期刊
JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY
卷 19, 期 2, 页码 221-231出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jacr.2021.09.047
关键词
Transgender; breast imaging; screening; mammography; practice standards
This study investigated breast radiologists' practices, knowledge, and attitudes regarding recording sex and gender in electronic medical records, as well as breast cancer screening recommendations for transgender individuals. The results showed a significant need for recording transgender and other gender-nonconforming information in breast imaging practice. Breast radiologists differed in their practice and knowledge regarding screening for transgender women and men, but expressed interest in contributing data to national databases to inform cancer screening guidelines.
Purpose: The aim of this study was to investigate breast radiologists' practices related to recording sex and gender in the electronic medical record, knowledge and attitudes about breast cancer screening recommendations for transgender individuals, and experience and willingness to enter screening mammography data from transgender patients into databases that document service provision and outcomes of cancer detection protocols. Methods: A 19-question anonymous survey was distributed by e-mail to all active physician members of the Society of Breast Imaging. Response characteristics were assessed as frequencies and percentages and compared between groups using the Fisher exact test or c2 test. The degree of agreement between questions was assessed using the McNemar test. Results: Four hundred one radiologists across the United States and Canada responded (response rate 18%). Recording birth-assigned sex distinct from gender identity was reported by 44 of 352 respondents (13%). Depending on geographic region, 38% to 62% of breast radiologists followed screening guidelines for transgender women, and 226 of 349 (65%) did not provide screening recommendations for transgender men. Of 400, 324 (81%) believed that the evidence base for screening transgender individuals is incomplete, and 247 of 352 (70%) were either unsure of or had no Lesbian, Gay, Bisexual, Transgender, Queer competency training. A majority (247 of 401 [62%]) of respondents reported that they would enroll transgender patients in existing or novel national databases. Conclusions: In the practice of breast imaging, there is a substantial need to record transgender and other gender-nonconforming information. Breast radiologists differ in their practice and knowledge regarding screening of transgender women and men but expressed interest in contributing data to facilitate longitudinal databases needed to inform cancer screening guidelines.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据