Evidence map›Paper›PMID 33968551›Full record

ArticlePlastic and reconstructive surgery. Global open2021

Building a Multidisciplinary Academic Surgical Gender-affirmation Program: Lessons Learned.

Oscar J Manrique, Samyd S Bustos, Valeria P Bustos, Andres A Mascaro, Pedro Ciudad, Antonio J Forte, Gabriel Del Corral, Esther A Kim, Howard N Langstein

Abstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. 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

9 authors.

Oscar J ManriqueDivision of Plastic and Reconstructive Surgery, University of Rochester Medical Center, Strong Memorial Hospital, Rochester, N.Y.
Samyd S BustosDepartment of Plastic Surgery, University of Pittsburgh, Pittsburgh, Pa.
Valeria P BustosDivision of Plastic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Mass.
Andres A MascaroDepartment of Plastic and Reconstructive Surgery, Cleveland Clinic, Weston, Fla.
Pedro CiudadDepartment of Plastic, Reconstructive and Burn Surgery, Arzobispo Loayza National Hospital, Lima, Peru.
Antonio J ForteDivision of Plastic and Reconstructive Surgery, Mayo Clinic, Jacksonville, Fla.
Gabriel Del CorralDepartment of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital, Washington, D.C.
Esther A KimDivision of Plastic and Reconstructive Surgery, UCSF, San Francisco, Calif.
Howard N LangsteinDivision of Plastic and Reconstructive Surgery, University of Rochester Medical Center, Strong Memorial Hospital, Rochester, N.Y.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvery day, we see more patients present to hospitals and clinics seeking gender-affirmation care to ameliorate the symptoms of gender dysphoria. However, to provide a multidisciplinary approach, it is important to offer an integrated clinical program that provides mental health assessment, endocrine therapy, physical therapy, research, and the full spectrum of surgical services devoted to transgender patients. This article describes our experience on building a specialized, multidisciplinary, academic state-of-the-art gender-affirmation program.

methodsHerein, we describe the main and critical components on how to build a multidisciplinary academic gender-affirmation program. We share our lessons learned from this experience and describe how to overcome some of the obstacles during the process.

resultsBuilding a multidisciplinary academic gender-affirmation program requires an invested team, as each and every member is essential for feedback, referrals, and to improve patient's experience. Institutional support is essential and by far the most important component to overcome some of the obstacles during the process. Having all team members working under the same institution provides all the critical components needed to improve outcomes and patient satisfaction. In addition, the collection of prospective data with a well-structured research team will provide information needed to improve clinical services and standardize clinical protocols, while leaving space for innovation.

conclusionsThis article describes the steps and experience needed to build a multidisciplinary holistic academic gender-affirmation program. We provide our lessons learned during the process that will help guide those who intend to start an academic gender-affirmation program.

Identifiers

PMID33968551
PMCPMC8099415

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.