Evidence map›Paper›PMID 38713697›Full record

ArticlePloS one2024

Characteristics of a transgender and gender-diverse patient population in Utah: Use of electronic health records to advance clinical and health equity research.

Tiffany F Ho, Brian Zenger, Bayarmaa Mark, Laurel Hiatt, Erika Sullivan, Benjamin A Steinberg, Ann Lyons, Adam M Spivak, Cori Agarwal, Marisa Adelman and 3 more

Abstract read
In one paragraph

Article in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. 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

13 authors.

Tiffany F HoDepartment of Family and Preventive Medicine, University of Utah School of Medicine, Salt Lake City, Utah, United States of America.ORCID 0000-0001-9332-9777
Brian ZengerDepartment of Internal Medicine, Washington University in St. Louis, St. Louis, Missouri, United States of America.ORCID 0000-0002-0039-9184
Bayarmaa MarkDepartment of Family and Preventive Medicine, University of Utah School of Medicine, Salt Lake City, Utah, United States of America.
Laurel HiattDepartment of Human Genetics, Us1niversity of Utah, Salt Lake City, Utah, United States of America.
Erika SullivanDepartment of Family and Preventive Medicine, University of Utah School of Medicine, Salt Lake City, Utah, United States of America.
Benjamin A SteinbergDivision of Cardiology, University of Utah School of Medicine, Salt Lake City, Utah, United States of America.ORCID 0000-0002-4729-7820
Ann LyonsData Science Services, University of Utah, Salt Lake City, Utah, United States of America.
Adam M SpivakDivision of Infectious Diseases, University of Utah School of Medicine, Salt Lake City, Utah, United States of America.
Cori AgarwalDepartment of Surgery, Division of Plastic Surgery, University of Utah, Salt Lake City, Utah, United States of America.
Marisa AdelmanDepartment of Obstetrics & Gynecology, University of Utah, Salt Lake City, Utah, United States of America.
James HotalingDepartment of Surgery, Division of Urology, University of Utah, Salt Lake City, Utah, United States of America.
Bernadette KiralyDepartment of Family and Preventive Medicine, University of Utah School of Medicine, Salt Lake City, Utah, United States of America.ORCID 0000-0003-2243-6553
Sharon TalboysDepartment of Family and Preventive Medicine, University of Utah School of Medicine, Salt Lake City, Utah, United States of America.

Funding

CTSA UM1 Program at University of UtahUM1TR004409 · NCATS · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI RACHEL HESS, Jennifer Juhl Majersik · 2023 to 2026
$21.9M
Optimizing Outcomes for Patients with Heart Failure and Atrial FibrillationK23HL143156 · NHLBI · UNIVERSITY OF UTAH · PI STEINBERG, BENJAMIN ADAM · 2018 to 2022
$951k
Personalized Risk Stratification in Atrial Fibrillation using Portable, Explainable Artificial IntelligenceR56HL168264 · NHLBI · UNIVERSITY OF UTAH · PI STEINBERG, BENJAMIN ADAM · 2023 to 2023
$684k
Novel Characterization and Detection Techniques for Acute Myocardial IschemiaF30HL149327 · NHLBI · UNIVERSITY OF UTAH · PI ZENGER, BRIAN · 2020 to 2022
$117k
NCATS NIH HHS UM1 TR004409NHLBI NIH HHS F30 HL149327NHLBI NIH HHS K23 HL143156NHLBI NIH HHS R56 HL168264
6 · The paper itself

Abstract

Transgender and gender-diverse (TGD) people, individuals whose gender identity differs from their sex assigned at birth, face unique challenges in accessing gender-affirming care and often experience disparities in a variety of health outcomes. Clinical research on TGD health is limited by a lack of standardization on how to best identify these individuals. The objective of this retrospective cohort analysis was to accurately identify and describe TGD adults and their use of gender-affirming care from 2003-2023 in a healthcare system in Utah, United States. International Classification of Disease (ICD)-9 and 10 codes and surgical procedure codes, along with sexual orientation and gender identity data were used to develop a dataset of 4,587 TGD adults. During this time frame, 2,985 adults received gender-affirming hormone therapy (GAHT) and/or gender-affirming surgery (GAS) within one healthcare system. There was no significant difference in race or ethnicity between TGD adults who received GAHT and/or GAS compared to TGD adults who did not receive such care. TGD adults who received GAHT and/or GAS were more likely to have commercial insurance coverage, and adults from rural communities were underrepresented. Patients seeking estradiol-based GAHT tended to be older than those seeking testosterone-based GAHT. The first GAS occurred in 2013, and uptake of GAS have doubled since 2018. This study provides a methodology to identify and examine TGD patients in other health systems and offers insights into emerging trends and access to gender-affirming care.

Indexed as

Electronic Health RecordsHealth EquityTransgender PersonsAdolescentAdultAgedFemaleGender-Affirming SurgeryGender IdentityHumansMaleMiddle AgedRetrospective StudiesUtahYoung Adult

Identifiers

PMID38713697
PMCPMC11075904

What OpenQuestion holds

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LicenceCC BY
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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.