Cathcart-Rake Elizabeth J, Tevaarwerk Amye, Jatoi Aminah, Carroll Evelyn F, Scout Nfn, Chedid Victor G, Gonzalez Cesar A, Fee-Schroeder Kelli, Kling Jewel M, Shufelt Chrisandra L, Ridgeway Jennifer L, Davidge-Pitts Caroline
Department of Oncology, Mayo Clinic, Rochester, Minnesota.
Department of Radiology, Mayo Clinic, Rochester, Minnesota.
Mayo Clin Proc Innov Qual Outcomes. 2024 Aug 22;8(5):443-450. doi: 10.1016/j.mayocpiqo.2024.07.007. eCollection 2024 Oct.
Transgender and gender diverse (TGD) people experience disparities in cancer care, including more late-stage diagnoses, worse cancer-related outcomes, and an increased number of unaddressed and more severe symptoms related to cancer and cancer-directed therapy. This article outlines plans to address the unique needs of TGD people through a TGD-focused oncology clinic. Such a clinic could be structured by upholding the following tenets: (1) champion a supportive, gender-affirming environment that seeks to continuously improve, (2) include a transdisciplinary team of specialists who are dedicated to TGD cancer care, and (3) initiate and embrace TGD-patient-centric research on health outcomes and health care delivery.
跨性别者和性别多样化(TGD)人群在癌症护理方面存在差异,包括更多的晚期诊断、更差的癌症相关结果,以及与癌症和癌症导向治疗相关的未得到解决且更严重的症状数量增加。本文概述了通过以TGD为重点的肿瘤诊所来满足TGD人群独特需求的计划。这样的诊所可以通过坚持以下原则来构建:(1)倡导一个寻求持续改进的支持性、性别肯定环境,(2)包括一个致力于TGD癌症护理的跨学科专家团队,以及(3)发起并接受以TGD患者为中心的关于健康结果和医疗保健提供的研究。