Evidence map›Paper›PMID 28382847›Full record

ReviewJournal of the Royal Society of Medicine2017

Gender identity and the management of the transgender patient: a guide for non-specialists.

Albert Joseph, Charlotte Cliffe, Miriam Hillyard, Azeem Majeed

Open access · bronzeAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Journal of the Royal Society of Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 68 citations in OpenAlex.

  1. A systematic review of transgender male rodent model methodology.Animal models and experimental medicine · 2025
    Pooled it
  2. Pooled it
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  6. Review
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  11. Review
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  13. Review
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  15. Review
  16. Transgender data collection in the electronic health record: Current concepts and issues.Journal of the American Medical Informatics Association : JAMIA · 2022
    Article
  17. Article
  18. Article
  19. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Albert Joseph1 Department of Primary Care and Public Health, Imperial College London, London W6 8RP, UK.
Charlotte Cliffe1 Department of Primary Care and Public Health, Imperial College London, London W6 8RP, UK.
Miriam Hillyard2 North West Thames Foundation School, Imperial College Healthcare NHS Trust, London W2 1NY, UK.
Azeem Majeed1 Department of Primary Care and Public Health, Imperial College London, London W6 8RP, UK.
Imperial College London · GBImperial College Healthcare NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In this review, we introduce the topic of transgender medicine, aimed at the non-specialist clinician working in the UK. Appropriate terminology is provided alongside practical advice on how to appropriately care for transgender people. We offer a brief theoretical discussion on transgenderism and consider how it relates to broader understandings of both gender and disease. In respect to epidemiology, while it is difficult to assess the exact size of the transgender population in the UK, population surveys suggest a prevalence of between 0.2 and 0.6% in adults, with rates of referrals to gender identity clinics in the UK increasing yearly. We outline the legal framework that protects the rights of transgender people, showing that is not legal for physicians to deny transgender people access to services based on their personal beliefs. Being transgender is often, although not always, associated with gender dysphoria, a potentially disabling condition in which the discordance between a person's natal sex (that assigned to them at birth) and gender identity results in distress, with high associated rates of self-harm, suicidality and functional impairment. We show that gender reassignment can be a safe and effective treatment for gender dysphoria with counselling, exogenous hormones and surgery being the mainstay of treatment. The role of the general practitioner in the management of transgender patients is discussed and we consider whether hormone therapy should be initiated in primary care in the absence of specialist advice, as is suggested by recent General Medical Council guidance.

Indexed as

Gender IdentityTransgender PersonsTranssexualismFemaleGender-Affirming ProceduresGender DysphoriaGeneral PractitionersHumansMalePrejudiceState MedicineUnited Kingdomgender dysphoriagender identitygender reassignmentgeneral practitionerprimary careTransgendertransition

Identifiers

PMID28382847
PMCPMC5407520
OpenAlexW2605075798

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.