Reframing Hematologic and Thrombovascular Care for Transgender and Gender-Diverse Individuals: A Scoping Review
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Key Points
This review aims to synthesize the literature on the delivery of hematologic and thrombovascular care for transgender and gender-diverse individuals, focusing on care gaps and patient experiences.
Conducted a scoping literature review following PRISMA-ScR guidelines.
Searched MEDLINE, Embase, EmCare, and PsycINFO for studies on hematologic or thrombovascular care in TGD populations.
Included qualitative, quantitative, and mixed-methods studies with 31 articles meeting inclusion criteria.
Identified four themes: narrow biomedical framing of thrombovascular risk, variability in clinical decision-making, patient-reported barriers, and limited provider training.
Found gaps in evidence about longitudinal management, shared decision-making, and interdisciplinary care models.
Emphasized a substantial need for inclusive clinical guidance and consensus-building initiatives.
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Implication
Scoping review maps care delivery and experiences for TGD individuals, highlighting significant gaps and barriers.