Pediatric endocrinology

Challenges in Care Provision for Children and Adolescents With Differences of Sex Development

Clin Endocrinol (Oxf)Published Cross-sectional study

Authors' conclusion

Responses to the survey identify gaps and barriers to DSD care across Australia and NZ, particularly a lack of psychosocial supports. Current models fall short of international recommendations and services need to explore the reasons for these gaps further.

Study context

Population
Clinicians involved in diagnosis and management of individuals with Differences of Sex Development (DSD) in Australia and New Zealand (NZ)63 complete responses
Participants
79 clinicians
Outcome
Current DSD care models and clinician-perceived gaps and barriers
Methodological detailsanonymous online questionnaire, Research Electronic Data Capture (REDCap)
  • Anonymous online questionnaire
  • REDCap

Main finding

As reported in the abstract

Not currently part of a DSD multidisciplinary team (MDT) meeting at their center
31%
Identified changes to DSD care over the past 5 years
76%
Identified barriers to current care provision
75%
Psychology currently part of their MDT
20%
Psychology a desired but missing part of their team
70%

Observational data: associations, not effects.

Original publication

Challenges in Care Provision for Children and Adolescents With Differences of Sex Development. Clin Endocrinol (Oxf). Published 13 January 2025. doi:10.1111/cen.15180

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