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为跨性别者和性别多元者建造一家癌症护理诊所。

Building a Cancer Care Clinic for Transgender and Gender Diverse Individuals.

作者信息

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

机构信息

Department of Oncology, Mayo Clinic, Rochester, Minnesota.

Department of Radiology, Mayo Clinic, Rochester, Minnesota.

出版信息

Mayo Clin Proc Innov Qual Outcomes. 2024 Aug 22;8(5):443-450. doi: 10.1016/j.mayocpiqo.2024.07.007. eCollection 2024 Oct.

DOI:10.1016/j.mayocpiqo.2024.07.007
PMID:39263427
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11387547/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/355a/11387547/15b629f8ca56/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/355a/11387547/50edec8a31f9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/355a/11387547/15b629f8ca56/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/355a/11387547/50edec8a31f9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/355a/11387547/15b629f8ca56/gr2.jpg

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本文引用的文献

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State of Cancer Care in America: Achieving Cancer Health Equity Among Sexual and Gender Minority Communities.美国癌症护理状况:在性少数群体和性别少数群体社区中实现癌症健康公平。
JCO Oncol Pract. 2023 Nov;19(11):959-966. doi: 10.1200/OP.23.00435. Epub 2023 Oct 4.
2
"Everything's a fight": A qualitative study of the cancer survivorship experiences of transgender and gender diverse Australians.“一切都是战斗”:一项关于澳大利亚跨性别和性别多样化的癌症生存者经历的定性研究。
Cancer Med. 2023 Jun;12(11):12739-12748. doi: 10.1002/cam4.5906. Epub 2023 Apr 18.
3
Understanding Disparities: A Case Illustrative of the Struggles Facing Transgender and Gender Diverse Patients With Cancer.
理解差异:一个说明癌症患者中跨性别和性别多样化患者所面临困境的案例。
J Natl Compr Canc Netw. 2023 Feb;21(2):227-230. doi: 10.6004/jnccn.2023.7005.
4
The Impact of Exogenous Testosterone on Breast Cancer Risk in Transmasculine Individuals.外源性睾酮对跨性别男性乳腺癌风险的影响。
Ann Plast Surg. 2023 Jan 1;90(1):96-105. doi: 10.1097/SAP.0000000000003321.
5
Do Ask, Tell, and Show: Contextual Factors Affecting Sexual Orientation and Gender Identity Disclosure for Sexual and Gender Minority People.务必询问、坦诚相告、亲身示范:影响性少数群体的性倾向和性别认同披露的情境因素。
LGBT Health. 2022 Feb-Mar;9(2):73-80. doi: 10.1089/lgbt.2021.0159. Epub 2022 Jan 21.
6
Gender expansive youth disclosure and mental health: Clinical implications of gender identity disclosure.性别认同拓展的青少年出柜与心理健康:性别认同出柜的临床意义
Psychol Sex Orientat Gend Divers. 2020 Mar;7(1):66-75. doi: 10.1037/sgd0000354. Epub 2019 Nov 7.
7
Cancer Stage, Treatment, and Survival Among Transgender Patients in the United States.美国跨性别患者的癌症分期、治疗和生存情况。
J Natl Cancer Inst. 2021 Sep 4;113(9):1221-1227. doi: 10.1093/jnci/djab028.
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Efficacy of Sex Steroid Therapy Without Progestin or GnRH Agonist for Gonadal Suppression in Adult Transgender Patients.无孕激素或 GnRH 激动剂的性激素治疗对成年跨性别患者性腺抑制的疗效。
J Clin Endocrinol Metab. 2021 Mar 8;106(3):e1290-e1300. doi: 10.1210/clinem/dgaa884.
9
Clinical Characteristics, Experiences, and Outcomes of Transgender Patients With Cancer.癌症 transgender 患者的临床特征、经历和结局。
JAMA Oncol. 2021 Jan 1;7(1):e205671. doi: 10.1001/jamaoncol.2020.5671. Epub 2021 Jan 21.
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Mod Pathol. 2021 Jan;34(1):85-94. doi: 10.1038/s41379-020-00675-9. Epub 2020 Sep 16.