Trends in Referrals to a Pediatric Transgender Clinic.

Abstract:

OBJECTIVES:We characterized referral trends over time at a transgender clinic within an integrated health system in Northern California. We identified the transition-related requests of pediatric transgender and gender-nonconforming patients and evaluated differences in referrals by age group. METHODS:Medical records were analyzed for all patients <18 years of age in the Kaiser Permanente Northern California health system who were referred to a specialty transgender clinic between February 2015 and June 2018. Trends in treatment demand, demographic data, service requests, and surgical history were abstracted from medical charts and analyzed by using descriptive statistics. RESULTS:We identified 417 unique transgender and gender-nonconforming pediatric patients. The median age at time of referral was 15 years (range 3-17). Most (62%) identified on the masculine spectrum. Of the 203 patients with available ethnicity data, 68% were non-Hispanic. During the study period, the clinic received a total of 506 referrals with a significant increase over time (P < .001). Most referrals were for requests to start cross-sex hormones and/or blockers (34%), gender-affirming surgery (32%), and mental health (27%). Transition-related requests varied by age group: younger patients sought more mental health services, and older patients sought hormonal and surgical services. Eighty-nine patients underwent gender-affirming surgeries, mostly before age 18 and most frequently mastectomies (77%). CONCLUSIONS:The increase in referrals supports the need for expanded and accessible health care services for this population. The transition-related care of patients in this large sample varied by age group, underscoring the need for an individualized approach to gender-affirming care.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Handler T,Hojilla JC,Varghese R,Wellenstein W,Satre DD,Zaritsky E

doi

10.1542/peds.2019-1368

subject

Has Abstract

pub_date

2019-11-01 00:00:00

issue

5

eissn

0031-4005

issn

1098-4275

pii

peds.2019-1368

journal_volume

144

pub_type

杂志文章
  • Palivizumab, a Humanized Respiratory Syncytial Virus Monoclonal Antibody, Reduces Hospitalization From Respiratory Syncytial Virus Infection in High-risk Infants.

    abstract::Objective. To determine the safety and efficacy of prophylaxis with palivizumab in reducing the incidence of hospitalization because of respiratory syncytial virus (RSV) infection in high-risk infants. Methods. A randomized, double-blind, placebo-controlled trial was conducted at 139 centers in the United States, the ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors:

    更新日期:1998-09-01 00:00:00

  • Regulatory barriers to clinical trial enrollment of adolescent and young adult oncology patients.

    abstract::Adolescent and young adult (AYA) patients with cancer may face unique challenges if they and their families wish to participate in clinical oncology trials. Regulatory guidelines and funding requirements put in place to protect patients may actually raise barriers to enrollment in clinical trials. Hospital age guideli...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2014-0122H

    authors: Felgenhauer J,Hooke MC

    更新日期:2014-06-01 00:00:00

  • Human Metapneumovirus Circulation in the United States, 2008 to 2014.

    abstract:BACKGROUND:Human metapneumovirus (HMPV) infection causes respiratory illness, including bronchiolitis and pneumonia. However, national HMPV seasonality, as it compares with respiratory syncytial virus (RSV) and influenza seasonality patterns, has not been well described. METHODS:Hospital and clinical laboratories repo...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2015-2927

    authors: Haynes AK,Fowlkes AL,Schneider E,Mutuc JD,Armstrong GL,Gerber SI

    更新日期:2016-05-01 00:00:00

  • Rumination syndrome in children and adolescents: diagnosis, treatment, and prognosis.

    abstract:OBJECTIVES:To characterize the clinical features, results of diagnostic testing, and treatment outcomes for children and adolescents with rumination syndrome. METHODS:Review of the medical records for all 147 patients ages 5 to 20 diagnosed with rumination syndrome at our institution between 1975 and 2000. Data are pr...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.111.1.158

    authors: Chial HJ,Camilleri M,Williams DE,Litzinger K,Perrault J

    更新日期:2003-01-01 00:00:00

  • Randomized, controlled trial of oros methylphenidate once a day in children with attention-deficit/hyperactivity disorder.

    abstract:OBJECTIVE:A new once-a-day methylphenidate (MPH) formulation, Concerta (methylphenidate HCl) extended-release tablets (OROS MPH), has been developed. This study was conducted to determine the safety and efficacy of OROS MPH in a multicenter, randomized, clinical trial. METHODS:Children with attention-deficit/hyperacti...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1542/peds.108.4.883

    authors: Wolraich ML,Greenhill LL,Pelham W,Swanson J,Wilens T,Palumbo D,Atkins M,McBurnett K,Bukstein O,August G

