Anal cancer screening in HIV: When guidelines get ahead of the evidence

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Should every person with HIV over age 35 (if MSM or transgender woman) or 45 (everyone else) have an anal Pap smear, a digital anal rectal exam (DARE), and possibly a high-resolution anoscopy every 1–2 years? According to recent guidelines, yes. But here’s the problem: we don’t know if this screening effort actually prevents cancer.

Read an expert analysis from Paul E. Sax, MD at HIV and ID Observations.

 

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