ArticleAmerican journal of surgery2023
Delays in gender affirming healthcare due to COVID-19 are mitigated by expansion of telemedicine.
Article in American journal of surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Experiences of Transgender and Gender Diverse Patients in Accessing Gender-Affirming Chest Masculinization: A Systematic Review and Qualitative Thematic Synthesis of the Literature.Plastic surgery (Oakville, Ont.) · 2026Review
- The Impact of COVID-19 on Healthcare Access for Gender-Diverse Adults: A Qualitative Study.Health services insights · 2026Article
- Safety and quality outcomes of same-day discharge for gender-affirming mastectomy during the pandemic.Scientific reports · 2025Article
- Utilization of telemedicine in healthcare delivery to lesbian, gay, bisexual, transgender, queer, intersex, asexual, other sexual and gender minority (LGBTQIA+) populations: a scoping review.Scientific reports · 2025Article
- Multi-Level and Intersectional Stigma Experienced by Black Transgender Women in Chicago: a Qualitative Study to Inform Sociostructural Interventions for Reducing Stigma and Improving Health Outcomes.Journal of racial and ethnic health disparities · 2025Article
- Experiences of gender-affirming healthcare among transgender and gender diverse (TGD) people during the COVID-19 pandemic: An explanatory sequential mixed methods study.International journal of transgender health · 2025Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGender-affirming healthcare is vital for transgender and gender diverse (TGD) patients, and during the pandemic, accessing healthcare became challenging. Hypothesizing that many had procedures postponed, we sought to characterize the impact of the pandemic on TGD patients.
methodsA mixed-methods approach was employed, combining surveys and interviews; Duke patients were identified by ICD-10 codes, while non-Duke (national) patients were recruited through online social media.
resultsAll specialties increased telemedicine usage during the pandemic. Duke surgical patients reported a nearly three-fold increase in telemedicine access. COVID-19 symptoms were reported by 24% of Duke and 20% of national patients; barriers to urgent care included the fear of discrimination (27%).
conclusionDelays were experienced in all domains of care, mitigated in part by telemedicine. Nearly one-third of patients cite discrimination as a barrier to care. Though pandemic-related expansion of telemedicine may be a marker of success, significant barriers still complicate delivery of healthcare.
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Registered trials
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