Characteristics of Referrals for Gender Dysphoria Over a 13-Year Period
Characteristics of Referrals for Gender Dysphoria Over a 13-Year Period
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DOI：
10.1016/j.jadohealth.2015.11.010
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发表时间：
2016-03-01
影响因子：
7.6
通讯作者：
Eugster, Erica A.
中科院分区：
文献类型：
--
作者：
Chen, Melinda;Fuqua, John;Eugster, Erica A.
目的：近年来，我们的儿科内分泌诊所因性别焦虑（GD）而转诊的病例急剧增加。然而，转介的频率和特点还没有被客观examined.Methods：回顾性图表审查GD转介在过去的13年中进行。分析的变量包括每年转诊的数量、患者特征、共病情况和激素治疗。转诊和治疗资格的时间进行了测量，对既定的recommendations.Results：38例患者中，74%是指在过去的3年。大多数患者在青春期后期进行GD特异性心理评估，很少有患者在基线时有资格接受激素治疗。超过一半的精神和/或发展comorbidity.Conclusions：GD转介自2002年以来显着增加被证实。需要加强有关GD患者护理的提供者教育和外展。(C)2016年青少年健康和医学协会。All rights reserved.
Purpose: Our Pediatric Endocrinology Clinic has seen a sharp increase in referrals for gender dysphoria (GD) during recent years. However, the frequency and characteristics of referrals have not been objectively examined.Methods: A retrospective chart review of referrals for GD during the past 13 years was performed. Variables analyzed included numbers of referrals per year, patient characteristics, comorbid conditions, and hormonal therapy. Timing of referral and eligibility for treatment were measured against established recommendations.Results: Of 38 patients, 74% were referred during the last 3 years. Most patients presented late in puberty before a GD-specific psychological evaluation and few were eligible for hormonal treatment at baseline. Over half had psychiatric and/or developmental comorbidities.Conclusions: A dramatic increase in referrals for GD since 2002 was confirmed. Enhanced provider education and outreach regarding care of patients with GD are needed. (C) 2016 Society for Adolescent Health and Medicine. All rights reserved.