Abstract：
OBJECTIVE: To assess the degree of implementation of cancer screening recommendations in people living with HIV (PLHIV) in Spain.
METHODS: A self-administered questionnaire was designed on the strategies used for early detection of the main types of cancer in PLHIV. The survey was distributed electronically to HIV physicians participating in the Spanish CoRIS cohort.
RESULTS: 106 questionnaires were received from 12 different Spanish Autonomous Communities, with an overall response rate among those who accessed the questionnaire of 60.2%. The majority responded that they followed the CPGs recommendations for the early detection of liver (94.3%), cervical (93.2%) and breast (85.8%) cancers. In colorectal and anal cancer, the proportion was 68.9% and 63.2%, and in prostate and lung cancer of 46.2% and 19.8%, respectively. In hospitals with a greater number of beds, a tendency to perform more cancer screening and greater participation of the Infectious Diseases/HIV Services in the screening programmes was observed. Significant differences were observed in the frequency of colorectal and anal cancer screening among the different Autonomous Communities. The most frequent reasons for not performing screening were the scarcity of material and/or human resources and not being aware of what is recommended in the CPGs.
CONCLUSIONS: There are barriers and opportunities to expand cancer screening programmes in PLHIV, especially in colorectal, anal and lung cancers. It is necessary to allocate resources for the early detection of cancer in PLHIV, but also to disseminate CPGs screening recommendations among medical specialists.
METHODS: A self-administered questionnaire was designed on the strategies used for early detection of the main types of cancer in PLHIV. The survey was distributed electronically to HIV physicians participating in the Spanish CoRIS cohort.
RESULTS: 106 questionnaires were received from 12 different Spanish Autonomous Communities, with an overall response rate among those who accessed the questionnaire of 60.2%. The majority responded that they followed the CPGs recommendations for the early detection of liver (94.3%), cervical (93.2%) and breast (85.8%) cancers. In colorectal and anal cancer, the proportion was 68.9% and 63.2%, and in prostate and lung cancer of 46.2% and 19.8%, respectively. In hospitals with a greater number of beds, a tendency to perform more cancer screening and greater participation of the Infectious Diseases/HIV Services in the screening programmes was observed. Significant differences were observed in the frequency of colorectal and anal cancer screening among the different Autonomous Communities. The most frequent reasons for not performing screening were the scarcity of material and/or human resources and not being aware of what is recommended in the CPGs.
CONCLUSIONS: There are barriers and opportunities to expand cancer screening programmes in PLHIV, especially in colorectal, anal and lung cancers. It is necessary to allocate resources for the early detection of cancer in PLHIV, but also to disseminate CPGs screening recommendations among medical specialists.
摘要：
目的：评估西班牙HIV感染者（PLHIV）癌症筛查建议的实施程度。
方法：设计了一份关于早期发现PLHIV中主要癌症类型的策略的自我管理问卷。该调查以电子方式分发给参与西班牙CoRIS队列的HIV医生。
结果：从12个不同的西班牙自治社区收到了106份问卷，访问问卷的人的总体回答率为60.2%。大多数人回答说，他们遵循了早期发现肝脏的CPGs建议（94.3％），宫颈癌（93.2%）和乳腺癌（85.8%）。在结肠直肠癌和肛门癌中，比例分别为68.9%和63.2%,前列腺癌和肺癌分别占46.2%和19.8%，分别。在病床数量较多的医院，观察到更多的癌症筛查和传染病/艾滋病毒服务机构更多地参与筛查计划的趋势。在不同自治社区之间，结直肠癌和肛门癌筛查的频率存在显着差异。不进行筛查的最常见原因是缺乏材料和/或人力资源，并且不知道CPG中的建议。
结论：扩大PLHIV的癌症筛查计划存在障碍和机会，尤其是在结直肠，肛门和肺癌。有必要为PLHIV中癌症的早期检测分配资源，而且还要在医学专家中传播CPGs筛查建议。
方法：设计了一份关于早期发现PLHIV中主要癌症类型的策略的自我管理问卷。该调查以电子方式分发给参与西班牙CoRIS队列的HIV医生。
结果：从12个不同的西班牙自治社区收到了106份问卷，访问问卷的人的总体回答率为60.2%。大多数人回答说，他们遵循了早期发现肝脏的CPGs建议（94.3％），宫颈癌（93.2%）和乳腺癌（85.8%）。在结肠直肠癌和肛门癌中，比例分别为68.9%和63.2%,前列腺癌和肺癌分别占46.2%和19.8%，分别。在病床数量较多的医院，观察到更多的癌症筛查和传染病/艾滋病毒服务机构更多地参与筛查计划的趋势。在不同自治社区之间，结直肠癌和肛门癌筛查的频率存在显着差异。不进行筛查的最常见原因是缺乏材料和/或人力资源，并且不知道CPG中的建议。
结论：扩大PLHIV的癌症筛查计划存在障碍和机会，尤其是在结直肠，肛门和肺癌。有必要为PLHIV中癌症的早期检测分配资源，而且还要在医学专家中传播CPGs筛查建议。
