Truth or DARE (Digital Anal Rectal Examination): Gynecologist Viewpoints on Anal Cancer Screening
Laura M. Gaydos, Danielle Blemur, Tahira Perry, Elizabeth A. Stier, Michelle J. Khan, Lisa Flowers- Obstetrics and Gynecology
- General Medicine
Objective
The objective of this study is to assess knowledge and prevention practices for anal cancer among gynecologists.
Methods
We conducted a survey for practicing gynecologists recruited through academic institutions, professional societies, and professional groups on social media resulting in 196 respondents. The survey, fielded between January and June 2022, included questions on knowledge, attitudes, training, and practices regarding anal cancer prevention (ACP). Descriptive statistics and χ2 analysis were completed.
Results
In terms of knowledge regarding ACP, over 80% of respondents identified certain clinical indications for anal cancer screening. However, only 36% respondents selected the 3 correct ACP screening tools. Twenty-seven (13.9%) respondents reported receiving training on ACP in medical school, whereas 50 (25.9%) reported receiving training during residency. Only 21% of respondents reported that they perform anal cytology, and 32% reported that they perform digital anal rectal examinations. One hundred thirty-six respondents (75.56%) affirmed that they needed additional training on ACP to be able to provide this service to their patients, and 95 (53.1%) stated they were extremely likely to participate in ACP training if given the opportunity.
Conclusion
Although a limited proportion of practicing gynecologists with trained in ACP, there is willingness to participate in training if it were made available and to incorporate ACP into their practices.