Evidence map›Paper›PMID 38115796›Full record

ArticlePediatrics2024

Treatment Goals of Adolescents and Young Adults for Gender Dysphoria.

Rosemary Claire Roden, Marley Billman, Angelea Francesco, Robert Mullin, Christelle Tassi, Boni Wozolek, Brandyn Heppard, Jamal Essayli, Heather Stuckey-Peyrot

Open access · greenAbstract read
In one paragraph

Article in Pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. 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 at 3 institutions in 1 country.

Rosemary Claire RodenDivision of Adolescent Medicine, Department of Pediatrics, Pennsylvania State Health Children's Hospital, Hershey, Pennsylvania.
Marley BillmanDivision of Adolescent Medicine, Department of Pediatrics, Pennsylvania State Health Children's Hospital, Hershey, Pennsylvania.
Angelea FrancescoPennsylvania State University, Abington, Abington, Pennsylvania.
Robert MullinDivision of Adolescent Medicine, Department of Pediatrics, Pennsylvania State Health Children's Hospital, Hershey, Pennsylvania.
Christelle TassiPennsylvania State University, Harrisburg, Middletown, Pennsylvania.
Boni WozolekPennsylvania State University, Abington, Abington, Pennsylvania.
Brandyn HeppardPace University, New York, New York.
Jamal EssayliDivision of Adolescent Medicine, Department of Pediatrics, Pennsylvania State Health Children's Hospital, Hershey, Pennsylvania.
Heather Stuckey-PeyrotMilton S. Hershey Medical Center, Hershey, Pennsylvania.
Penn State Milton S. Hershey Medical Center · USAbington Memorial Hospital · USPennsylvania State University · US

Funding

Penn State Clinical and Translational Science InstituteUL1TR002014 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI KRASCHNEWSKI, JENNIFER L. · 2016 to 2025
$33.7M
Penn State Institutional Career Development CoreKL2TR002015 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI VAN SCOY, LAUREN JODI · 2016 to 2025
$7.8M
NCATS NIH HHS KL2 TR002015NCATS NIH HHS UL1 TR002014
6 · The paper itself

Abstract

objectivesWith this study, we aim to describe transgender and nonbinary adolescents and young adults' stated gender treatment goals at the time of initial presentation to medical care.

methodsThis is a retrospective chart review of transgender and nonbinary patients aged 10 to 24 seeking specific gender-affirming health care. Charts were reviewed for specifically stated goals of future hormonal or surgical care for gender and analyzed by the experienced or asserted gender (man, woman, nonbinary, eclectic) of participants.

resultsIn total, 176 patient encounters were reviewed. Of these, 71% were assigned female at birth. Most participants experienced a masculine gender (46.6%), identified as white (65.3%), and had private health insurance (73.3%). Most patients had a goal of initiating hormone therapy (97.4%) and eventual surgery (87.1%). Of those who had a surgical goal, most (87.5%) desired surgery of the chest or breast, and a minority (29.3%) desired eventual genital surgery. The second-largest gender group was patients who either declined to state an asserted gender or felt unable to describe their gender experience (eclectic, 23.3%), and this group's treatment goals did not mirror any other group's goals.

conclusionsAt the time of initial presentation to medical care for gender-specific needs, many adolescents are capable of asserting specific treatment goals. Most do not desire genital surgery. A large minority of patients decline to state an asserted gender or feel unable to assert a specific gender, and this population appears distinct from more traditional genders in terms of treatment goals.

Indexed as

Gender DysphoriaTransgender PersonsTranssexualismAdolescentChildFemaleGender IdentityGoalsHumansMaleRetrospective StudiesYoung Adult

Identifiers

PMID38115796
PMCPMC12004505
OpenAlexW4390008819

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.