{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:37:34Z","timestamp":1777927054853,"version":"3.51.4"},"reference-count":23,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2014,5,8]],"date-time":"2014-05-08T00:00:00Z","timestamp":1399507200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2015,3]]},"abstract":"<jats:p>Summary<\/jats:p>\n                  <jats:p>To manage the rising demand on sexual health services in the UK, many clinics have introduced asymptomatic screening pathways for heterosexuals, which omit examination. In men who have sex with men however the screening of extragenital sites poses additional challenges. This study aimed to establish whether omitting examination of asymptomatic men who have sex with men would lead to clinically significant diagnoses being missed. The notes of all men who have sex with men who attended a UK level 3 sexual health clinic between 1 July 2011 and 30 June 2012 were retrospectively reviewed. Exclusion criteria included HIV-positive patients attending for HIV-related care, attendances for follow-up consultations not requiring a full sexual health screen, symptomatic patients, contacts of sexually transmitted infections and patients requesting an examination or a repeat prescription of a regularly used medication. In all, 920 consultations occurred during 12 months, of which 893 were reviewed; 476 (53.3%) consultations would have been eligible for screening on an asymptomatic pathway and, of these, 21 (4.4%) had abnormalities found at examination. Findings included genital warts, minor dermatological conditions and three cases of minor asymptomatic urological conditions. There were no clinically significant findings on examination of asymptomatic men who have sex with men requiring treatment, indicating that examination in this cohort may be of little benefit.<\/jats:p>","DOI":"10.1177\/0956462414532449","type":"journal-article","created":{"date-parts":[[2014,5,9]],"date-time":"2014-05-09T03:34:22Z","timestamp":1399606462000},"page":"181-186","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Can an asymptomatic screening pathway for men who have sex with men be introduced safely at a level 3 sexual health service in the UK?"],"prefix":"10.1177","volume":"26","author":[{"given":"Alex","family":"Collister","sequence":"first","affiliation":[{"name":"Countess of Chester Hospital, Chester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manroop","family":"Bains","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Southampton, Southampton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Jackson","sequence":"additional","affiliation":[{"name":"Department of Genitourinary Medicine, Royal Bournemouth Hospital, Bournemouth, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily","family":"Clarke","sequence":"additional","affiliation":[{"name":"Department of Genitourinary Medicine, Royal South Hants Hospital, Southampton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raj","family":"Patel","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of Southampton, Southampton, UK"},{"name":"Department of Genitourinary Medicine, Royal South Hants Hospital, Southampton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2014,5,8]]},"reference":[{"key":"bibr1-0956462414532449","unstructured":"Public Health England. Health Protection report. 7 June 2013; 7(23). http:\/\/www.hpa.org.uk\/hpr\/archives\/2013\/hpr2313.pdf (accessed 11 December 2013)."},{"key":"bibr2-0956462414532449","doi-asserted-by":"publisher","DOI":"10.1097\/01.aids.0000131331.36386.de"},{"key":"bibr3-0956462414532449","unstructured":"British Association of Sexual Health HIV Clinical Effectiveness Group. United Kingdom National Guideline for Gonorrhoea Testing 2012; 2012. http:\/\/www.bashh.org\/documents\/4490.pdf (accessed 18 December 2013)."},{"key":"bibr4-0956462414532449","unstructured":"British Association of Sexual Health and HIV Clinical Effectiveness Group. Chlamydia trachomatis UK Testing Guidelines, 2010; 2010. http:\/\/www.bashh.org\/documents\/3352.pdf (accessed 18 December 2013)."},{"key":"bibr5-0956462414532449","unstructured":"Public Health England. Sexually Transmitted Infections Annual Data; 2012. http:\/\/www.hpa.org.uk\/web\/HPAweb&HPAwebStandard\/HPAweb_C\/1203348026613 (2012, accessed 18 December 2013)."},{"key":"bibr6-0956462414532449","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e3181ca3c0a"},{"key":"bibr7-0956462414532449","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2008.031443"},{"key":"bibr8-0956462414532449","unstructured":"Alexander S. Sexual transmitted bacterial reference laboratory, health protection agency; Personal communication, 10 January 2013."},{"key":"bibr9-0956462414532449","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e318227713e"},{"key":"bibr10-0956462414532449","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e3181a44b8c"},{"key":"bibr11-0956462414532449","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2008.032193"},{"key":"bibr12-0956462414532449","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2011.049346"},{"key":"bibr13-0956462414532449","unstructured":"British Association for Sexual Health and HIV Clinical Effectiveness Group. 2007 UK national guidelines on the management of non-gonococcal urethritis; 2012. Updated Dec 2008, http:\/\/www.bashh.org\/documents\/1955.pdf (accessed 20 November 2012)."},{"key":"bibr14-0956462414532449","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2007.025130"},{"key":"bibr15-0956462414532449","unstructured":"Screening Guideline Steering Group of the British Association for Sexual Health and HIV. Sexually transmitted infections: UK national screening and testing guidelines; 2012. http:\/\/www.bashh.org\/documents\/59\/59.pdf (accessed 20 November 2012)."},{"key":"bibr16-0956462414532449","doi-asserted-by":"publisher","DOI":"10.1053\/joms.2003.50056"},{"key":"bibr17-0956462414532449","unstructured":"Public Health England. Sexually transmitted infections annual data. Number & rates of gonorrhoea diagnoses in England, 2003\u20132012; 2012. http:\/\/www.hpa.org.uk\/webc\/HPAwebFile\/HPAweb_C\/1281953082152 (accessed 28 January 2014)."},{"key":"bibr18-0956462414532449","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e31822e6136"},{"key":"bibr19-0956462414532449","doi-asserted-by":"publisher","DOI":"10.1177\/0956462413481527"},{"key":"bibr20-0956462414532449","doi-asserted-by":"publisher","DOI":"10.1097\/00042560-199804010-00005"},{"key":"bibr21-0956462414532449","first-page":"122","volume":"15","author":"Cachay ER","year":"2013","journal-title":"AIDS Rev"},{"key":"bibr22-0956462414532449","unstructured":"Anal Cancer Examination Study. 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