Evidence map›Paper›PMID 37526532›Full record

ArticleSouth African family practice : official journal of the South African Academy of Family Practice/Primary Care2023

An introduction to gender affirming healthcare: What the family physician needs to know.

Madeleine Muller, Elma De Vries, Anastacia Tomson, Christine McLachlan

Open access · goldAbstract read
In one paragraph

Article in South African family practice : official journal of the South African Academy of Family Practice/Primary Care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Rebuttal to: 'Gender affirming healthcare' is not what the family physician needs to know.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2025
    Article
  3. 'Gender affirming healthcare' is not what the family physician needs to know.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2025
    Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 4 institutions in 1 country.

Madeleine MullerDepartment of Family Medicine and Rural Health, Faculty of Health Sciences, Walter Sisulu University, East London, South Africa; and, Department of Family Medicine, Cecilia Makiwane Hospital, East London. mmuller@wsu.ac.za.
Elma De Vries
Anastacia Tomson
Christine McLachlan
Cecilia Makiwane Hospital · ZACity of Cape Town · ZANelson Mandela University · ZAUniversity of South Africa · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gender affirming healthcare (GAHC) is a relatively new field in primary health care that describes a range of gender affirming practices, including hormone therapy, for transgender and gender diverse (TGD) people. In 2019, gender affirming hormones were approved by South African National Essential Medicine List Committee (NEMLC) for tertiary-level care, and in October 2021 the Southern Africa HIV Clinicians Society published a GAHC guideline for South Africa. Unfortunately, TGD people still experience discrimination and stigmatisation in healthcare facilities in South Africa, leading to poor access to care and higher health risks with poorer outcomes. Gender affirming care in the primary health care clinic can improve access to health care, with improved provision of preventative services. This article defines key transgender concepts, describes the informed consent process and outlines the initiation and monitoring of both feminising and masculinising hormone treatment for TGD people. Staff at healthcare facilities need to receive training on gender affirming practices and how to ensure a safe environment for TGD clients.

Indexed as

Transgender PersonsTranssexualismDelivery of Health CareFemaleHormonesHumansMalePhysicians, FamilyHormonesaccess to caregender affirming healthcaregender diversehormone therapykey populationspatient centred caretransgender

Identifiers

PMID37526532
PMCPMC10483305
OpenAlexW4385410888

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.