Evidence map›Paper›PMID 30516346›Full record

ArticleJournal of the International AIDS Society2018

Incorporating digital anorectal examinations for anal cancer screening into routine HIV care for men who have sex with men living with HIV: a prospective cohort study.

Jason J Ong, Sandra Walker, Andrew Grulich, Jennifer Hoy, Tim Rh Read, Catriona Bradshaw, Marcus Chen, Suzanne M Garland, Richard Hillman, David J Templeton and 5 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the International AIDS Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

9 citing papers in PubMed, 22 citations in OpenAlex.

  1. Impact of anal precancer screening on patient-reported outcomes among men-who-have-sex-with-men living with HIV: a scoping review.European journal of cancer prevention : the official journal of the European Cancer Prevention Organisation (ECP) · 2026
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  6. The Politics of LGBT+ Health Inequality: Conclusions from a UK Scoping Review.International journal of environmental research and public health · 2021
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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 4 countries.

Jason J OngCentral Clinical School, Monash University, Melbourne, Victoria, Australia.ORCID 0000-0001-5784-7403
Sandra WalkerMelbourne Sexual Health Centre, Alfred Health, Carlton, Victoria, Australia.
Andrew GrulichKirby Institute, University of New South Wales, Sydney, New South Wales, Australia.
Jennifer HoyDepartment of Infectious Diseases, Alfred Hospital and Monash University, Melbourne, Victoria, Australia.
Tim Rh ReadCentral Clinical School, Monash University, Melbourne, Victoria, Australia.ORCID 0000-0002-9755-4848
Catriona BradshawCentral Clinical School, Monash University, Melbourne, Victoria, Australia.
Marcus ChenCentral Clinical School, Monash University, Melbourne, Victoria, Australia.
Suzanne M GarlandDepartment of Obstetrics and Gynaecology, Department of Microbiology in Infectious Diseases, University of Melbourne, Royal Women's Hospital, Murdoch Children's Research Institute, Parkville, Victoria, Australia.
Richard HillmanHIV, Immunology and Infectious Disease, St Vincent's Hospital, Darlinghurst, New South Wales, Australia.
David J TempletonKirby Institute, University of New South Wales, Sydney, New South Wales, Australia.
Jane HockingMelbourne School of Population and Global Health, University of Melbourne, Parkville, Victoria, Australia.
Beng EuPrahran Market Clinic, Prahran, Victoria, Australia.
Bian Kiem TeeThe Centre Clinic, Victorian AIDS Council, St Kilda, Victoria, Australia.
Eric P F ChowCentral Clinical School, Monash University, Melbourne, Victoria, Australia.
Christopher K FairleyCentral Clinical School, Monash University, Melbourne, Victoria, Australia.
Melbourne Sexual Health Centre · AUCancer Council Victoria · AUHospital of Prato · ITLondon School of Hygiene & Tropical Medicine · GBMonash University · AURoyal Children's Hospital · AUSt Vincent's Hospital Sydney · AUThe University of Melbourne · AUThe University of Sydney · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMen who have sex with men (MSM) living with HIV have a high risk of anal cancer, which is often detected at late stages, when morbidity and mortality are high. The objective of this study was to describe the feasibility and challenges to incorporating regular digital anorectal examination (DARE) into routine HIV care for MSM living with HIV, from the perspective of patients, physicians and the health service.

methodsIn 2014, we recruited 327 MSM living with HIV, aged 35 and above from one major sexual health centre (n = 187), two high HIV caseload general practices (n = 118) and one tertiary hospital (n = 22) in Melbourne, Australia. Men were followed up for two years and DARE was recommended at baseline, year 1 and year 2. Data were collected regarding patient and physician experience, and health service use. An ordered logit model was used to assess the relationship between sociodemographic factors and the number of DAREs performed.

resultsMean age of men was 51 (SD ± 9) years, 69% were Australian born, 32% current smokers, and mean CD4 was 630 (SD ± 265) cells per mm

conclusionIncorporation of an early anal cancer detection programme into routine HIV clinical care for MSM living with HIV showed high patient acceptability, uncommon adverse outcomes and specialist referral patterns similar to other cancer screening programmes.

Indexed as

Early Detection of CancerHomosexuality, MaleAdultAnal CanalAnus NeoplasmsAustraliaCohort StudiesHIV InfectionsHumansMaleMiddle AgedProspective StudiesSexual and Gender Minoritiesanal cancercohort studiescoinfectionHIVkey and vulnerable populationsmalignancymen who have sex with menpublic health

Identifiers

PMID30516346
PMCPMC6280647
OpenAlexW2902626059

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.