The number of people disclosing gender diverse identities is growing. We must act now to collect data on cancer incidence and outcomes, and promote inclusion in studies, in order to better understand cancer in this population and provide equitable cancer care.
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References
Flores, A.R. et al. How many adults identify as transgender in the United States? The Williams Institute https://williamsinstitute.law.ucla.edu/publications/trans-adults-united-states/ (2016).
Winter, S. et al. Transgender people: health at the margins of society. Lancet 388, 390–400 (2016).
The World Professional Association for Transgender Health. Standards of Care for the Health of Transsexual, Transgender, and Gender-Conforming People [7th Version]. https://www.wpath.org/publications/soc (2012).
De Blok, C. J. M. et al. Breast cancer risk in transgender people receiving hormone treatment: nationwide cohort study in the Netherlands. BMJ 365, l1652 (2019).
de Nie, I. et al. Prostate cancer incidence under androgen deprivation: nationwide cohort study in trans women receiving hormone treatment. J. Clin. Endocrinol. Metab. 9, e3293–e3299 (2020).
Baral, S. D. et al. Worldwide burden of HIV in transgender women: a systematic review and meta-analysis. Lancet Infect. Dis. 13, 214–222 (2013).
Jackson, S. S. et al. Cancer stage, treatment, and survival among transgender patients in the United States. J. Natl Cancer Inst. https://doi.org/10.1093/jnci/djab028 (2021).
Quinn, G. P. et al. What oncologists should know about treating sexual and gender minority patients with cancer. JCO Oncol. Pract. 16, 309–316 (2020).
Heidari, S. et al. Sex and Gender Equity in Research: rationale for the SAGER guidelines and recommended use. Res. Integr. Peer Rev. 1, 2 (2016).
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I would like to thank Kate Nambiar, Salpie Nowinski and Stewart O’Callaghan for their professional and lived experience that contributed to the writing of this article.
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WHO/Europe brief – transgender health in the context of ICD-11: https://www.euro.who.int/en/health-topics/health-determinants/gender/gender-definitions/whoeurope-brief-transgender-health-in-the-context-of-icd-11
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Berner, A.M. Improving understanding of cancer in the gender diverse population. Nat Rev Cancer 21, 537–538 (2021). https://doi.org/10.1038/s41568-021-00379-5
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DOI: https://doi.org/10.1038/s41568-021-00379-5
