Evidence map›Paper›PMID 40478402›Full record

ArticleJournal of endocrinological investigation2025

Improving care for individuals with gender incongruence: Establishing a multidisciplinary approach in Italy.

Alberto Scala, Chiara Ceolin, Marina Miscioscia, Daniela Basso, Elena Campello, Valentina Camozzi, Annamaria Cattelan, Michela Gatta, Sandro Giannini, Massimo Iafrate and 16 more

Abstract read
In one paragraph

Article in Journal of endocrinological investigation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Portrait of Lili Elbe born Einer Wegener.Journal of endocrinological investigation · 2026
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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

26 authors.

Alberto ScalaUnit of Andrology and Reproductive Medicine, Department of Medicine (DIMED), University of Padua, Padua, Italy.
Chiara CeolinRegional Reference Center for Gender Incongruence (CRRIG), University Hospital of Padua, Veneto, Italy.
Marina MisciosciaRegional Reference Center for Gender Incongruence (CRRIG), University Hospital of Padua, Veneto, Italy.
Daniela BassoRegional Reference Center for Gender Incongruence (CRRIG), University Hospital of Padua, Veneto, Italy.
Elena CampelloRegional Reference Center for Gender Incongruence (CRRIG), University Hospital of Padua, Veneto, Italy.
Valentina CamozziRegional Reference Center for Gender Incongruence (CRRIG), University Hospital of Padua, Veneto, Italy.
Annamaria CattelanRegional Reference Center for Gender Incongruence (CRRIG), University Hospital of Padua, Veneto, Italy.
Michela GattaRegional Reference Center for Gender Incongruence (CRRIG), University Hospital of Padua, Veneto, Italy.
Sandro GianniniRegional Reference Center for Gender Incongruence (CRRIG), University Hospital of Padua, Veneto, Italy.
Massimo IafrateRegional Reference Center for Gender Incongruence (CRRIG), University Hospital of Padua, Veneto, Italy.
Giulia MussoLaboratory Medicine, Department of Medicine (DIMED), University of Padua, Padua, Italy.
Paolo MeneguzzoRegional Reference Center for Gender Incongruence (CRRIG), University Hospital of Padua, Veneto, Italy.
Giancarlo OttavianoRegional Reference Center for Gender Incongruence (CRRIG), University Hospital of Padua, Veneto, Italy.
Rossella PerilliRegional Reference Center for Gender Incongruence (CRRIG), University Hospital of Padua, Veneto, Italy.
Roberta RosinCON-TE-STARE Sportello Accoglienza Transgender- Centro ONIG, Padua, Italy.
Ilaria RuzzaSAT-Pink- Servizio Accoglienza Trans*, Padua, Italy.
Carlo SaccardiRegional Reference Center for Gender Incongruence (CRRIG), University Hospital of Padua, Veneto, Italy.
Lolita SassetRegional Reference Center for Gender Incongruence (CRRIG), University Hospital of Padua, Veneto, Italy.
Giuseppe SergiRegional Reference Center for Gender Incongruence (CRRIG), University Hospital of Padua, Veneto, Italy.
Benedetta TasciniRegional Reference Center for Gender Incongruence (CRRIG), University Hospital of Padua, Veneto, Italy.
Tommaso VezzaroDepartment of Gynaecology and Obstetrics, Padova University Hospital, University of Padua, Padua, Italy.
Fabrizio VianelloRegional Reference Center for Gender Incongruence (CRRIG), University Hospital of Padua, Veneto, Italy.
Paolo SimioniRegional Reference Center for Gender Incongruence (CRRIG), University Hospital of Padua, Veneto, Italy.
Alberto FerlinUnit of Andrology and Reproductive Medicine, Department of Medicine (DIMED), University of Padua, Padua, Italy.
Andrea GarollaUnit of Andrology and Reproductive Medicine, Department of Medicine (DIMED), University of Padua, Padua, Italy. andrea.garolla@unipd.it.ORCID http://orcid.org/0000-0003-4736-9051
Interdisciplinary Group for Gender Incongruence (GIIG)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo present a multidisciplinary care model designed to provide personalized gender-affirming care and assess general health for transgender and gender-diverse (TGD) individuals.

methodsDrawing from our experience in a tertiary center in Padua (Italy), the Interdisciplinary Group for Gender Incongruence (GIIG) model employs a multidisciplinary approach to provide diverse gender-affirmation services. Mental health support, gender-affirming medical and surgical treatments (GAMST), screening programs, and regular follow-up ensure treatment safety and efficacy. The GIIG model promotes collaboration among specialists, primary health services, and LGBTQ + associations. Furthermore, it advocates for training healthcare professionals and raising awareness in the population.

resultsThe GIIG involves mental health professionals, endocrinologists, surgeons (plastic, urological, and gynaecological), voice specialists, internists, and associations. Associations serve as a point of reference for the community and offer psychological and legal services. Initial contact at the Center is made with MHP, who provide a safe space to explore gender identity, receive information, and support mental well-being. Endocrinologists prescribe hormone therapy and monitor its potential risks and overall health. Surgical interventions include chest, genital, and laryngeal surgery. Internists and other specialists assess osteo-muscular, hemo-coagulative, oncological, and infectious risks.

conclusionsOur experience emphasizes the need for personalized care tailored to individuals' desires while ensuring the safety of gender-affirming treatments. By adhering to the Standards of Care and offering comprehensive services, our center aims to serve as a model for modern transgender care.

Indexed as

Gender-Affirming ProceduresGender DysphoriaPatient Care TeamTransgender PersonsFemaleHumansItalyMaleGender-affirming careHealthMultidisciplinary teamPerson-centered careTransgender

Identifiers

PMID40478402
PMCPMC12313810

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.