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International Anal Neoplasia Society Guidelines for the Practice of Digital Anal Rectal Examination
Richard John Hillman1, J Michael Berry-Lawhorn2, Jason J Ong3
1Dysplasia and Anal Cancer Services, St Vincent's Hospital, Darlinghurst, New South Wales, Australia.
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.
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