Prevalence and Predictors of High-Grade Anal Dysplasia in People With HIV in One Southeastern Ryan White HIV/AIDS Program Clinic.
Maria C GebaBenjamin CardenasBrooke WilliamsSook HoangYvonne NewberryRebecca Anne DillinghamTania A ThomasPublished in: Open forum infectious diseases (2022)
Nearly half of those screened had abnormal cytology, highlighting the high prevalence of anal dysplasia in PWH. Though only 7% had high-grade SIL on cytology, 62% of those biopsied had AIN2+, suggesting that cytology underestimates the severity of dysplasia on biopsy. HPV 16 and "other" high-risk strains were associated with AIN2 + and could be considered for risk-stratifying patients in the screening algorithm.
Keyphrases
- high grade
- hiv aids
- low grade
- antiretroviral therapy
- end stage renal disease
- fine needle aspiration
- hiv infected
- human immunodeficiency virus
- ejection fraction
- newly diagnosed
- hiv positive
- primary care
- escherichia coli
- machine learning
- peritoneal dialysis
- deep learning
- ultrasound guided
- prognostic factors
- quality improvement