RSS-Feed abonnieren
DOI: 10.1055/s-0045-1809894
A Successful APP-Managed Anal Dysplasia Clinic

Abstract
Anal cancer, while rare, is increasing in incidence. Recent studies and trials indicate that effective screening with treatment of precancerous anal dysplastic lesions can decrease the risk of anal cancer in high-risk patient populations. Therefore, it is important that anal cancer screening is made accessible. To this end, as has been done in other specialties, advanced practice practitioners (APPs) can help fill this need. This paper will discuss how a well-established APP managed anal dysplasia clinic, has been successful and remained viable for many years. We will discuss clinic functions, key points, and tips that can help an APP clinic run efficiently and successfully, as well as measures that have helped us with patient satisfaction and continuity.
Publikationsverlauf
Artikel online veröffentlicht:
02. Juli 2025
© 2025. Thieme. All rights reserved.
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
-
References
- 1 American Cancer Society. Risk Factors for Anal Cancer. 2024. Accessed June 9, 2025 at: https://www.cancer.org/cancer/types/anal-cancer/causes-risks-prevention
- 2 Stier EA, Clarke MA, Deshmukh AA. et al. International Anal Neoplasia Society's consensus guidelines for anal cancer screening. Int J Cancer 2024; 154: 1694-1702
- 3 Willett CG, Eng C. Anatomy, pathology, epidemiology, and risk factors of anal cancer. UpToDate. 2024. Accessed June 9, 2025 at: https://www.uptodate.com/contents/anatomy-pathology-epidemiology-and-risk-factors-of-anal-cancer
- 4 Palefsky JM, Lee JY, Jay N. et al.; ANCHOR Investigators Group. Treatment of anal high-grade squamous intraepithelial lesions to prevent anal cancer. N Engl J Med 2022; 386 (24) 2273-2282
- 5 Jay N. Elements of an anal dysplasia screening program. J Assoc Nurses AIDS Care 2011; 22 (06) 465-477
- 6 Jay N. High-resolution anoscopy: Procedure and findings. Semin Colon Rectal Surg 2017; 28: 75-80
- 7 Yang Y, Long Q, Jackson SL. et al. Nurse practitioners, physician assistants, and physicians are comparable in managing the first five years of diabetes. Am J Med 2018; 131 (03) 276-283.e2
- 8 Cuming T, Nathan M. Anal cancer screening: Techniques and guidelines. Semin Colon Rectal Surg 2017; 28: 69-74
- 9 Hillman RJ, Cuming T, Darragh T. et al. 2016 IANS international guidelines for practice standards in the detection of anal cancer precursors. J Low Genit Tract Dis 2016; 20 (04) 283-291
- 10 Chaney A, Beliles G, Keimig A, Porter I. Advanced practice provider care team models: Best practices from an academic medical center. J Ambul Care Manage 2022; 45 (02) 126-134
- 11 Kurtzman ET, Barnow BS. A comparison of nurse practitioners, physician assistants, and primary care physicians' patterns of practice and quality of care in health centers. Med Care 2017; 55 (06) 615-622
- 12 Hillman RJ, Berry-Lawhorn JM, Ong JJ. et al.; International Anal Neoplasia Society. International Anal Neoplasia Society guidelines for the practice of digital anal rectal examination. J Low Genit Tract Dis 2019; 23 (02) 138-146
- 13 Squeo GC, Geba MC, Kane WJ. et al. Impact of a high-resolution anoscopy clinic on management of anal dysplasia in women living with HIV. Am Surg 2023; 89 (11) 4689-4695
- 14 McCleery E, Christensen V, Peterson K, Humphrey L, Helfand M. . Evidence brief: The quality of care provided by advanced practice nurses (Internet). In: VA Evidence Synthesis Program Reports. Washington (DC): Department of Veterans Affairs; 2014
- 15 Welton ML, Oberhelman HA, Lightner AL. Incorporating anal dysplasia screening and management into a surgical practice. Semin Colon Rectal Surg 2017; 28: 111-113