Assessment of knowledge in oncology about care for transgender people: a scoping review.
Fernanda Fachetti Xavier de Almeida, Cremilson de Paula Silva, Ricardo Souza Evangelista Sant'Ana and 1 others
PMID 39630846WHAT IT FOUND
Most studies on oncology care for transgender people focus on general LGBTQIAPN+ populations, leaving a significant gap in validated tools and specific evidence for transgender patients.
Key findings
01Only six of the included studies focused exclusively on the transgender population, highlighting a lack of specific research.
02There is no tested or validated instrument specifically designed to measure healthcare professionals' knowledge of oncological care for transgender people.
03Patient reports indicate that professionals often lack the specific interpersonal skills and knowledge required to ask about gender identity and sexuality safely.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The review could not access 13 studies because they were not available in full text, even after contacting authors. Most included studies were qualitative or cross-sectional, limiting the ability to measure the effectiveness of interventions. The geographic distribution was heavily skewed toward North America and Europe, which may not reflect global healthcare contexts.
Declared interests
The study received research support from a non-U.S. government source. No specific conflicts of interest regarding commercial entities were declared in the provided text.
The easy way to misread this
Do not assume that general LGBTQ+ cultural competency training is sufficient for transgender oncology care. The review found no validated instruments specific to transgender cancer knowledge, and existing generic tools failed to address the unique screening and communication needs of this population.