Evidence map›Paper›PMID 31243606›Full record

ArticleTechniques in coloproctology2019

Practice parameters for the diagnosis and treatment of anal intraepithelial neoplasia (AIN) on behalf of the Italian Society of Colorectal Surgery (SICCR).

G A Binda, G Gagliardi, I Dal Conte, M Verra, P Cassoni, E Cavazzoni, E Stocco, S Delmonte, P De Nardi, L Sticchi and 1 more

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In one paragraph

Article in Techniques in coloproctology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
3.1field-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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Review
  7. Radiation therapy in anal high-grade squamous intraepithelial lesions-a pattern of care analysis in German-speaking countries.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2025
    Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. Reorganization of the endoscopic activity of Cancer Institutes during phase II of the Covid-19 emergency.Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver · 2020
    Article
  15. Do we really need guidelines for HRA during the COVID-19 pandemic?Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2020
    Article
  16. Review
  17. Article
  18. 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

11 authors at 4 institutions in 2 countries.

G A BindaColoproctological Surgery, Biomedical Institute, Via Prà 1/b, 16157, Genoa, Italy. gianbinda1@gmail.com.
G GagliardiDepartment of Surgery, University of Illinois at Chicago, Chicago, USA.
I Dal ConteSexually Transmitted Infection Clinic, ASL Città di Torino, Turin, Italy.
M VerraSurgical Science Department, Città della Salute e della Scienza Hospital, University of Turin, Turin, Italy.
P CassoniDepartment of Medical Sciences, University of Turin, Turin, Italy.
E CavazzoniDepartment of Surgery, University of Perugia School of Medicine, Perugia, Italy.
E StoccoDepartment of Surgery, ASS-5 Friuli Venezia Giulia, 33078, San Vito al Tagliamento, Italy.
S DelmonteMedical Science Department, Dermatologic Clinic, University of Turin, Turin, Italy.
P De NardiDepartment of Gastrointestinal Surgery, San Raffaele Scientific Institute, Milan, Italy.
L SticchiHygiene Unit, Department of Health Sciences (DISSAL), IRCCS Policlinico San Martino Hospital, University of Genoa, Genoa, Italy.
M MistrangeloSurgical Science Department, Città della Salute e della Scienza Hospital, University of Turin, Turin, Italy.
University of Turin · ITUniversity of Genoa · ITUniversity of Illinois Chicago · USUniversity of Perugia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Squamous cell carcinoma (SCC) of the anus is a human papilloma virus (HPV) related malignancy that is preceded by anal intraepithelial neoplasia (AIN) making this cancer, at least theoretically, a preventable disease. In the past 10 years the diagnosis, management and nomenclature of AIN has dramatically changed. Increased life expectancy in human immunodeficiency virus (HIV) positive patients due to highly active antiretroviral therapy (HAART) has caused an increase in the incidence of SCC of the anus. While many experts recommend screening and treatment of anal high-grade squamous intraepithelial lesion (HSIL), there is no consensus on the optimal management these lesions. Therefore, there is a need to review the current evidence on diagnosis and treatment of AIN and formulate recommendations to guide management. Surgeons who are members of the Italian Society of Colorectal Surgery (SICCR) with a recognized interest in AIN were invited to contribute on various topics after a comprehensive literature search. Levels of evidence were classified using the Oxford Centre for Evidence-based Medicine of 2009 and the strength of recommendation was graded according to the United States (US) preventive services task force. These recommendations are among the few entirely dedicated only to the precursors of SCC of the anus and provide an evidence-based summary of the current knowledge about the management of AIN that will serve as a reference for clinicians involved in the treatment of patients at risk for anal cancer.

Indexed as

Practice Guidelines as TopicAnal CanalAnus NeoplasmsCarcinoma in SituCarcinoma, Squamous CellColorectal SurgeryEarly Detection of CancerHumansItalyPapillomaviridaePapillomavirus InfectionsSocieties, MedicalAnal intraepithelial neoplasiaGuidelinesHPV, human papillomavirus virusesSquamous intraepithelial lesions

Identifiers

PMID31243606
OpenAlexW2955684908

What OpenQuestion holds

Textmetadata
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.