Characteristics of Referrals for Gender Dysphoria Over a 13-Year Period
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.
- 1Department of Pediatrics, Section of Pediatric Endocrinology, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, Indiana. Electronic address: chenmeli@iupui.edu.
- 2Department of Pediatrics, Section of Pediatric Endocrinology, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, Indiana.
- J Adolesc Health. 2016 Mar;58(3):369-71. doi: 10.1016/j.jadohealth.2015.11.010.
No comments:
Post a Comment