Richard John Hillman1, J Michael Berry-Lawhorn2, Jason J Ong3, Tamzin Cuming4, Mayura Nathan4, Stephen Goldstone5, Olivier Richel6, Luis F Barrosso7, Teresa M Darragh8, Carmella Law9, Céline Bouchard10, Elizabeth A Stier11, Joel M Palefsky2, Naomi Jay12. 1. Dysplasia and Anal Cancer Services, St Vincent's Hospital, Darlinghurst, New South Wales, Australia. 2. Department of Medicine, University of California San Francisco, San Francisco, CA. 3. Central Clinical School, Monash University, Melbourne, Victoria, Australia. 4. Homerton University Hospital, Homerton Row, London, United Kingdom. 5. Icahn School of Medicine at Mount Sinai, New York, NY. 6. Academisch Medisch Centrum Universiteit van Amsterdam, Amsterdam, the Netherlands. 7. Wake Forest Baptist Health, Medical Center Boulevard, Winston-Salem, NC. 8. Department of Pathology, University of California San Francisco, San Francisco, CA. 9. St Vincent's Hospital, Darlinghurst, New South Wales, Australia. 10. Centre Médical Berger, Québec, Quebec, Canada. 11. Department of Obstetrics & Gynecology, Boston University School of Medicine, Boston, MA. 12. Anal Neoplasia Clinic, Research and Education (ANCRE) Center, San Francisco, CA.
Abstract
OBJECTIVE: The aim of the study was to develop recommended techniques and quality assurance metrics for the practice of Digital Anal Rectal Examination (DARE). MATERIALS AND METHODS: The International Anal Neoplasia Society undertook a literature review and, using the AGREE II technique, developed guidelines for performing DARE. RESULTS: A consensus was formed regarding the optimum conditions and characteristics of DARE. Several Quality Assurance metrics were developed. CONCLUSIONS: Digital Anal Rectal Examination is a cheap and potentially universally available technique, which has the potential to facilitate the early diagnosis of anal cancers, when they are most amenable to treatment. These guidelines provide a basis for teaching the technique and may be used as for evaluation research.
OBJECTIVE: The aim of the study was to develop recommended techniques and quality assurance metrics for the practice of Digital Anal Rectal Examination (DARE). MATERIALS AND METHODS: The International Anal Neoplasia Society undertook a literature review and, using the AGREE II technique, developed guidelines for performing DARE. RESULTS: A consensus was formed regarding the optimum conditions and characteristics of DARE. Several Quality Assurance metrics were developed. CONCLUSIONS: Digital Anal Rectal Examination is a cheap and potentially universally available technique, which has the potential to facilitate the early diagnosis of anal cancers, when they are most amenable to treatment. These guidelines provide a basis for teaching the technique and may be used as for evaluation research.
Authors: Gypsyamber D'Souza; Gwendolyn Clemens; Tanya Troy; Rachel G Castillo; Linda Struijk; Tim Waterboer; Noemi Bender; Phillip M Pierorazio; Simon R Best; Howard Strickler; Dorothy J Wiley; Robert I Haddad; Marshall Posner; Carole Fakhry Journal: Cancer Prev Res (Phila) Date: 2019-08-16
Authors: Jeannette Y Lee; Shelly Y Lensing; J Michael Berry-Lawhorn; Naomi Jay; Teresa M Darragh; Stephen E Goldstone; Timothy J Wilkin; Elizabeth A Stier; Mark Einstein; Julia C Pugliese; Joel M Palefsky Journal: Contemp Clin Trials Date: 2022-01-10 Impact factor: 2.226
Authors: Bryan A Kutner; Jane M Simoni; Will DeWitt; Michael M Gaisa; Theodorus G M Sandfort Journal: LGBT Health Date: 2022-02-07 Impact factor: 5.150
Authors: Alan G Nyitray; Vanessa Schick; Michael D Swartz; Anna R Giuliano; Maria E Fernandez; Ashish A Deshmukh; Timothy J Ridolfi; Christopher Ajala; Bridgett Brzezinski; Micaela Sandoval; Belinda Nedjai; Jennifer S Smith; Elizabeth Y Chiao Journal: BMJ Open Date: 2021-06-29 Impact factor: 2.692