Acute Clinical Care for Transgender Patients: A Review

@article{Rosendale2018AcuteCC,
  title={Acute Clinical Care for Transgender Patients: A Review},
  author={Nicole Rosendale and Seth Goldman and Gabriel M. Ortiz and Lawrence A. Haber},
  journal={JAMA Internal Medicine},
  year={2018},
  volume={178},
  pages={1535–1543}
}
Importance Transgender is an umbrella term used to describe individuals whose gender identity and/or gender expression differs from assigned sex at birth. There are an estimated 1.4 million transgender adults in the United States, and this number is increasing. Clinicians will increasingly be caring for transgender patients. Topics considered in this narrative review include terminology, how to address transgender patients, obtaining an inclusive history that takes into account gender-affirming… 

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References

SHOWING 1-10 OF 68 REFERENCES

Electronic Health Records and Transgender Patients—Practical Recommendations for the Collection of Gender Identity Data

This manuscript provides a description of identifiers associated with gender identity, and makes practical and evidence based recommendations for implementation and front-end functionality.

The Perioperative Care of the Transgender Patient.

An overview of relevant terminology, the imperative for the provision of culturally sensitive care, and guidelines for preoperative, intraoperative, and postoperative management of the transgender patient are provided.

When Gender Identity Doesn't Equal Sex Recorded at Birth: The Role of the Laboratory in Providing Effective Healthcare to the Transgender Community.

Understanding gender incongruence, the clinical changes associated with gender transition, and systemic barriers that maintain a gender/sex binary are key to providing adequate healthcare to transgender community.

Primary care providers’ willingness to continue gender-affirming hormone therapy for transgender patients

This study indicates that both personal and clinical factors play a role in PCPs' willingness to continue prescribing gender-affirming hormone therapy to transgender patients, and future research should address ways to increase PCP' willingness and comfort related to continuing HT for transgender patients.

Review of the Transgender Literature: Where Do We Go from Here?

Significant knowledge gaps were found across the subspecialties, and there was a lack of prospective robust research and representation of transgender-specific data in the core medical journals, suggesting more data and research are needed to bridge the knowledge gaps that currently exist and improve the care of the transgender community.

Electronic medical records and the transgender patient: recommendations from the World Professional Association for Transgender Health EMR Working Group

An Electronic Medical Records Working Group comprised of both expert clinicians and medical information technology specialists, to make recommendations for developers, vendors, and users of EHR systems with respect to transgender patients are presented.

ENDOCRINE TREATMENT OF GENDER-DYSPHORIC/GENDER-INCONGRUENT PERSONS: AN ENDOCRINE SOCIETY CLINICAL PRACTICE GUIDELINE.

  • W. HembreeP. Cohen-Kettenis G. T’Sjoen
  • Medicine
    Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists
  • 2017
This evidence-based guideline was developed using the Grading of Recommendations, Assessment, Development, and Evaluation approach to describe the strength of recommendations and the quality of evidence about the effect of sex steroids on bone health in transgender individuals.

Interpreting laboratory results in transgender patients on hormone therapy.

Cross-sex Hormones and Acute Cardiovascular Events in Transgender Persons

This objective was to compare ACVE incidence rates in a cohort of transgender persons enrolled in 3 such health care systems with rates observed in age-, race-, site-, and membership-matched cisgender men and women (reference cohorts).

METABOLIC EFFECTS OF HORMONE THERAPY IN TRANSGENDER PATIENTS.

  • John David FernandezLisa R Tannock
  • Medicine
    Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists
  • 2016
Transgender hormone therapy was found to be safe in this retrospective study and there were significant increases in body mass index, creatinine, hemoglobin, and hematocrit although statistically significant, these changes were minimal for both cohorts.
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