ArticleFrontiers in pediatrics2018
Navigating Surgical Decision Making in Disorders of Sex Development (DSD).
Article in Frontiers in pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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.
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.
Who cites it
25 citing papers in PubMed.
- Article
- German law on protection of children with DSD: first data on care after enactment.Endocrine connections · 2026Article
- Male sex assignment in severely virilized 46,XX children with congenital adrenal hyperplasia.Frontiers in endocrinology · 2026Article
- Differences of sex development.Nature reviews. Disease primers · 2025Review
- Mental Health Issues Associated With Classic Congenital Adrenal Hyperplasia Due to 21-Hydroxylase Deficiency.The Journal of clinical endocrinology and metabolism · 2025Review
- Multi-Stakeholder Opinion Statement on the Care of Individuals Born with Differences of Sex Development: Common Ground and Opportunities for Improvement.Hormone research in paediatrics · 2025Article
- Sex Assignment in Cases of Ambiguous Genitalia.Cureus · 2024Review
- Short-Term Impact of Newly Imposed Legal Restriction on DSD Surgery in Children in Germany.Children (Basel, Switzerland) · 2024Article
- Recommendations for 46,XY Disorders/Differences of Sex Development Across Two Decades: Insights from North American Pediatric Endocrinologists and Urologists.Archives of sexual behavior · 2024Article
- Article
- Perspectives on conducting "sex-normalising" intersex surgeries conducted in infancy: A systematic review.PLOS global public health · 2024Article
- Differences of sex development and surgical decisions: focus group interviews with health care professionals in Norway.Health psychology and behavioral medicine · 2024Article
- Support for affirmative actions to increase inclusivity of intersex* persons at an Austrian medical university.BMC medical education · 2023Article
- Opportunities and challenges with the German act for the protection of children with variations of sex development.International journal of impotence research · 2023Article
- Written surgical informed consent elements in pediatric differences of sex development: pediatric urologist and endocrinologist perspectives.Frontiers in urology · 2023Article
- Disorders of sex development (DSD) 46.XY due to type 2 5-α reductase deficiency in three siblings: Case report from a low-resource setting.Annals of medicine and surgery (2012) · 2022Article
- Shared decision-making for pediatric elective penile surgery.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2022Article
- Surgical experiences in adolescents and young adults with differences of sex development: A qualitative examination.Journal of pediatric urology · 2022Article
- Differences/Disorders of Sex Development: Medical Conditions at the Intersection of Sex and Gender.Annual review of clinical psychology · 2022Review
- Behavioral Health Diagnoses in Youth with Differences of Sex Development or Congenital Adrenal Hyperplasia Compared with Controls: A PEDSnet Study.The Journal of pediatrics · 2021Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
Surgical management of disorders of sex development (DSD) is associated with contentious debate between and within stakeholder communities. While the intent of surgical management of the genitals and gonads is to benefit the patient physically and psychosocially, these goals have not always been achieved; reports of harm have surfaced. Harm experienced by some patients has resulted in the emergence of an activist platform calling for a moratorium on all surgical procedures during childhood-excepting those forestalling threats to life within the childhood years. This ban is not universally endorsed by patient advocacy groups. Parents, meanwhile, continue to need to make decisions regarding surgical options for their young children. Constructive paths forward include implementation of Consensus Statement recommendations that call for comprehensive and integrated team care, incorporating mental health services, and adopting shared decision making.
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Registered trials
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.