id author title date pages extension mime words sentences flesch summary cache txt cord-334445-rk0jay4a Mistrangelo, M. Do we really need guidelines for HRA during the COVID‐19 pandemic? 2020-05-25 .txt text/plain 840 45 56 Considering the costs to deal with COVID-19, the deficiency of healthcare professionals and the lack of worldwide evidence consensus on HRA, this examination cannot be considered mandatory during the COVID-19 pandemic. Dear Editor, We have read with great interest the recent guidelines of the International Anal Neoplasia Society (IANS) for the practice of high-resolution anoscopy (HRA) in the era of coronavirus (SARS-CoV-2) disease (COVID-19) [1] . Consequent to the COVID-19 pandemic, scientific societies have published countless guidelines. Considering the costs of dealing with the problems posed by COVID-19, the shortage of healthcare professionals and the lack of worldwide consensus evidence for HRA, this examination cannot be considered mandatory during the COVID-19 pandemic. The low risk of progression of AIN to invasive carcinoma, even in high-risk patients, and the long time from diagnosis of AIN and progression do not justify the use of HRA and a screening programme during the COVID-19 pandemic. ./cache/cord-334445-rk0jay4a.txt ./txt/cord-334445-rk0jay4a.txt