Discharge outcome analysis of 1089 transgender young people referred to paediatric endocrine clinics in England 2008–2021

Autor: Gary Butler, Kirpal Adu-Gyamfi, Kerry Clarkson, Ranna El Khairi, Sara Kleczewski, Alice Roberts, Terry Y Segal, Karththeepan Yogamanoharan, Sabah Alvi, Nadia Amin, Paul Carruthers, Stacey Dover, Joanna Eastman, Talat Mushtaq, Una Masic, Polly Carmichael
Rok vydání: 2022
Předmět:
Zdroj: Archives of Disease in Childhood. 107:1018-1022
ISSN: 1468-2044
0003-9888
DOI: 10.1136/archdischild-2022-324302
Popis: IntroductionThe destination of transgender and gender variant young people referred by the National Health Service (NHS) Gender Identity Development Service (GIDS) to, and discharged from the two English paediatric endocrine liaison clinics is not known.Methods1151 young people referred after full assessment by the GIDS; 827 to University College London Hospital since 2008; 324 to Leeds Children’s Hospital since 2013. Discharge categorisation was by agreed criteria. Eleven emigrated and 51 self-discharged. 1089 had known outcomes.Results999/1089 (91.7%) continued identifying as gender variant. 867/999 (86.8%) were discharged to adult gender identity clinics (GICs). 166/867 (19.1%) of these were 90/1089 ceased identifying as gender variant. In 32/1089 (2.9%), this was subsequent to their first clinic appointment.58/1089 (5.3%) stopped treatment either with the gonadotropin releasing hormone analogue (GnRHa) or gender-affirming hormones (GAH) and reverted to their birth gender: Subdividing further, 16/217 (7.4%) ConclusionsAt discharge, 91.7% continued as transgender or gender variant, 86.8% sought ongoing care through NHS GICs. 2.9% ceased identifying as transgender after an initial consultation prior to any endocrine intervention and 5.3% stopped treatment either with GnRHa or GAH, a higher proportion in the
Databáze: OpenAIRE
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