and to provide screening recommendations in women.

methodsA group of experts convened by the American Society for Colposcopy and Cervical Pathology and the International Anal Neoplasia Society reviewed the literature on anal HPV infection, anal SIL, and anal cancer in women.

resultsAnal HPV infection is common in women but is relatively transient in most. The risk of anal HSIL and cancer varies considerably by risk group, with human immunodeficiency virus-infected women and those with a history of lower genital tract neoplasia at highest risk compared with the general population.

conclusionsWhile there are no data yet to demonstrate that identification and treatment of anal HSIL leads to reduced risk of anal cancer, women in groups at the highest risk should be queried for anal cancer symptoms and required to have digital anorectal examinations to detect anal cancers. Human immunodeficiency virus-infected women and women with lower genital tract neoplasia may be considered for screening with anal cytology with triage to treatment if HSIL is diagnosed. Healthy women with no known risk factors or anal cancer symptoms do not need to be routinely screened for anal cancer or anal HSIL.

Indexed as

Anus NeoplasmsEarly Detection of CancerFemaleHumansPapillomavirus InfectionsRisk FactorsSquamous Intraepithelial Lesions of the Cervix

Identifiers

PMID26103446
PMCPMC4479419
OpenAlexW2394966281

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.