    更新日期:2001-10-01 00:00:00

  • Screening for congenital adrenal hyperplasia: the Delfia Screening Test overestimates serum 17-hydroxyprogesterone in preterm infants.

    abstract:OBJECTIVE:To compare 17-hydroxyprogesterone (17-OHP) levels measured by quantitative serum radioimmunoassay (RIA), including an extraction step, and by screening fluoroimmunoassay (FIA) on blood spots in preterm infants. METHODS:Subjects were 39 healthy infants born at less than 31 weeks' gestational age. Each infant ...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章

    doi:

    authors: al Saedi S,Dean H,Dent W,Stockl E,Cronin C

    更新日期:1996-01-01 00:00:00

  • The effect of maternal antibody on the serologic response and the incidence of adverse reactions after primary immunization with acellular and whole-cell pertussis vaccines combined with diphtheria and tetanus toxoids.

    abstract:OBJECTIVE:To evaluate the effect of maternally derived antibody on the immunogenicity and reactogenicity of acellular (DTaP) or whole-cell (DTP) pertussis vaccine with diphtheria and tetanus toxoids combined. METHODS:A total of 2342 infants were randomized to receive one of 13 DTaP or 2 DTP vaccines at 2, 4, and 6 mon...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:

    authors: Englund JA,Anderson EL,Reed GF,Decker MD,Edwards KM,Pichichero ME,Steinhoff MC,Rennels MB,Deforest A,Meade BD

    更新日期:1995-09-01 00:00:00

  • Update of newborn screening and therapy for congenital hypothyroidism.

    abstract::Unrecognized congenital hypothyroidism leads to mental retardation. Newborn screening and thyroid therapy started within 2 weeks of age can normalize cognitive development. The primary thyroid-stimulating hormone screening has become standard in many parts of the world. However, newborn thyroid screening is not yet un...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2006-0915

    authors: American Academy of Pediatrics.,Rose SR,Section on Endocrinology and Committee on Genetics, American Thyroid Association.,Brown RS,Public Health Committee, Lawson Wilkins Pediatric Endocrine Society.,Foley T,Kaplowitz PB,Kaye CI,Sundarar

    更新日期:2006-06-01 00:00:00

  • Cardiac effects of dexamethasone in very low birth weight infants.

    abstract:OBJECTIVE:To characterize the cardiac effects of dexamethasone in very low birth weight infants. DESIGN:Prospective, randomized, placebo-controlled, double-blind trial. Enrolled subjects were randomized to receive either a 42-day tapering course of dexamethasone or a saline placebo. Echocardiographic measurements were...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Bensky AS,Kothadia JM,Covitz W

    更新日期:1996-06-01 00:00:00

  • A block rotation in community pediatrics.

    abstract:OBJECTIVES:To develop, implement, and evaluate a 1-month block rotation in community pediatrics. INTERVENTIONS:Faculty from University of California San Diego and Naval Medical Center San Diego developed a combined and integrated curriculum for second-year residents in community pediatrics. Resident activities include...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Shope TR,Bradley BJ,Taras HL

    更新日期:1999-07-01 00:00:00

  • Intrapartum antibiotic exposure and early neonatal, morbidity, and mortality in Africa.

    abstract:BACKGROUND:Infants born to women who receive intrapartum antibiotics may have higher rates of infectious morbidity and mortality than unexposed infants. OBJECTIVE:Our goal was to determine the association of maternal intrapartum antibiotics and early neonatal morbidity and mortality. METHODS:We performed secondary an...

    journal_title:Pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1542/peds.2008-1873

    authors: Kafulafula G,Mwatha A,Chen YQ,Aboud S,Martinson F,Hoffman I,Fawzi W,Read JS,Valentine M,Mwinga K,Goldenberg R,Taha TE

    更新日期:2009-07-01 00:00:00

  • Diagnostic imaging and negative appendectomy rates in children: effects of age and gender.

    abstract:BACKGROUND AND OBJECTIVES:Diagnostic imaging is often used in the evaluation of children with possible appendicitis. The utility of imaging may vary according to a patient's age and gender. The objectives of this study were (1) to examine the use of computed tomography (CT) and ultrasound for age and gender subgroups o...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2011-3375

    authors: Bachur RG,Hennelly K,Callahan MJ,Chen C,Monuteaux MC

    更新日期:2012-05-01 00:00:00

  • Explaining the low risk of preterm birth among arab americans in the United States: an analysis of 617451 births.

    abstract:OBJECTIVES:Arab Americans have a lower risk for preterm birth than white Americans. We assessed factors that may contribute to the association between ethnicity and preterm birth risk in Michigan, the state with the largest concentration of Arab Americans in the United States. Factors assessed as potential contributors...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2008-1634

    authors: El-Sayed AM,Galea S

    更新日期:2009-03-01 00:00:00

  • Parents' Perspectives Regarding Age Restrictions for Tackling in Youth Football.

