A reducing demand for tertiary hospital-based gender affirming care in Victoria, Australia.

Sarah Lum, Donna Eade, David Colon Cabrera, Riki Lane, Gurvinder Kalra, Ken C Pang, Ada S Cheung

Abstract read

In one paragraph

Article in Internal medicine journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Sarah LumGender Clinic, Department of Endocrinology, Austin Health, Melbourne, Victoria, Australia.

Donna EadeRoyal Children's Hospital Gender Service, Melbourne, Victoria, Australia.

David Colon CabreraMonash Health Gender Clinic, Melbourne, Australia.ORCID 0000-0003-3301-6714

Riki LaneMonash Health Gender Clinic, Melbourne, Australia.ORCID 0000-0002-3334-5545

Gurvinder KalraMonash Health Gender Clinic, Melbourne, Australia.

Ken C PangRoyal Children's Hospital Gender Service, Melbourne, Victoria, Australia.ORCID 0000-0002-6881-775X

Ada S CheungGender Clinic, Department of Endocrinology, Austin Health, Melbourne, Victoria, Australia.ORCID 0000-0001-5257-5525

Funding

National Health and Medical Research Council 2008956National Health and Medical Research Council 2027186

6 · The paper itself

Abstract

This study presents a retrospective audit of new referrals to three tertiary gender clinics in Victoria, Australia, from 2020 to 2024. It finds a plateau and slight reduction in referrals, in contrast to previous increases over the preceding decade. The reduction may stem from a shift to primary and community-based services. These findings suggest decentralising care could ease strain on tertiary clinics while maintaining access, informing models for the delivery of genderaffirming care in Australia.

Indexed as

Health Services Needs and DemandReferral and ConsultationTertiary Care CentersTransgender PersonsAdultFemaleGender-Affirming CareHumansMaleRetrospective StudiesVictoriagender clinichealth service deliverytransgender persons

Identifiers

PMID41388757

DOI10.1111/imj.70265

PMCPMC12812296

What OpenQuestion holds

Textmetadata

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.