Bacot-Davis Valjean R, Moran Allison H
Department of Medicine-Pediatrics, Stony Brook University Hospital, Stony Brook, NY, United States.
Department of Social Work, State University of New York at Albany, School of Social Welfare, Richardson Hall, Albany, NY, United States.
Front Health Serv. 2024 Aug 14;4:1434536. doi: 10.3389/frhs.2024.1434536. eCollection 2024.
Cancer mortality rates have decreased over the last 48 years attributable to standardized cancer screenings. These screenings were developed without deliberate inclusion of transgender and non-binary populations. While specialists are familiar regarding cancer screening in this distinct population, those in primary care might be more limited. As such, we aimed to develop a screening risk tool that combines the Breast Cancer Risk Assessment Tool (Gail model) with the updated American College of Radiology Appropriateness Criteria-Transgender Breast Cancer Screening, into an online questionnaire designed to accommodate primary care physicians performing routine health screenings to advise appropriate imaging and referral for this population. This new tool can be used for transgender chest/breast risk assessment whereas the Gail model alone was developed without transgender populations in mind, with the aim of early detection and cancer prevention in this historically underserved healthcare population.
在过去48年中，由于标准化癌症筛查，癌症死亡率有所下降。这些筛查的开发并未特意纳入跨性别者和非二元性别者群体。虽然专科医生熟悉这一特殊人群的癌症筛查，但初级保健医生对此的了解可能较为有限。因此，我们旨在开发一种筛查风险工具，将乳腺癌风险评估工具（盖尔模型）与更新后的美国放射学会适宜性标准——跨性别者乳腺癌筛查相结合，形成一份在线问卷，供进行常规健康筛查的初级保健医生使用，以便为该人群提供适当的影像检查建议和转诊建议。这种新工具可用于跨性别者胸部/乳房风险评估，而单独的盖尔模型在开发时并未考虑跨性别者群体，其目的是在这一历来未得到充分服务的医疗人群中实现早期检测和癌症预防。
