Evidence map›Paper›PMID 28504212›Full record

ArticleThe Journal of urology2017

Psychological Adjustment of Parents of Children Born with Atypical Genitalia 1 Year after Genitoplasty.

Rebecca E H Ellens, Dana M Bakula, Alexandria J Mullins, Kristy J Scott Reyes, Paul Austin, Laurence Baskin, Kerlly Bernabé, Earl Y Cheng, Allyson Fried, Dominic Frimberger and 16 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in The Journal of urology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 12% 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Quality of life of parents with children with congenital abnormalities: a systematic review with meta-analysis of assessment methods and levels of quality of life.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
    Pooled it
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  9. Medicalization of intersex and resistance: a commentary on Conway.International journal of impotence research · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

26 authors at 13 institutions in 1 country.

Rebecca E H EllensChildren's Hospital of Michigan, Detroit, Michigan. Electronic address: rellens@dmc.org.
Dana M BakulaOklahoma State University, Stillwater, Oklahoma.
Alexandria J MullinsOklahoma State University, Stillwater, Oklahoma.
Kristy J Scott ReyesCook Children's Medical Center, Fort Worth, Texas.
Paul AustinSt. Louis Children's Hospital, St. Louis, Missouri.
Laurence BaskinUniversity of California San Francisco Medical Center, San Francisco, California.
Kerlly BernabéNew York Presbyterian Hospital/Weill Cornell Medicine, New York, New York.
Earl Y ChengLurie Children's Hospital of Chicago, Chicago, Illinois.
Allyson FriedWomen and Children's Hospital of Buffalo, Buffalo, New York.
Dominic FrimbergerUniversity of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
Denise GalanNew York Presbyterian Hospital/Weill Cornell Medicine, New York, New York.
Lynette GonzalezUniversity of California San Francisco Medical Center, San Francisco, California.
Saul GreenfieldWomen and Children's Hospital of Buffalo, Buffalo, New York.
Thomas KolonChildren's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Bradley KroppCook Children's Medical Center, Fort Worth, Texas.
Yegappan LakshmananChildren's Hospital of Michigan, Detroit, Michigan.
Sabrina MeyerWomen and Children's Hospital of Buffalo, Buffalo, New York.
Theresa MeyerLurie Children's Hospital of Chicago, Chicago, Illinois.
Larry L MullinsOklahoma State University, Stillwater, Oklahoma.
Natalie J NokoffChildren's Hospital Colorado, Aurora, Colorado.
Blake PalmerCook Children's Medical Center, Fort Worth, Texas.
Dix PoppasNew York Presbyterian Hospital/Weill Cornell Medicine, New York, New York.
Alethea ParadisSt. Louis Children's Hospital, St. Louis, Missouri.
Elizabeth YerkesLurie Children's Hospital of Chicago, Chicago, Illinois.
Amy B WisniewskiCook Children's Medical Center, Fort Worth, Texas.
Cortney Wolfe-ChristensenChildren's Hospital of Michigan, Detroit, Michigan; Cook Children's Medical Center, Fort Worth, Texas.
Cook Children's Medical Center · USChildren's Hospital of Michigan · USLurie Children's Hospital · USOklahoma State University · USWomen & Children's Hospital of Buffalo · USSt. Louis Children's Hospital · USUniversity of California San Francisco Medical Center · USChildren's Hospital of Philadelphia · USCornell University · USNew York Hospital Queens · USNewYork–Presbyterian Hospital · USUniversity of Colorado Denver · USUniversity of Oklahoma Health Sciences Center · US

Funding

Short-term outcomes of interventions for reproductive dysfunctionR01HD074579 · NICHD · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI MULLINS, LARRY L., WISNIEWSKI, AMY B · 2013 to 2022
$4.3M
NICHD NIH HHS R01 HD074579
6 · The paper itself

Abstract

purposeWe examined the psychological adjustment of parents of children born with moderate to severe genital atypia 12 months after their child underwent genitoplasty. MATERIALS AND

methodsParents were recruited longitudinally from a multicenter collaboration of 10 pediatric hospitals with specialty care for children with disorders/differences of sex development and/or congenital adrenal hyperplasia. Parents completed measures of depressive and anxious symptoms, illness uncertainty, quality of life, posttraumatic stress and decisional regret.

resultsCompared to levels of distress at baseline (before genitoplasty) and 6 months after genitoplasty, data from 25 mothers and 20 fathers indicated significant improvements in all psychological distress variables. However, a subset of parents continued endorsing clinically relevant distress. Some level of decisional regret was endorsed by 28% of parents, although the specific decision that caused regret was not specified.

conclusionsOverall the majority of parents were coping well 1 year after their child underwent genitoplasty. Level of decisional regret was related to having a bachelor's level of education, increased levels of illness uncertainty preoperatively and persistent illness uncertainty at 12 months after genitoplasty but was unrelated to postoperative complications.

Indexed as

Emotional AdjustmentAdultChild, PreschoolDecision MakingDisorders of Sex DevelopmentFemaleGenitaliaGynecologic Surgical ProceduresHumansInfantLongitudinal StudiesMaleMiddle AgedParentsPlastic Surgery ProceduresPostoperative Complicationsadjustment disordersdisorders of sex developmentgender identitygenitaliaparents

Identifiers

PMID28504212
PMCPMC7780837
OpenAlexW2613996645

What OpenQuestion holds

Textmetadata
LicenceTDM
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.