跨性别者的癌症查:指南,最佳实践和建议的护理模式
Joshua Sterling1, Jeffrey Carbonella1, Tashzna Jones1
1Department of Urology, Yale School of Medicine, New Haven, CT, USA.
The Urologic clinics of North America
|September 29, 2023
概括
对跨性别者的癌症查缺乏具体指导方针. 这篇评论建议在证据有限的情况下,使用解剖库存和高风险行为来指导癌症预防策略.
科学领域:
- 在瘤学瘤学.
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 有限的跨性别特定的癌症查指南存在.
- 目前对跨性别患者癌症查的实践模式尚不清楚.
- 性别肯定激素治疗对癌症风险的长期影响尚未确定.
研究的目的:
- 审查现有的癌症查指南和跨性别患者的实践模式.
- 通过调整基于解剖库存的 cisgender 准则,提出跨性别个体癌症查的最佳实践.
- 突出在跨性别人口中缺乏关于癌症风险和查证据的领域.
主要方法:
- 对当前癌症查建议的文献综述.
- 对跨性别者医疗保健中的实践模式的分析.
- 根据解剖学来推断 cisgender 查指南在跨性别患者中的应用.
- 对性别肯定激素治疗和癌症风险的现有证据的评估.
主要成果:
- 在基于证据的,针对跨性别者的癌症查方案中存在很大的差距.
- 对跨性别患者进行癌症查的建议通常依赖于解剖库存,而不是性别认同.
- 目前的数据不足以直接将性别肯定激素治疗与癌症风险的改变联系起来.
结论:
- 跨性别患者的癌症查应优先考虑解剖库存和已知的高风险行为.
- 需要进一步的研究来确定与性别肯定护理相关的长期癌症风险.
- 为跨性别人群制定定制的,基于证据的癌症查指南是关键的未来方向.
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