Evidence map›Paper›PMID 39786523›Full record

ArticleInternational urogynecology journal2025

Survey of Urogynecology Fellows on the Care of Patients with Differences in Sex Development/Intersex Traits.

Frances W Grimstad, Elizabeth R Boskey, Steven J Staffa, Carl G Streed, Katharine B Dalke, Arlene Baratz, Barbara Chubak, Cecile Ferrando

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Article in International urogynecology journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

8 authors.

Frances W GrimstadDivision of Gynecology, Department of Surgery, Boston Children's Hospital, 333 Longwood Avenue, Boston, MA, 02115, USA. Frances.grimstad@childrens.harvard.edu.ORCID 0000-0002-2442-724X
Elizabeth R BoskeyDivision of Gynecology, Department of Surgery, Boston Children's Hospital, 333 Longwood Avenue, Boston, MA, 02115, USA.
Steven J StaffaDepartment of Surgery, Boston Children's Hospital, Boston, MA, USA.
Carl G StreedSection of General Internal Medicine, Boston University Chobanian and Avedisian School of Medicine, Boston, MA, USA.
Katharine B DalkeDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Arlene BaratzHealth and Research Advisory Committee, Interconnect Support Group, Bethesda, MD, USA.
Barbara ChubakDepartment of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Cecile FerrandoCenter for Urogynecology and Pelvic Reconstructive Surgery, Women's Health Institute, Cleveland Clinic, Cleveland, OH, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisPatients with differences in sex development or intersex traits (DSD/I) struggle to find clinically competent care in adulthood. We sought to describe the surgical exposure of Urogynecology and Reconstructive Pelvic Surgery (URPS) fellows who had previously trained in ObGyn (URPS-Gyn) to patients with DSD/I and their interest in performing 18 relevant procedures. We hypothesized that most graduating fellows would not have had exposure to many of the surgeries.

methodsWe administered a cross-sectional online questionnaire of graduating URPS-Gyn fellows from April to June 2021. Questions assessed procedural knowledge, training, and clinical interest.

resultsOf 56 eligible URPS-Gyn fellows graduating in 2021, a total of 14 completed the survey. Twelve (86%) had heard about most procedures (14 out of 18 surgeries listed); however, there was heterogeneity in exposure to specific surgeries and self-reported preparedness to perform them. Respondents were more interested in performing procedures that they were prepared to perform. Only 6 out of 11 who responded to questions about beliefs in training felt that it was important for residents to receive training regarding surgeries for patients with intersex traits, and only 8 felt it important for fellows to receive this surgical training. Three anticipated seeing patients with intersex traits.

conclusionsGraduating URPS-Gyn fellows expressed interest in performing surgeries to meet the needs of patients with DSD/I. However, respondents had heterogeneous exposure and self-assessments of their proficiency. URPS-Gyn providers may be key collaborators in providing care for the growing number of adults with DSD/I seeking care.

Indexed as

Disorders of Sex DevelopmentGynecologic Surgical ProceduresGynecologyUrologyAdultClinical CompetenceCross-Sectional StudiesFellowships and ScholarshipsFemaleHumansMaleMiddle AgedSurveys and QuestionnairesDifferences in sex developmentFellowship trainingGenital reconstructive surgeryIntersex traits

Identifiers

PMID39786523

What OpenQuestion holds

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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.