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International Journal of Pediatric Endocrinology

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Open Access 01-12-2010 | Review Article

Consensus in Guidelines for Evaluation of DSD by the Texas Children's Hospital Multidisciplinary Gender Medicine Team

Authors: Ganka Douglas, Marni E. Axelrad, Mary L. Brandt, Elizabeth Crabtree, Jennifer E. Dietrich, Shannon French, Sheila Gunn, Lefkothea Karaviti, Monica E. Lopez, Charles G. Macias, Laurence B. McCullough, Deepa Suresh, Reid V. Sutton

Published in: International Journal of Pediatric Endocrinology | Issue 1/2010

Abstract

The Gender Medicine Team (GMT), comprised of members with expertise in endocrinology, ethics, genetics, gynecology, pediatric surgery, psychology, and urology, at Texas Children's Hospital and Baylor College of Medicine formed a task force to formulate a consensus statement on practice guidelines for managing disorders of sexual differentiation (DSD) and for making sex assignments. The GMT task force reviewed published evidence and incorporated findings from clinical experience. Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) was used to assess the quality of evidence presented in the literature for establishing evidence-based guidelines. The task force presents a consensus statement regarding specific diagnostic and therapeutic issues in the management of individuals who present with DSD. The consensus statement includes recommendations for (1) laboratory workup, (2) acute management, (3) sex assignment in an ethical framework that includes education and involvement of the parents, and (4) surgical management.

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Title: Consensus in Guidelines for Evaluation of DSD by the Texas Children's Hospital Multidisciplinary Gender Medicine Team
Authors: Ganka Douglas
Marni E. Axelrad
Mary L. Brandt
Elizabeth Crabtree
Jennifer E. Dietrich
Shannon French
Sheila Gunn
Lefkothea Karaviti
Monica E. Lopez
Charles G. Macias
Laurence B. McCullough
Deepa Suresh
Reid V. Sutton
Publication date: 01-12-2010
Publisher: BioMed Central
Published in: International Journal of Pediatric Endocrinology / Issue 1/2010
Electronic ISSN: 1687-9856
DOI: https://doi.org/10.1155/2010/919707

At a glance: The STEP trials

Springer Medicine

Consensus in Guidelines for Evaluation of DSD by the Texas Children's Hospital Multidisciplinary Gender Medicine Team

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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Aggressive Fluid Resuscitation in Severe Pediatric Hyperglycemic Hyperosmolar Syndrome: A Case Report

Factors Influencing the One- and Two-Year Growth Response in Children Treated with Growth Hormone: Analysis from an Observational Study

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