Evidence map›Paper›PMID 33337526›Full record

ReviewEuropean journal of pediatrics2021

Gender incongruence and gender dysphoria in childhood and adolescence-current insights in diagnostics, management, and follow-up.

Hedi Claahsen-van der Grinten, Chris Verhaak, Thomas Steensma, Tim Middelberg, Joep Roeffen, Daniel Klink

Open access · hybridAbstract readReview
In one paragraph

Review in European journal of pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
9.6field-weighted citation impact, top 2% 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

34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 93 citations in OpenAlex.

  1. Guideline
  2. Pooled it
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  15. Sexual and Gender Minority Sleep Health Disparities and Minority Stress in Early Adolescence.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024
    Article
  16. Article
  17. Review
  18. Compassion need not be a scarce resource in health care for transgender and gender-diverse people.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024
    Article
  19. Article
  20. Review
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

6 authors at 4 institutions in 2 countries.

Hedi Claahsen-van der GrintenDepartment of Pediatrics, Amalia Children's Hospital, Radboud University Medical Center, Nijmegen, Netherlands. hedi.claahsen@radboudumc.nl.ORCID http://orcid.org/0000-0003-0181-0403
Chris VerhaakDepartment of Medical Psychology, Amalia Children's Hospital, Radboud University Medical Center, Nijmegen, Netherlands.
Thomas SteensmaCenter of Expertise on Gender Dysphoria and Department of Medical Psychology, Amsterdam UMC, location VUmc, Amsterdam, Netherlands.
Tim MiddelbergDepartment of plastic surgery, University Medical Centre Groningen, University of Groningen, Groningen, Netherlands.
Joep RoeffenGenderteam South Netherlands, Mutsaersstichting, Venlo/Eindhoven, Netherlands.
Daniel KlinkDivision of Pediatric Endocrinology and Diabetes, ZNA Queen Paola Children's Hospital, Antwerp, Belgium and Division of Pediatric Endocrinology, Department of Internal Medicine and Pediatrics, Ghent University Hospital and Ghent University, Ghent, Belgium.
Radboud University Nijmegen · NLAmsterdam University Medical Centers · NLGhent University Hospital · BEUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gender incongruence (GI) is defined as a condition in which the gender identity of a person does not align with the gender assigned at birth. Awareness and more social acceptance have paved the way for early medical intervention about two decades ago and are now part of good clinical practice although much robust data is lacking. Medical and mental treatment in adolescents with GI is complex and is recommended to take place within a team of mental health professionals, psychiatrists, endocrinologists, and other healthcare providers. The somatic treatment generally consists of the use of GnRH analogues to prevent the progression of biological puberty and subsequently gender-affirming hormonal treatment to develop sex characteristics of the self-identified gender and surgical procedures. However to optimize treatment regimens, long-term follow-up and additional studies are still needed. What is known • The prevalence of gender dysphoria increased significantly in the past years and can lead to significant complaints and burdens especially during puberty. • Pubertal suppression and gender-affirmed treatment can be effectively used in adolescence with gender dysphoria. What is new • Transgender mental and medical healthcare is a long-lasting process during which not only the child/adolescent with GI but also their parents/family have to be counseled in making choices about their social, medical, and legal transitions. • There are an increasing number of transgender persons defining as nonbinary. Therefore, an individualized approach by an experienced team is necessary.

Indexed as

Gender DysphoriaTransgender PersonsAdolescentChildFemaleFollow-Up StudiesGender IdentityHumansMalePubertyGender-affirming treatmentGender dysphoriaGender incongruencePubertal suppressionTransgender care

Identifiers

PMID33337526
PMCPMC8032627
OpenAlexW3112731533

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.