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A model of delivering multi-disciplinary care to people with 46 XY DSD.
Palmer, Blake W; Wisniewski, Amy B; Schaeffer, Traci L; Mallappa, Ashwini; Tryggestad, Jeanie B; Krishnan, Sowmya; Chalmers, Laura J; Copeland, Kenneth; Chernausek, Steven D; Reiner, William G; Kropp, Bradley P.
Afiliación
  • Palmer BW; Pediatric Urology, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA. blake-palmer@ouhsc.edu
J Pediatr Urol ; 8(1): 7-16, 2012 Feb.
Article en En | MEDLINE | ID: mdl-22078657
In 2006, a consensus statement was jointly produced by the Lawson Wilkins Pediatric Endocrine Society (LWPES) and the European Society of Paediatric Endocrinology (ESPE) concerning the management of disorders of sex development (DSD) [1]. A recommendation provided by this consensus was that evaluation and long-term care for people affected by DSD should be performed at medical centers with multi-disciplinary teams experienced in such conditions. Here we provide our team's interpretation of the 2006 consensus statement recommendations and its translation into a clinical protocol for individuals affected by 46 XY DSD with either female, or ambiguous, genitalia at birth. Options for medical and surgical management, transitioning of care, and the use of mental health services and peer support groups are discussed. Finally, we provide preliminary data to support the application of our model for delivering multi-disciplinary care and support to patients and their families.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Grupo de Atención al Paciente / Calidad de Vida / Guías de Práctica Clínica como Asunto / Trastorno del Desarrollo Sexual 46,XY Tipo de estudio: Diagnostic_studies / Guideline / Observational_studies / Prognostic_studies Aspecto: Patient_preference Límite: Female / Humans / Newborn Idioma: En Revista: J Pediatr Urol Año: 2012 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Grupo de Atención al Paciente / Calidad de Vida / Guías de Práctica Clínica como Asunto / Trastorno del Desarrollo Sexual 46,XY Tipo de estudio: Diagnostic_studies / Guideline / Observational_studies / Prognostic_studies Aspecto: Patient_preference Límite: Female / Humans / Newborn Idioma: En Revista: J Pediatr Urol Año: 2012 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido