Building a Cancer Care Clinic for Transgender and Gender Diverse Individuals

Mayo Clinic proceedings. Innovations, quality & outcomes Pub Date : 2024-08-22 DOI:10.1016/j.mayocpiqo.2024.07.007

Elizabeth J. Cathcart-Rake MD , Amye Tevaarwerk MD , Aminah Jatoi MD , Evelyn F. Carroll MD , NFN Scout MA, PhD , Victor G. Chedid MD, MS , Cesar A. Gonzalez PhD , Kelli Fee-Schroeder DNP, RN, OCN , Jewel M. Kling MD, MPH , Chrisandra L. Shufelt MD, MS , Jennifer L. Ridgeway PhD , Caroline Davidge-Pitts MBBCh

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Abstract

Transgender and gender diverse (TGD) people experience disparities in cancer care, including more late-stage diagnoses, worse cancer-related outcomes, and an increased number of unaddressed and more severe symptoms related to cancer and cancer-directed therapy. This article outlines plans to address the unique needs of TGD people through a TGD-focused oncology clinic. Such a clinic could be structured by upholding the following tenets: (1) champion a supportive, gender-affirming environment that seeks to continuously improve, (2) include a transdisciplinary team of specialists who are dedicated to TGD cancer care, and (3) initiate and embrace TGD-patient-centric research on health outcomes and health care delivery.

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为变性人和性别多元化人士建立癌症护理诊所

变性人和性别多元化（TGD）人群在癌症护理方面存在差异，包括更多的晚期诊断、更差的癌症相关预后，以及更多与癌症和癌症导向疗法相关的未处理和更严重的症状。本文概述了通过以 TGD 为重点的肿瘤诊所来满足 TGD 独特需求的计划。这样的诊所可以通过坚持以下原则来构建：(1) 倡导一个支持性的、性别平等的环境，力求不断改进；(2) 包括一个致力于 TGD 癌症治疗的跨学科专家团队；(3) 启动并接受以 TGD 患者为中心的健康结果和医疗服务研究。

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Mayo Clinic proceedings. Innovations, quality & outcomes Surgery, Critical Care and Intensive Care Medicine, Public Health and Health Policy

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