[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-329582-105":3,"detail-sidebar-cat-0-en-105":85,"doc-detail-329582-en":135},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":78,"head_meta":80,"extra_data":82,"updated_unix":84},105,"en","piloting-of-a-screen-triage-treat-surgical-approach-model-for-management-of-anal-cancer-in-liberia","Piloting of a Screen-Triage-Treat Surgical Approach Model for Management of Anal Cancer in Liberia","","The study pilots a screen-triage-treat strategy to address limited anal cancer screening and treatment access in Liberia, especially among men who have sex with men (MSM). It evaluates feasibility for anal high-grade squamous intraepithelial lesions (aHSIL) using anal self-swabbing for high-risk HPV and offered HIV testing. Participants with positive results proceed through high-resolution anoscopy and infrared coagulation, with data analyzed in SPSS.",{"@graph":14,"@context":77},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/research-report/","Research & Report",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/piloting-of-a-screen-triage-treat-surgical-approach-model-for-management-of-anal-cancer-in-liberia/329582/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/piloting-of-a-screen-triage-treat-surgical-approach-model-for-management-of-anal-cancer-in-liberia/329582.png","ImageObject",300,407,{"name":42,"@type":43},"Evangeline","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-03","2026-09-21",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",11,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69,73],{"name":60,"@type":61,"acceptedAnswer":62},"What was the study’s main objective in Liberia?","Question",{"text":63,"@type":64},"To determine the feasibility of implementing a screen-triage-treat model for anal high-grade squamous intraepithelial lesions (aHSIL) among MSM in Liberia.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How did the study identify participants at risk?",{"text":68,"@type":64},"Participants underwent anal self-swabbing for high-risk HPV and were offered HIV testing; those with positive results were offered follow-up within the screen-triage-treat pathway.",{"name":70,"@type":61,"acceptedAnswer":71},"What procedures were used for screening, triage, and treatment in positive participants?",{"text":72,"@type":64},"High-resolution anoscopy (HRA) and infrared coagulation (IRC) were used within the screen-triage-treat model for those with positive findings.",{"name":74,"@type":61,"acceptedAnswer":75},"What did the findings indicate about feasibility?",{"text":76,"@type":64},"The results suggest the screen-triage-treat model is a feasible option to identify and reduce the incidence of anal cancer among MSM in Liberia.","https://schema.org",{"og:url":32,"og:type":79,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":81,"canonical":32},"index,follow",{"doc_id":83,"site_id":7},329582,1790053719,{"code":4,"msg":86,"data":87},"success",[88,92,96,100,105,110,115,119,124,127,131],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":97,"show_sort_weight":98,"slug":99},"Exam",70,"exam",{"id":101,"doc_module":4,"doc_module_name":25,"category_name":102,"show_sort_weight":103,"slug":104},5,"Comic",60,"comic",{"id":106,"doc_module":4,"doc_module_name":25,"category_name":107,"show_sort_weight":108,"slug":109},6,"Technology",50,"technology",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},7,"Healthcare",40,"healthcare",{"id":116,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":117,"slug":118},8,30,"research-report",{"id":120,"doc_module":4,"doc_module_name":25,"category_name":121,"show_sort_weight":122,"slug":123},9,"Religion & Spirituality",20,"religion-spirituality",{"id":122,"doc_module":4,"doc_module_name":25,"category_name":125,"show_sort_weight":122,"slug":126},"World Cup","world-cup",{"id":128,"doc_module":4,"doc_module_name":25,"category_name":129,"show_sort_weight":128,"slug":130},10,"Lifestyle","lifestyle",{"id":132,"doc_module":4,"doc_module_name":25,"category_name":133,"show_sort_weight":101,"slug":134},19,"General","general",{"code":4,"msg":86,"data":136},{"doc_id":83,"user_id":137,"nickname":42,"user_avatar":138,"doc_module":4,"category_id":116,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":139,"file_id":140,"file_url":141,"file_type":142,"file_size":143,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":55,"language":144,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":145,"faqs":146,"seo_title":147,"seo_description":12,"update_tm":148,"read_time":149,"preview_page_count":4},13056703019662,"https://ap-avatar.wpscdn.com/avatar/be000253a8e92610077?