Evidence map›Paper›PMID 38198036›Full record

ReviewTechniques in coloproctology2024

Screening for precancerous anal lesions linked to human papillomaviruses: French recommendations for clinical practice.

L Spindler, I Etienney, L Abramowitz, V de Parades, F Pigot, L Siproudhis, J Adam, V Balzano, D Bouchard, N Bouta and 31 more

Open access · hybridAbstract readReview
In one paragraph

Review in Techniques in coloproctology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
9.3field-weighted citation impact, top 2% 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

20 citing papers in PubMed, 24 citations in OpenAlex.

  1. [Update on anal dysplasia and anal cancer].Dermatologie (Heidelberg, Germany) · 2026
    Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Prevalence of the most common types of high-risk HPV and p16Postepy dermatologii i alergologii · 2026
    Article
  8. Article
  9. International journal of molecular sciences · 2025
    Article
  10. Article
  11. Article
  12. Observational
  13. Article
  14. Article
  15. High-grade intraepithelial lesions of the anus-patience: A road to wisdom.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025
    Article
  16. Review
  17. Article
  18. 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

41 authors at 17 institutions in 1 country.

L SpindlerService de Proctologie, Groupe Hospitalier Paris Saint-Joseph, Paris, France. lspindler@ghpsj.fr.ORCID http://orcid.org/0000-0002-0217-0631
I EtienneyService de Proctologie, Hôpital Diaconesses-Croix Saint Simon, Paris, France.
L AbramowitzService de Proctologie, APHP Hôpital Bichat-Claude Bernard and Ramsay GDS Clinique Blomet, Paris, France.
V de ParadesService de Proctologie, Groupe Hospitalier Paris Saint-Joseph, Paris, France.
F PigotService de Proctologie, Hôpital Bagatelle, Talence, France.
L SiproudhisService d'Hépato-Gastroentérologie, CHU Pontchaillou, Rennes, France.
J AdamService d'Anatomopathologie, Groupe Hospitalier Paris Saint-Joseph, Paris, France.
V BalzanoService de Gastroentérologie et Oncologie Digestive, CHU Tours, Tours, France.
D BouchardService de Proctologie, Hôpital Bagatelle, Talence, France.
N BoutaService d'Hépato-Gastroentérologie et de Proctologie, Clinique La Croix du Sud, Quint-Fonsegrives, France.
M BucauService d'Anatomopathologie, AP-HP Hôpital Bichat-Claude Bernard, Paris, France.
A CarloService d'Hépato-Gastroentérologie, CHU Pontchaillou, Rennes, France.
J ChanalService de Dermatologie, AP-HP, Hôpital Tarnier, Paris, France.
C CharpentierDépartement de Virologie, AP-HP, Hôpital Bichat-Claude Bernard, INSERM, IAME, Université de Paris, Paris, France.
G CliffordEarly Detection, Prevention, and Infections Branch, International Agency for Research On Cancer, Lyon, France.
M DraulletteService d'Hépato-Gastroentérologie et Assistance Nutritive, AP-HP, Hôpital Beaujon, Clichy, France.
N FathallahService de Proctologie, Groupe Hospitalier Paris Saint-Joseph, Paris, France.
V FerréDépartement de Virologie, AP-HP, Hôpital Bichat-Claude Bernard, INSERM, IAME, Université de Paris, Paris, France.
J-F FléjouService d'Anatomopathologie, Cerbapath, Paris, France.
S FouéréService de Dermatologie, AP-HP, Hôpital Saint-Louis, Université de Paris, Paris, France.
T HigueroGastro-entérologue, proctologue medico-chirurgical, Beausoleil, France.
L KassouriService de Proctologie, Groupe Hospitalier Paris Saint-Joseph, Paris, France.
S KurtService de Proctologie, Groupe Hospitalier Paris Saint-Joseph, Paris, France.
A LaurainService de Proctologie, APHP Hôpital Bichat-Claude Bernard and Ramsay GDS Clinique Blomet, Paris, France.
E LeclercService d'Hépato-Gastroentérologie, CHU Clermont-Ferrand, Inserm, 3iHP, Université Clermont Auvergne, Clermont-Ferrand, France.
Q LepillerLaboratoire de Virologie, CHU de Besançon, Besançon, France.
A-C LesageService de Proctologie, Hôpital Diaconesses-Croix Saint Simon, Paris, France.
D MègeService de Chirurgie Digestive, Université d'Aix Marseille, AP-HM, Hôpital de la Timone, Marseille, France.
A MénardInstitut Hospitalo-Universitaire Méditerranée Infection, AP-HM, Hôpital Nord, Université d'Aix Marseille, Marseille, France.
P MerleService d'Hépato-Gastroentérologie et de Proctologie, Clinique La Croix du Sud, Quint-Fonsegrives, France.
P MortreuxService de Gastroentérologie, Centre Hospitalier de Bethune Beuvry, Beuvry, France.
C NoëlService d'Hépato-Gastroentérologie, CHU de Brest, Brest, France.
H PéréLaboratoire de Virologie, Service de Microbiologie, AP-HP, Hôpital Européen Georges Pompidou, Paris, France.
J-L PrétetEA3181, Université de Franche-Comté, LabEx LipSTIC ANR-11-LABX-0021, Besançon, France.
D RolandService de Proctologie, Groupe Hospitalier Paris Saint-Joseph, Paris, France.
G StaumontService d'Hépato-Gastroentérologie et de Proctologie, Clinique La Croix du Sud, Quint-Fonsegrives, France.
L TracanelliService de Proctologie, Hôpital Bagatelle, Talence, France.
L VuittonService de Gastroentérologie, CHU de Besançon, Université de Bourgogne Franche-Comté, Besançon, France.
S WylomanskiService de Gynécologie, Groupe Hospitalier Paris Saint-Joseph, Paris, France.
O Zaegel-FaucherService d'Immuno-Hématologie Clinique, AP-HM, CHU Sainte-Marguerite, Marseille, France.
Société Nationale Française de Colo-Proctologie
Hôpital Paris Saint-Joseph · FRUniversité Claude Bernard Lyon 1 · FRHôpital de la Croix-Rousse · FRAix-Marseille Université · FRCentre Hospitalier Universitaire de Besançon · FRGroupe Hospitalier Diaconesses Croix Saint-Simon · FRHôpital Pontchaillou · FRInserm · FRAssistance Publique – Hôpitaux de Paris · FRCentre Hospitalier de Béthune · FRCentre Hospitalier Régional Universitaire de Brest · FRCentre Hospitalier Universitaire de Tours · FRCentre international de recherche sur le cancer · FRHôpital Beaujon · FRHôpital Sainte-Marguerite · FRUniversité de Bourgogne · FRUniversité Paris Cité · FR

