Evidence map›Paper›PMID 33745786›Full record

ArticlePatient education and counseling2021

I'm not putting on that floral gown: Enforcement and resistance of gender expectations for transgender people with cancer.

Ash B Alpert, Vikas Gampa, Megan C Lytle, Charlie Manzano, Roman Ruddick, Tonia Poteat, Gwendolyn P Quinn, Charles S Kamen

Open access · hybridAbstract read
In one paragraph

Article in Patient education and counseling, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 6 pooled it
11.2field-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

27 citing papers in PubMed, 6 syntheses or guidelines pooled it, 69 citations in OpenAlex.

  1. Neoadjuvant Chemotherapy for Newly Diagnosed, Advanced Ovarian Cancer: ASCO Guideline Update.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2025
    Guideline
  2. Management of Fatigue in Adult Survivors of Cancer: ASCO-Society for Integrative Oncology Guideline Update.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Guideline
  3. Vaccination of Adults With Cancer: ASCO Guideline.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Guideline
  4. Cannabis and Cannabinoids in Adults With Cancer: ASCO Guideline.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Guideline
  5. Guideline
  6. Practical Assessment and Management of Vulnerabilities in Older Patients Receiving Systemic Cancer Therapy: ASCO Guideline Update.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2023
    Guideline
  7. Article
  8. Article
  9. "A sweating moment": impact of disclosure in cancer care on LGBTQI patient satisfaction.Journal of cancer survivorship : research and practice · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Debunking Sex and Disentangling Gender From Oncology.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2023
    Article
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

8 authors at 3 institutions in 1 country.

Ash B AlpertDepartment of Medicine, Division of Hematology and Medical Oncology, University of Rochester Medical Center, Rochester, NY, USA. Electronic address: ash_alpert@urmc.rochester.edu.
Vikas GampaDepartment of Medicine, Massachusetts General Hospital, Cambridge, MA, USA.
Megan C LytleDepartment of Psychiatry, University of Rochester Medical Center, Rochester, NY, USA.
Charlie ManzanoTransgender Cancer Patient Project, Martinez, CA USA.
Roman RuddickTransgender Cancer Patient Project, Martinez, CA USA.
Tonia PoteatDepartment of Social Medicine, University of North Carolina, Durham, NC, USA.
Gwendolyn P QuinnDepartment of Obstetrics and Gynecology, Perlmutter Cancer Center New York University Langone Health, New York, NY, USA.
Charles S KamenDepartment of Surgery, University of Rochester Medical Center, Rochester, NY, USA.
University of Rochester Medical Center · USMassachusetts General Hospital · USNYU Langone Health · US

Funding

URCC NCORP Research BaseUG1CA189961 · NCI · UNIVERSITY OF ROCHESTER · PI Michelle C Janelsins, KAREN M. MUSTIAN · 2014 to 2026
$67.7M
NCI NIH HHS UG1 CA189961
6 · The paper itself

Abstract

objectivesUnderstanding barriers to care for transgender people with cancer is necessary to increase oncologic care access. Little has been published regarding the experiences of transgender people with cancer. We sought to explore these experiences, assess barriers to oncologic care, and elucidate potential solutions.

methodsUsing an interpretive descriptive approach, we conducted two group interviews with transgender people who had been diagnosed with cancer and one with physicians who treat patients with cancer. Two investigators independently analyzed verbatim transcripts and, together, refined themes, resolving disagreements with consensus. Member checking and peer debriefing were used to confirm and elaborate on findings.

resultsSeven people who had been diagnosed with cancer and five physicians who treat people with cancer participated in group interviews. Themes included: (a) experiences with cancer may uniquely impact transgender people; (b) enforcement of clinician and systemic gender expectations creates barriers to cancer care; and (c) resistance to gender expectations may facilitate care.

conclusionsGender expectations create barriers to oncologic care, which can be resisted by patients, clinicians, and institutions. IMPLICATIONS FOR PRACTICE: Clinicians and institutions should create gender-inclusive oncologic spaces, demonstrate allyship, and support patient autonomy to decrease barriers to care for transgender people with cancer.

Indexed as

NeoplasmsTransgender PersonsFemaleGender IdentityHumansMaleMotivationCancer care, NeoplasmsHealthcare disparitiesHealth policyHealth systems researchTransgender persons

Identifiers

PMID33745786
PMCPMC9320277
OpenAlexW3135402644

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.