{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T14:36:04Z","timestamp":1770302164007,"version":"3.49.0"},"reference-count":12,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Colon Rectal Surg"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Anal cancer, while rare, is increasing in incidence. Recent studies and trials indicate that effective screening with treatment of precancerous anal dysplastic lesions can decrease the risk of anal cancer in high-risk patient populations. Therefore, it is important that anal cancer screening is made accessible. To this end, as has been done in other specialties, advanced practice practitioners (APPs) can help fill this need. This paper will discuss how a well-established APP managed anal dysplasia clinic, has been successful and remained viable for many years. We will discuss clinic functions, key points, and tips that can help an APP clinic run efficiently and successfully, as well as measures that have helped us with patient satisfaction and continuity.<\/jats:p>","DOI":"10.1055\/s-0045-1809894","type":"journal-article","created":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T19:44:28Z","timestamp":1751485468000},"page":"158-161","source":"Crossref","is-referenced-by-count":0,"title":["A Successful APP-Managed Anal Dysplasia Clinic"],"prefix":"10.1055","volume":"39","author":[{"given":"Kathryn","family":"Drogan","sequence":"additional","affiliation":[{"name":"Division of Colorectal Surgery, Anal Dysplasia Clinic, University of Rochester, Rochester, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meghan","family":"Leusch","sequence":"additional","affiliation":[{"name":"Division of Colorectal Surgery, Anal Dysplasia Clinic, University of Rochester, Rochester, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,7,2]]},"reference":[{"key":"ref2","doi-asserted-by":"crossref","first-page":"1694","DOI":"10.1002\/ijc.34850","article-title":"International Anal Neoplasia Society's consensus guidelines for anal cancer screening","volume":"154","author":"E A Stier","year":"2024","journal-title":"Int J Cancer"},{"issue":"24","key":"ref4","doi-asserted-by":"crossref","first-page":"2273","DOI":"10.1056\/NEJMoa2201048","article-title":"Treatment of anal high-grade squamous intraepithelial lesions to prevent anal cancer","volume":"386","author":"J M Palefsky","year":"2022","journal-title":"N Engl J Med"},{"issue":"06","key":"ref5","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1016\/j.jana.2011.08.006","article-title":"Elements of an anal dysplasia screening program","volume":"22","author":"N Jay","year":"2011","journal-title":"J Assoc Nurses AIDS Care"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1053\/j.scrs.2017.04.004","article-title":"High-resolution anoscopy: Procedure and findings","volume":"28","author":"N Jay","year":"2017","journal-title":"Semin Colon Rectal Surg"},{"issue":"03","key":"ref7","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1016\/j.amjmed.2017.08.026","article-title":"Nurse practitioners, physician assistants, and physicians are comparable in managing the first five years of diabetes","volume":"131","author":"Y Yang","year":"2018","journal-title":"Am J Med"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1053\/j.scrs.2017.04.003","article-title":"Anal cancer screening: Techniques and guidelines","volume":"28","author":"T Cuming","year":"2017","journal-title":"Semin Colon Rectal Surg"},{"issue":"04","key":"ref9","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1097\/LGT.0000000000000256","article-title":"2016 IANS international guidelines for practice standards in the detection of anal cancer precursors","volume":"20","author":"R J Hillman","year":"2016","journal-title":"J Low Genit Tract Dis"},{"issue":"02","key":"ref10","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1097\/JAC.0000000000000412","article-title":"Advanced practice provider care team models: Best practices from an academic medical center","volume":"45","author":"A Chaney","year":"2022","journal-title":"J Ambul Care Manage"},{"issue":"06","key":"ref11","doi-asserted-by":"crossref","first-page":"615","DOI":"10.1097\/MLR.0000000000000689","article-title":"A comparison of nurse practitioners, physician assistants, and primary care physicians' patterns of practice and quality of care in health centers","volume":"55","author":"E T Kurtzman","year":"2017","journal-title":"Med Care"},{"issue":"02","key":"ref12","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1097\/LGT.0000000000000458","article-title":"International Anal Neoplasia Society guidelines for the practice of digital anal rectal examination","volume":"23","author":"R J Hillman","year":"2019","journal-title":"J Low Genit Tract Dis"},{"issue":"11","key":"ref13","doi-asserted-by":"crossref","first-page":"4689","DOI":"10.1177\/00031348221129508","article-title":"Impact of a high-resolution anoscopy clinic on management of anal dysplasia in women living with HIV","volume":"89","author":"G C Squeo","year":"2023","journal-title":"Am Surg"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1053\/j.scrs.2017.04.011","article-title":"Incorporating anal dysplasia screening and management into a surgical practice","volume":"28","author":"M L Welton","year":"2017","journal-title":"Semin Colon Rectal Surg"}],"container-title":["Clinics in Colon and Rectal Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0045-1809894.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T23:41:54Z","timestamp":1770248514000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0045-1809894"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,2]]},"references-count":12,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2026,2,4]]},"published-print":{"date-parts":[[2026,3]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0045-1809894","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1531-0043","1530-9681"],"issn-type":[{"value":"1531-0043","type":"print"},{"value":"1530-9681","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,2]]}}}