    abstract:BACKGROUND:In ice hockey and soccer, age restrictions exist for body checking and heading because of injury risk. There are currently no age restrictions for tackling in youth football. METHODS:We surveyed a nationally representative sample of US parents regarding their support for age restrictions on tackling in foot...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2018-2402

    authors: Chrisman SPD,Whitlock KB,Kroshus E,Schwien C,Herring SA,Rivara FP

    更新日期:2019-05-01 00:00:00

  • A longitudinal study of developmental outcome of infants with bronchopulmonary dysplasia and very low birth weight.

    abstract:OBJECTIVE:Bronchopulmonary dysplasia (BPD) is now the leading cause of lung disease in US infants. In a large regional cohort, we tested the hypothesis that despite innovations in neonatal care, very low birth weight (VLBW) infants (<1500 g) with BPD had poorer developmental outcomes than nonaffected infants during the...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.100.6.987

    authors: Singer L,Yamashita T,Lilien L,Collin M,Baley J

    更新日期:1997-12-01 00:00:00

  • Food protein-induced enterocolitis syndrome caused by solid food proteins.

    abstract:BACKGROUND:Infantile food protein-induced enterocolitis syndrome (FPIES) is a severe, cell-mediated gastrointestinal food hypersensitivity typically provoked by cow's milk or soy. Solid foods are rarely considered a cause. OBJECTIVE:To describe the clinical characteristics and natural history of FPIES provoked by soli...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1542/peds.111.4.829

    authors: Nowak-Wegrzyn A,Sampson HA,Wood RA,Sicherer SH

    更新日期:2003-04-01 00:00:00

  • Probability of coincident vaccination in the 24 or 48 hours preceding sudden infant death syndrome death in Australia.

    abstract:OBJECTIVE:Vaccination does not cause sudden infant death syndrome (SIDS). However, SIDS peaks at 2 months of age, when vaccination encounters are frequent. There are no published estimates using population data on age of death and immunization coverage to indicate to practitioners how often coincident vaccination may o...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2004-2185

    authors: Brotherton JM,Hull BP,Hayen A,Gidding HF,Burgess MA

    更新日期:2005-06-01 00:00:00

  • Risk of respiratory illness associated with day-care attendance: a nationwide study.

    abstract::The risk of respiratory and other illnesses in children (age groups: 6 weeks through 17 months, 18 through 35 months, and 36 through 59 months) in various types of day-care facilities was studied. Children considered exposed to day care were those who were enrolled in day care with at least one unrelated child for at ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Hurwitz ES,Gunn WJ,Pinsky PF,Schonberger LB

    更新日期:1991-01-01 00:00:00

  • Physical growth in phenylketonuria: II. Growth of treated children in the PKU collaborative study from birth to 4 years of age.

    abstract::Height, weight, and head circumference data up to age 4 years are reported for 124 children with phenylketonuria (PKU) who had been started on diet management before 4 months (121 days) of age and who were participating in the Collaborative Study of Children Treated for Phenylketonuria. Growth measurements of both the...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Holm VA,Kronmal RA,Williamson M,Roche AF

    更新日期:1979-05-01 00:00:00

  • Isolated sulfite oxidase deficiency: a case report with a novel mutation and review of the literature.

    abstract::Isolated sulfite oxidase deficiency is a rare but devastating neurologic disease that usually presents in early infancy with seizures and alterations in muscle tone. Only 21 cases have been reported in the literature. We report a case of a newborn infant boy with isolated sulfite oxidase deficiency who presented with ...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2004-1897

    authors: Tan WH,Eichler FS,Hoda S,Lee MS,Baris H,Hanley CA,Grant PE,Krishnamoorthy KS,Shih VE

    更新日期:2005-09-01 00:00:00

  • Sensitization to silk and childhood asthma in rural China.

    abstract:OBJECTIVE:Sensitization to perennial aeroallergens is associated with asthma in industrialized countries with a Western lifestyle. Because silk products are commonly used in Chinese society, we were interested in examining the relation between sensitization to silk and asthma. DESIGN:Cross-sectional study of 871 child...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.107.5.e80

    authors: Celedón JC,Palmer LJ,Xu X,Wang B,Fang Z,Weiss ST

    更新日期:2001-05-01 00:00:00

  • The best-interest standard is not applied for neonatal resuscitation decisions.

    abstract:OBJECTIVE:Legal and ethical standards require resuscitation when it is considered to be in the patient's best interest. We hypothesized that newborn infants might be dealt with according to different standards, compared with older patients. METHODS:An anonymous questionnaire describing 8 currently incompetent patients...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2007-1520

    authors: Janvier A,Leblanc I,Barrington KJ

    更新日期:2008-05-01 00:00:00

  • The Challenge of Analyzing the Results of Next-Generation Sequencing in Children.