Funding

World Health Organization 001
6 · The paper itself

Abstract

In France, about 2000 new cases of anal cancer are diagnosed annually. Squamous cell carcinoma is the most common histological type, mostly occurring secondary to persistent HPV16 infection. Invasive cancer is preceded by precancerous lesions. In addition to patients with a personal history of precancerous lesions and anal cancer, three groups are at very high risk of anal cancer: (i) men who have sex with men and are living with HIV, (ii) women with a history of high-grade squamous intraepithelial lesions (HSILs) or vulvar HPV cancer, and (iii) women who received a solid organ transplant more than 10 years ago. The purpose of screening is to detect HSILs so that they can be treated, thereby reducing the risk of progression to cancer. All patients with symptoms should undergo a proctological examination including standard anoscopy. For asymptomatic patients at risk, an initial HPV16 test makes it possible to target patients at risk of HSILs likely to progress to cancer. Anal cytology is a sensitive test for HSIL detection. Its sensitivity is greater than 80% and exceeds that of proctological examination with standard anoscopy. It is indicated in the event of a positive HPV16 test. In the presence of cytological abnormalities and/or lesions and a suspicion of dysplasia on clinical examination, high-resolution anoscopy is indicated. Performance is superior to that of proctological examination with standard anoscopy. However, this technique is not widely available, which limits its use. If high-resolution anoscopy is not possible, screening by a standard proctological examination is an alternative. There is a need to develop high-resolution anoscopy and triage tests and to evaluate screening strategies.

Indexed as

Anus NeoplasmsPrecancerous ConditionsSexual and Gender MinoritiesFemaleHomosexuality, MaleHuman Papillomavirus VirusesHumansMaleGuidelinesHigh-resolution anoscopyHPVHSILPrecancerous anal lesionsScreening

Identifiers

PMID38198036
PMCPMC10781838
OpenAlexW4390705878

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.