Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Comment
  • Published:

Advancing kidney health justice through gender-affirming care

Advancing kidney health justice for all requires the kidney-care community to embrace gender-affirming care across the life course, including inclusion of gender minority individuals in research, thoughtful attention to sexual-orientation and gender-identity data collection, as well as the promotion of policies and practices that protect and provide comprehensive care to all patients.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

References

  1. Safer, J. D. & Tangpricha, V. Care of the transgender patient. Ann. Intern. Med. 171, ITC1–ITC16 (2019).

    Article  Google Scholar 

  2. Hembree, W. C. et al. Endocrine treatment of gender-dysphoric/gender-incongruent persons: an Endocrine Society Clinical Practice Guideline. J. Clin. Endocrinol. Metab. 102, 3869–3903 (2017).

    Article  Google Scholar 

  3. Collister, D., Saad, N., Christie, E. & Ahmed, S. Providing care for transgender persons with kidney disease: a narrative review. Can. J. Kidney Health Dis. 8, 2054358120985379 (2021).

    PubMed  PubMed Central  Google Scholar 

  4. Deutsch, M. B. Guidelines for the primary and gender-affirming care of transgender and gender nonbinary people. https://transcare.ucsf.edu/guidelines (2016).

  5. Banks, K. et al. Blood pressure effects of gender-affirming hormone therapy in transgender and gender-diverse adults. Hypertension 77, 2066–2074 (2021).

    Article  CAS  Google Scholar 

  6. Maheshwari, A. et al. The effect of gender-affirming hormone therapy on serum creatinine in transgender individuals. Endocr. Pract. 28, 52–57 (2022).

    Article  Google Scholar 

  7. Tangpricha, V. Gender affirming hormone therapy and risk of diabetes in transgender persons. J. Clin. Endocrinol. Metab. https://doi.org/10.1210/clinem/dgac060 (2022).

  8. Eckenrode, H. E., Gutierrez, O. M., Osis, G., Agarwal, A. & Curtis, L. M. Kidney disease prevalence in transgender individuals. Clin. J. Am. Soc. Nephrol. 17, 280–282 (2022).

    Article  Google Scholar 

  9. Salas-Humara, C., Sequeira, G. M., Rossi, W. & Dhar, C. P. Gender affirming medical care of transgender youth. Curr. Probl. Pediatr. Adolesc. Health Care 49, 100683 (2019).

    Article  Google Scholar 

  10. Tordoff, D. M. et al. Mental health outcomes in transgender and nonbinary youths receiving gender-affirming care. JAMA Netw. Open 5, e220978 (2022).

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding authors

Correspondence to Han E. Eckenrode or Dinushika Mohottige.

Ethics declarations

Competing interests

The authors declare no competing interests.

Supplementary information

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Eckenrode, H.E., Flynn, J.T. & Mohottige, D. Advancing kidney health justice through gender-affirming care. Nat Rev Nephrol 18, 343–344 (2022). https://doi.org/10.1038/s41581-022-00575-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41581-022-00575-y

This article is cited by

Search

Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing