International Anal Neoplasia Society Guidelines for the Practice of Digital Anal Rectal Examination

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Title:	International Anal Neoplasia Society Guidelines for the Practice of Digital Anal Rectal Examination
Author(s):	Hillman, R.J.; Berry-Lawhorn, J.M.; Ong, J.J.; Cuming, T.; Nathan, M.; Goldstone, S.; Richel, O. ; Barrosso, L.F.; Darragh, T.M.; Law, C.; Bouchard, C.; Stier, E.A.; Palefsky, J.M.; Jay, N.
Publication year:	2019
Source:	Journal of Lower Genital Tract Disease, vol. 23, iss. 2, (2019), pp. 138-146
ISSN:	1089-2591
DOI:	https://doi.org/10.1097/LGT.0000000000000458
Publication type:	Article / Letter to editor
Please use this identifier to cite or link to this item : https://hdl.handle.net/2066/215651
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Subject:	Radboudumc 4: lnfectious Diseases and Global Health RIHS: Radboud Institute for Health Sciences
Organization:	Internal Medicine
Journal title:	Journal of Lower Genital Tract Disease
Volume:	vol. 23
Issue:	iss. 2
Page start:	p. 138
Page end:	p. 146
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.