Table 2: Healthcare Provider Anal Cancer Screening Practices.
Screening Practices |
TOTAL n = 48 |
Academic 41 (85.4) |
Community 7* (14.6) |
p |
Who should be screened? |
|
|
|
0.558 |
Almost no patients |
3 (6.3) |
3 (7.3) |
0 (0.0) |
|
Symptomatic, high-risk |
8 (16.7) |
7 (17.1) |
1 (14.3) |
|
All symptomatic patients |
2 (4.2) |
2 (4.9) |
0 (0.0) |
|
Asymptomatic, high-risk |
30 (62.5) |
26 (63.4) |
4 (57.1) |
|
Nearly all patients |
5 (10.4) |
3 (7.3) |
2 (28.6) |
|
|
|
|
|
|
Discuss cancer risk with asymptomatic patients |
|
|
|
0.297 |
Never |
6 (12.5) |
5 (12.2) |
1 (14.3) |
|
<50% of the time |
21 (43.8) |
20 (48.8) |
1 (14.3) |
|
>50% of the time |
23 (25.0) |
9 (22.0) |
3 (42.9) |
|
Usually |
5 (10.4) |
4 (9.8) |
1 (14.3) |
|
Almost always |
4 (8.3) |
3 (7.3) |
1 (14.3) |
|
|
|
|
|
|
Recommend screening for MSM |
|
|
|
1.000 |
Less likely |
3 (6.25) |
3 (7.3) |
0 (0.0) |
|
More likely |
45 (93.8) |
38 (92.6) |
7 (100.0) |
|
|
|
|
|
|
Discuss multiple screening testsa |
|
|
|
0.608 |
Never |
16 (34.8) |
15 (37.5) |
1 (16.7) |
|
Rarely |
15 (32.6) |
12 (30.0) |
3 (50.0) |
|
Sometimes |
9 (19.6) |
8 (20.0) |
1 (16.7) |
|
Usually |
3 (6.5) |
2 (5.0) |
1 (16.7) |
|
Don’t Screen |
3 (6.5) |
3 (7.5) |
0 (0.0) |
|
|
|
|
|
|
Perform/supervise screeninga |
|
|
|
0.689 |
Never |
8 (18.2) |
8 (21.2) |
0 (0.0) |
|
Rarely |
9 (20.5) |
8 (21.1) |
1 (16.7) |
|
Sometimes |
9 (20.5) |
8 (21.1) |
1 (16.7) |
|
Usually |
18 (40.9) |
14 (36.8) |
4 (66.7) |
|
When is HRA recommended? |
|
|
|
0.160 |
Almost never |
7 (14.6) |
5 (12.2) |
2 (28.6) |
|
At least one positive test |
30 (62.5) |
27 (65.9) |
3 (42.9) |
|
If multiple positive tests |
4 (8.3) |
2 (4.9) |
2 (28.6) |
|
All high-risk patients |
3 (6.3) |
3 (7.3) |
0 (0.0) |
|
All patients |
4 (8.3) |
4 (9.8) |
0 (0.0) |
|
Abbreviations: MSM, men who have sex with men; HRA, high-resolution anoscopy.
aMissing data: Discuss multiple screening tests, n = 46; Perform/supervise screening, n =44
*Majority of community providers did not screen for anal cancer and therefore did not receive full-length survey.