在性别多样化的景观中评估功能的一个整体框架
Keila Turino Miranda1, Dina N Greene2, David Collister3
1Libin Cardiovascular Institute, University of Calgary, Calgary, Alberta, Canada; Department of Medicine, University of Calgary, Calgary, Alberta, Canada; Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
概括
估计跨性别,性别多样化和非二进制 (TGD) 个体的功能需要一个新的框架. 目前使用出生时分配性别的方法可能不准确地反映TGD患者的脏健康状况,特别是那些接受性别肯定激素治疗的人.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 内分泌学 在内分泌学.
- 健康 公平 卫生 公平
背景情况:
- 标准估计膜过率 (eGFR) 方程使用二进制的性别系数,影响TGD个体.
- 性别确认激素治疗 (GAHT) 可能会改变功能生物标志物,如血清肌素和囊素C.
- 有限的研究存在于慢性病 (CKD) 在TGD人口的GAHT.
研究的目的:
- 提出一个整体框架来评估TGD患者的功能.
- 为了解决目前对TGD个体的eGFR计算的局限性.
- 调查GAHT对功能的影响,并减轻健康不平等.
主要方法:
- 制定一个重点关注CKD流行率,风险因素和性激素的框架.
- 与其他功能评估工具一起评估eGFR.
- 考虑到GAHT对脏生物标志物和肌肉质量的影响.
主要成果:
- 当前的eGFR方程可能不适合TGD个体.
- GAHT对血清肌素和真实GFR的影响尚不清楚.
- 需要一个全面的方法来准确评估TGD种群中的功能.
结论:
- 一个新的框架对于对TGD个体进行准确的功能评估至关重要.
- 需要进一步的研究来了解GAHT对脏健康的影响.
- 解决TGD医疗保健中的健康不平等问题至关重要.
相关概念视频
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