Evidence map›Paper›PMID 34486655›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2022

Transgender data collection in the electronic health record: Current concepts and issues.

Clair A Kronk, Avery R Everhart, Florence Ashley, Hale M Thompson, Theodore E Schall, Teddy G Goetz, Laurel Hiatt, Zackary Derrick, Roz Queen, A Ram and 7 more

Abstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 106 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
106citing 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

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

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Impact of gender-affirming hormone therapy on dry eye.Journal of clinical & translational endocrinology · 2026
    Article
  6. Article
  7. A scoping review of models to identify transgender patients in electronic health records.Journal of the American Medical Informatics Association : JAMIA · 2026
    Article
  8. Article
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46 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

17 authors.

Clair A KronkCenter for Medical Informatics, Yale University School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0001-8397-8810
Avery R EverhartPopulation, Health, and Place Program, Spatial Sciences Institute, University of Southern California, Los Angeles, California, USA.ORCID 0000-0001-6146-0180
Florence AshleyCenter for Applied Transgender Studies, Chicago, Illinois, USA.ORCID 0000-0001-9189-967X
Hale M ThompsonDepartment of Psychiatry and Behavioral Science, Rush University Medical Center, Chicago, Illinois, USA.
Theodore E SchallBerman Institute of Bioethics, Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, USA.
Teddy G GoetzDepartment of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Laurel HiattUniversity of Utah School of Medicine, Salt Lake City, Utah, USA.
Zackary DerrickSchool of Public Health and Social Policy, University of Victoria, Victoria, British Columbia, Canada.
Roz QueenHealth Information Science, School of Human and Social Development, University of Victoria, Victoria, British Columbia, Canada.
A RamProgram in Computational Biology and Bioinformatics, Yale University, New Haven, Connecticut, USA.
E Mae GuthmanCenter for Applied Transgender Studies, Chicago, Illinois, USA.
Olivia M DanforthDepartment of Family Medicine, Samaritan Health Services Geary St. Clinic, Albany, Oregon, USA.
Elle LettCenter for Applied Transgender Studies, Chicago, Illinois, USA.
Emery PotterLawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Ontario, Canada.
Simón E D SunCenter for Applied Transgender Studies, Chicago, Illinois, USA.
Zack MarshallSchool of Social Work, McGill University, Montreal, Quebec, Canada.ORCID 0000-0003-2315-3512
Ryan KarnoskiCenter for Applied Transgender Studies, Chicago, Illinois, USA.

Funding

UCLA Implementation Science and Substance Use Research and Education (ISSURE) ProgramR25DA035692 · NIDA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI TIMOTHY W FONG, GAIL E. WYATT · 2013 to 2026
$3.9M
PA-20-072: Supplement to A Chicago Center of Excellence in Learning Health Systems Research Training (ACCELERAT)K12HS026385 · AHRQ · NORTHWESTERN UNIVERSITY AT CHICAGO · PI FRANKLIN, PATRICIA D, KHO, ABEL N. · 2018 to 2022
$3.4M
AHRQ HHS K12 HS026385AHRQ HHS K12-HS-026385AHRQ HHS T32 HS000029NIDA NIH HHS 5R25DA035692-08NIDA NIH HHS R25 DA035692
6 · The paper itself

Abstract

There are over 1 million transgender people living in the United States, and 33% report negative experiences with a healthcare provider, many of which are connected to data representation in electronic health records (EHRs). We present recommendations and common pitfalls involving sex- and gender-related data collection in EHRs. Our recommendations leverage the needs of patients, medical providers, and researchers to optimize both individual patient experiences and the efficacy and reproducibility of EHR population-based studies. We also briefly discuss adequate additions to the EHR considering name and pronoun usage. We add the disclaimer that these questions are more complex than commonly assumed. We conclude that collaborations between local transgender and gender-diverse persons and medical providers as well as open inclusion of transgender and gender-diverse individuals on terminology and standards boards is crucial to shifting the paradigm in transgender and gender-diverse health.

Indexed as

Transgender PersonsData CollectionElectronic Health RecordsFemaleGender IdentityHumansMaleReproducibility of ResultsUnited Statesbioethicselectronic health recordsgender and sexual minoritiestransgender persons

Identifiers

PMID34486655
PMCPMC8757312

What OpenQuestion holds

Textmetadata
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.