Evidence map›Paper›PMID 42579749›Full record

ArticleArchives of endocrinology and metabolism2026

Characteristics of transgender health-related provider-to-provider consultations in Brazil's public primary health care system: A cross-sectional study from a Southern Brazilian telehealth service.

Geferson Pelegrini, Fabiana Carvalho, Dimitris Rucks Varvaki Rados, Tayane Muniz Fighera, Natan Katz, Roberto Nunes Umpierre, Marcelo Rodrigues Gonçalves

Abstract read
In one paragraph

Article in Archives of endocrinology and metabolism, 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.

Geferson PelegriniPrograma de Pós-Graduação em Epidemiologia, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brasilde de Medicina, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brasil.ORCID 0009-0002-4044-2930
Fabiana CarvalhoPrograma de Pós-Graduação em Epidemiologia, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brasil.
Dimitris Rucks Varvaki RadosTelessaúdeRS, Porto Alegre, RS, Brasil.
Tayane Muniz FigheraPrograma de Pós-Graduação em Endocrinologia, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brasil.
Natan KatzTelessaúdeRS, Porto Alegre, RS, Brasil.
Roberto Nunes UmpierreTelessaúdeRS Porto Alegre RS Brasil TelessaúdeRS, Porto Alegre, RS, Brasil.
Marcelo Rodrigues GonçalvesPrograma de Pós-Graduação em Epidemiologia, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brasil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTransgender individuals often face structural barriers and adverse health outcomes. Provider-to-provider (P2P) consultations may improve the quality of care for this population. This study describes the characteristics, clinical questions, and care provided to transgender population in the Brazilian public primary health care (PHC) system, using data from a P2P telephone consultation service based in Rio Grande do Sul State. SUBJECTS AND

methodsThis cross-sectional study included all consultations classified as related to transgender health care conducted between TelessaúdeRS consultants and PHC professionals from 2015 to 2023. We extracted patient characteristics and clinical questions from each consultation. Continuous data are reported as means ± standard deviations or medians (interquartile ranges), and categorical data as absolute and relative frequencies.

resultsBetween 2015 and 2023, 752 of the 422,972 total consultations were classified as related to transgender health care. Regarding sex assigned at birth, 47.3% of patients were male, 43.4% were female, and 9.3% were unreported. The mean patient age was 24.5 years (±9.1). The most frequent consultation topics were laboratory monitoring (64.9%), hormone therapy (49.7%), and mental health (28.9%). Nonprescription hormone use was reported by 41.0% of patients. Referrals to specialized care were recommended in 68.4% of cases, and clinical guidance was provided in 71.4%.

conclusionThe growing number of P2P consultations reflects an increasing demand for support regarding transgender care within PHC. Frequently asked questions reveal knowledge gaps among PHC providers, and the high rate of unsupervised hormone use suggests persistent barriers to appropriate care. P2P consultations can support PHC professionals in providing safer, more timely transgender health care.

Indexed as

Primary Health CareReferral and ConsultationTelemedicineTransgender PersonsAdolescentAdultBrazilCross-Sectional StudiesFemaleHumansMaleYoung Adulthealth services for transgender personsprimary health careremote consultationTelemedicinetransgender persons

Identifiers

PMID42579749
PMCPMC13456683

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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.