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ACR Appropriateness Criteria® Transgender Breast Cancer Screening
- Source :
- Journal of the American College of Radiology. 18:S502-S515
- Publication Year :
- 2021
- Publisher :
- Elsevier BV, 2021.
-
Abstract
- Breast cancer screening recommendations for transgender and gender nonconforming individuals are based on the sex assigned at birth, risk factors, and use of exogenous hormones. Insufficient evidence exists to determine whether transgender people undergoing hormone therapy have an overall lower, average, or higher risk of developing breast cancer compared to birth-sex controls. Furthermore, there are no longitudinal studies evaluating the efficacy of breast cancer screening in the transgender population. In the absence of definitive data, current evidence is based on data extrapolated from cisgender studies and a limited number of cohort studies and case reports published on the transgender community. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision include an extensive analysis of current medical literature from peer reviewed journals and the application of well-established methodologies (RAND/UCLA Appropriateness Method and Grading of Recommendations Assessment, Development, and Evaluation or GRADE) to rate the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where evidence is lacking or equivocal, expert opinion may supplement the available evidence to recommend imaging or treatment.
- Subjects :
- education.field_of_study
medicine.medical_specialty
medicine.diagnostic_test
business.industry
medicine.medical_treatment
Population
medicine.disease
Appropriate Use Criteria
Breast cancer screening
Breast cancer
Family medicine
Transgender
Medicine
Radiology, Nuclear Medicine and imaging
Hormone therapy
business
education
Medical literature
Cohort study
Subjects
Details
- ISSN :
- 15461440
- Volume :
- 18
- Database :
- OpenAIRE
- Journal :
- Journal of the American College of Radiology
- Accession number :
- edsair.doi...........2d730491c1cf7f8a206e6cf882c5ef9d