title: Cultural Sensitivity and Challenges in Management of the Transgender Patient With ESRD in Transplantation.
abstract: Transgender patients with end-stage renal disease (ESRD) present with specific challenges during the transplant evaluation, perioperative management, and postoperative phase of care. Demographic information, health-care records, chosen name, and gender identity along with documentation of specific health-care needs can become a challenge when gender assigned at birth is incongruent with the patients gender identity. Medical care involves addressing the end-organ disease as well as addressing those aspects of care specific to the transgender patient. This review article provides information on defining transgender, the impact of ESRD, and transgender in the transplant process and considerations in the throughout phases of care. Current recommendations for management of this unique population are provided.
authors.affiliation: Maine Medical Center Division of Nephrology and Transplantation, Portland, ME, USA hochd@mmc.org.
authors.forename: Deborah Ann
authors.initials: DA
authors.lastname: Hoch
authors.affiliation: Maine Medical Center Department of Psychiatry, Portland, ME, USA.
authors.forename: Maya
authors.initials: M
authors.lastname: Bulman
authors.affiliation: MMP Population Health, Portland, ME, USA.
authors.forename: Dorn W
authors.initials: DW
authors.lastname: McMahon
mesh_terms: D000728:Androgens / Q000627:therapeutic use; D054521:Cultural Competency; D004967:Estrogens / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000601:surgery*; D016030:Kidney Transplantation / Q000379:methods*; D019520:Living Donors; D008297:Male; D011183:Postoperative Complications / Q000453:epidemiology; D012650:Self Disclosure; D009626:Terminology as Topic; D013923:Thromboembolism / Q000453:epidemiology; D063106:Transgender Persons
chemical_list: D000728:Androgens; D004967:Estrogens
keywords: end-stage renal disease; phases of care; transgender; transplantation