_k=1778726343310543188","Piloting of a Screen-TriageTreat Surgical Approach Model for Management of Anal Cancer in Liberia  \nCHRISTOPHER W. REYNOLDS WHITNEY LIEB  \nANDREA SCHECTER MICHAEL M GAISA  \nSTEPHEN K. MCGILL EVANS L. ADOFO ANN MARIE BEDDOE  \n*Author affiliations can be found in the back matter of this article  \nABSTRACT  \nBackground: While cancer is a leading cause of death worldwide, significant disparities exist in care access in low-and middle-income countries (LMICs) . In Liberia, screening and treatment for anal cancers remain limited, and are exacerbated among vulnerable groups, including men who have sex with men (MSM) . Screen-triage-treat models for cancerous lesions have been successful in reducing cervical cancer mortality, but the feasibility of this approach has not been studied for anal cancers in a low-resource context.  \nObjective: The aim of this study is to determine the feasibility of implementing a screen-triage-treat model for anal high-grade squamous intraepithelial lesions (aHSIL) among MSM in Liberia.  \nMethods: This descriptive study represented a collaboration between Stop AIDS in Liberia (SAIL) and health institutions in Liberia and the USA. MSM and transgender participants were recruited through convenience sampling with SAIL peer-educators. A survey validated by SAIL experts assessed demographics and sexual risk factors. Participants underwent anal self-swabbing for high-risk human papillomavirus (HPV) and offered human immunodeficiency virus (HIV) testing. Those with positive results were offered a screen-triage-treat model through high-resolution anoscopy (HRA) and infrared coagulation (IRC) . Data were cleaned and analyzed in SPSS.  \nFindings: Among 110 participants, most were single (n = 94, 88%) and without formal employment (n = 21, 75%). Participants engaged in regular anal (n = 64, 60%), oral (n = 62, 58%), and receptive sex (n = 58, 54%), and sex with women (n = 51, 48%) . Nearly 20% of participants reported being HIV positive (n = 21). In all, 50 participants (45%) tested positive for anal high-risk HPV, 34 (68%) elected to undergo HRA, and 10 (84%) were treated with IRC. Of those who underwent HRA, 75% tested HIV positive.  \nORIGINAL RESEARCH  \nCORRESPONDING AUTHOR:  \nChristopher W. Reynolds  \nDepartment of Surgery, University of Michigan, 1500 E. Medical Center Dr., Ann Arbor, MI 48109, USA  \n[chwre@med.umich.edu](chwre@med.umich.edu)  \nKEYWORDS:  \nAnal cancer, men who have sex with men (MSM), Liberia, surgical care, human papillomavirus  \nTO CITE THIS ARTICLE:  \nReynolds CW, Lieb W, Schecter A, Gaisa MM, McGill SK, Adofo EL, Beddoe AM. Piloting  \nof a Screen-Triage-Treat Surgical Approach Model for Management of Anal Cancer in Liberia. Annals of Global Health. 2024; 90(1): 75, 1– 11. DOI: [https://doi.org/10.5334](https://doi.org/10.5334)[ ](https://doi.org/10.5334)[/aogh.4576](/aogh.4576)  \nConclusions: Our findings suggest that a screen-triage-treat model presents a feasible option to identify and reduce the incidence of anal cancer among MSM in Liberia. The screen-triage-treat model, with proven success in management of cervical dysplasia, may be a viable option to treat aHSIL for anal cancer prevention in LMICs.  \nReynolds et al.  \nAnnals of Global Health DOI: 10.5334/aogh.4576  \n2  \nINTRODUCTION  \nAlthough commitments to health equity are gaining increasing international attention, significant disparities in access to cancer care persist around the world [1] . Despite cancer being the second leading cause of death worldwide, a significant untreated disease burden remains in low-and middle-income countries (LMICs) [2] . Out of approximately 9.9 million cancer deaths in 2020, nearly 70% were in LMICs, with the most significant disparities between high-and low-income countries being from preventable and treatable cancers [3, 4]. Persons with immunocompromising conditions are at increased risk of developing and experiencing significant morbidity and mortality from cancer, including those with human im","cbCaimOYHN9DDCmy","https://ap.wps.com/l/cbCaimOYHN9DDCmy","pdf",724649,"English","# Abstract\n# Background\n# Objective\n# Methods\n# Findings\n# Conclusions\n# Introduction","[{\"question\":\"What was the study’s main objective in Liberia?\",\"answer\":\"To determine the feasibility of implementing a screen-triage-treat model for anal high-grade squamous intraepithelial lesions (aHSIL) among MSM in Liberia.\"},{\"question\":\"How did the study identify participants at risk?\",\"answer\":\"Participants underwent anal self-swabbing for high-risk HPV and were offered HIV testing; those with positive results were offered follow-up within the screen-triage-treat pathway.\"},{\"question\":\"What procedures were used for screening, triage, and treatment in positive participants?\",\"answer\":\"High-resolution anoscopy (HRA) and infrared coagulation (IRC) were used within the screen-triage-treat model for those with positive findings.\"},{\"question\":\"What did the findings indicate about feasibility?\",\"answer\":\"The results suggest the screen-triage-treat model is a feasible option to identify and reduce the incidence of anal cancer among MSM in Liberia.\"}]","Piloting of a Screen-Triage-Treat Surgical Approach Model for Management of Anal Cancer in Liberia | PDF",1789984629,28]