Author Interviews, Cancer Research, HPV / 20.11.2019
Anal Cancer Rates Rise Sharply
MedicalResearch.com Interview with:
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Dr. Deshmukh[/caption]
Ashish Deshmukh, PhD, MPH
Assistant Professor
UTHealth School of Public Health
Houston
MedicalResearch.com: What is the background for this study?
Response: Anal cancer is one of the six human papillomavirus associated cancers. Rates of anal cancer are increasing in the US, but no prior study quantified the contemporary trends (i.e., increase in rates over time) in anal cancer incidence. It was unknown whether the rise is real or driven by increased screening in some high-risk populations. Incidence trends according to age and stage at diagnosis was also never comprehensively studied. Furthermore, it was unknown whether the rise in incidence has led to a rise in mortality. Our objective was to answer these questions.
Dr. Deshmukh[/caption]
Ashish Deshmukh, PhD, MPH
Assistant Professor
UTHealth School of Public Health
Houston
MedicalResearch.com: What is the background for this study?
Response: Anal cancer is one of the six human papillomavirus associated cancers. Rates of anal cancer are increasing in the US, but no prior study quantified the contemporary trends (i.e., increase in rates over time) in anal cancer incidence. It was unknown whether the rise is real or driven by increased screening in some high-risk populations. Incidence trends according to age and stage at diagnosis was also never comprehensively studied. Furthermore, it was unknown whether the rise in incidence has led to a rise in mortality. Our objective was to answer these questions.
Dr. Kitchener[/caption]
Professor Henry Kitchener, MD FRCOG FRCS
University of Manchester, Manchester, UK
MedicalResearch.com: What is the background for this study?
Response: We now have reliable and affordable technologies to detect human papillomavirus (HPV), a virus which is universally accepted as the cause of cervical cancer. Various large trials confirmed that cervical screening could be improved by replacing the smear (cytology) test that has been in use for decades, with HPV testing. Many countries are now making the switch. In England, this is planned for the end of 2019. To test how to run HPV testing within the English National Health Service, a pilot was initiated in 2013 in six screening laboratories. We also wanted to determine whether the encouraging findings from the trials could be translated to everyday practice. This is important not only because we will be using different HPV tests, but also because women undergoing screening in trials are much more selected than those who are invited to population-based screening.