    abstract::In recent years, next-generation sequencing technologies have revolutionized approaches to genetic studies. Whole-exome or whole-genome sequencing allows diagnoses in many patients who have complex phenotypes and unusual clinical presentations. As genomic and exomic testing expands in both the research and clinical se...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2015-3731C

    authors: Thiffault I,Lantos J

    更新日期:2016-01-01 00:00:00

  • SunSafe in the Middle School Years: a community-wide intervention to change early-adolescent sun protection.

    abstract:OBJECTIVE:Rising rates of skin cancer associated with early-life sun exposure make it important to improve adolescent sun-protection practices. Our study objective was to determine if a multicomponent community-wide intervention could alter the decline in sun protection that begins in early adolescence. METHODS:A rand...

    journal_title:Pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1542/peds.2006-1579

    authors: Olson AL,Gaffney C,Starr P,Gibson JJ,Cole BF,Dietrich AJ

    更新日期:2007-01-01 00:00:00

  • High-flow nasal cannulae in the management of apnea of prematurity: a comparison with conventional nasal continuous positive airway pressure.

    abstract::Apnea of prematurity (AOP) is frequently managed with nasal continuous positive airway pressure (NCPAP). Nasal cannula (NC) are used at low flows (<0.5 L/min) to deliver supplemental oxygen to neonates. A number of centers use high-flow nasal cannula (HFNC) in the management of AOP without measuring the positive diste...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章

    doi:10.1542/peds.107.5.1081

    authors: Sreenan C,Lemke RP,Hudson-Mason A,Osiovich H

    更新日期:2001-05-01 00:00:00

  • Unilateral pulmonary interstitial emphysema: a surgical approach to treatment.

    abstract::Pulmonary interstitial emphysema is a condition that has become a significant problem chiefly as a complication of mechanical ventilation of the newborn. In its severe forms, it may compromise ventilation and restrict pulmonary blood flow to the degree that it becomes a significant cause of mortality. When its occurre...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Levine DH,Trump DS,Waterkotte G

    更新日期:1981-10-01 00:00:00

  • Common metabolic profile in infants indicating impaired cobalamin status responds to cobalamin supplementation.

    abstract:OBJECTIVE:A metabolic profile consistent with impaired cobalamin status is prevalent in breastfed infants. We investigated whether this profile reflects immature organ systems or impaired cobalamin status. METHODS:In a single-center, randomized, placebo-controlled trial, we studied 107 six-week-old infants. The infant...

    journal_title:Pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1542/peds.2007-2716

    authors: Bjørke-Monsen AL,Torsvik I,Saetran H,Markestad T,Ueland PM

    更新日期:2008-07-01 00:00:00

  • Population-based impact of pneumococcal conjugate vaccine in young children.

    abstract:OBJECTIVE:To determine the population impact of pneumococcal conjugate vaccine (PCV) on pneumococcal-related diseases, including pneumonia and otitis media. METHODS:Using administrative data from Tennessee Medicaid and 3 commercial insurance plans in upstate New York, we measured annual rates of medical visits for pne...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2003-0592-F

    authors: Poehling KA,Lafleur BJ,Szilagyi PG,Edwards KM,Mitchel E,Barth R,Schwartz B,Griffin MR

    更新日期:2004-09-01 00:00:00

  • Parental smoking and adolescent smoking initiation: an intergenerational perspective on tobacco control.

    abstract:OBJECTIVE:Adolescence is an important period of risk for the development of lifelong smoking behaviors. Compelling, although inconsistent, evidence suggests a relationship between parental smoking and the risk of smoking initiation during adolescence. This study investigates unresolved issues concerning the strength an...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2008-2251

    authors: Gilman SE,Rende R,Boergers J,Abrams DB,Buka SL,Clark MA,Colby SM,Hitsman B,Kazura AN,Lipsitt LP,Lloyd-Richardson EE,Rogers ML,Stanton CA,Stroud LR,Niaura RS

    更新日期:2009-02-01 00:00:00

  • Electrocardiograph monitor artifacts in a neonatal intensive care unit.

    abstract::A wide variety of artifacts may be found when monitoring the ECG in a neonatal intensive care unit. Many of the artifacts resemble arrhythmias, and unless they are recognized as artifacts they may lead to serious errors of diagnosis and therapy. Many of the artifacts are caused by patient movement such as seizures, tr...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Stanger P,Lister G,Silverman NH,Hoffman JI

    更新日期:1977-11-01 00:00:00