Evidence map›Paper›PMID 29769693›Full record

ReviewNature reviews. Endocrinology2018

Caring for individuals with a difference of sex development (DSD): a Consensus Statement.

Martine Cools, Anna Nordenström, Ralitsa Robeva, Joanne Hall, Puck Westerveld, Christa Flück, Birgit Köhler, Marta Berra, Alexander Springer, Katinka Schweizer and 2 more

Open access · hybridAbstract readReviewConsensus Statement
In one paragraph

Review in Nature reviews. Endocrinology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 165 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
165citing papers in PubMed, 4 pooled it
12.2field-weighted citation impact, top 1% 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

165 citing papers in PubMed, 4 syntheses or guidelines pooled it, 441 citations in OpenAlex.

  1. Guideline
  2. Guideline
  3. Pooled it
  4. Hormonal Gender Reassignment Treatment for Gender Dysphoria.Deutsches Arzteblatt international · 2020
    Pooled it
  5. Trial
  6. Article
  7. Gender Identity and Preferences in Children with Variations in Sex DevelopmentJournal of clinical research in pediatric endocrinology · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Review

105 more citing papers are in PubMed but not listed here.

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

12 authors at 9 institutions in 8 countries.

Martine CoolsDepartment of Paediatric Endocrinology, Ghent University Hospital, University of Ghent, Ghent, Belgium. martine.cools@ugent.be.ORCID http://orcid.org/0000-0002-9552-4899
Anna NordenströmDepartment of Women's and Children's Health, Paediatric Endocrinology Unit, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden.
Ralitsa RobevaClinical Center of Endocrinology and Gerontology, Medical University-Sofia, Medical Faculty, Sofia, Bulgaria.
Joanne HallCAH support group, Chester, UK.
Puck WesterveldDSDNederland, Amsterdam, Netherlands.
Christa FlückPaediatric Endocrinology and Diabetology, Department of Paediatrics and Department of Clinical Research, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Birgit KöhlerDepartment of Paediatric Endocrinology, Charité University Medicine, Humboldt University Berlin, Berlin, Germany.
Marta BerraDepartment of Obstetrics and Gynaecology, Ramazzini Hospital, AUSL Modena, Modena, Italy.
Alexander SpringerDepartment of Paediatric Surgery, Medical University Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0003-0300-6021
Katinka SchweizerInstitute for Sex Research and Forensic Psychiatry, University Clinic Hamburg-Eppendorf, Hamburg, Germany.
Vickie PasterskiDepartment of Psychology, University of Cambridge, Cambridge, UK.
COST Action BM1303 working group 1
Ghent University Hospital · BEHumboldt-Universität zu Berlin · DEIstituto Ramazzini · ITKarolinska University Hospital · SEMedical University of Sofia · BGMedical University of Vienna · ATUniversität Hamburg · DEUniversity of Bern · CHUniversity of Cambridge · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The term differences of sex development (DSDs; also known as disorders of sex development) refers to a heterogeneous group of congenital conditions affecting human sex determination and differentiation. Several reports highlighting suboptimal physical and psychosexual outcomes in individuals who have a DSD led to a radical revision of nomenclature and management a decade ago. Whereas the resulting recommendations for holistic, multidisciplinary care seem to have been implemented rapidly in specialized paediatric services around the world, adolescents often experience difficulties in finding access to expert adult care and gradually or abruptly cease medical follow-up. Many adults with a DSD have health-related questions that remain unanswered owing to a lack of evidence pertaining to the natural evolution of the various conditions in later life stages. This Consensus Statement, developed by a European multidisciplinary group of experts, including patient representatives, summarizes evidence-based and experience-based recommendations for lifelong care and data collection in individuals with a DSD across ages and highlights clinical research priorities. By doing so, we hope to contribute to improving understanding and management of these conditions by involved medical professionals. In addition, we hope to give impetus to multicentre studies that will shed light on outcomes and comorbidities of DSD conditions across the lifespan.

Indexed as

Practice Guidelines as TopicPrecision MedicineChildChild, PreschoolConsensusDisease ManagementDisorders of Sex DevelopmentEuropeFemaleHumansInfantInterdisciplinary CommunicationMaleNeeds AssessmentPsychologyPsychosexual Development

Identifiers

PMID29769693
PMCPMC7136158
OpenAlexW2803233777

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.