Does anal cancer screening reduce morbidity and mortality in men who have sex with men?
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It's unclear whether anal cancer screening benefits men who have sex with men because high-quality studies on this subject are lacking. In the absence of high-quality data, anal pap smears aren't recommended for routine screening of men who have sex with men (strength of recommendation: C, expert opinion).
Journal of Family Practice, 61(7) 2012: 427-428.