Position paper of the Italian association of medical oncology on health disparities among transgender and gender-diverse people: the Assisi recommendations

Summary: Transgender and gender-diverse individuals experience substantial health disparities across the cancer care continuum. Despite well recognized unique healthcare needs, there are barriers in accessing cancer prevention and treatment services, influenced by disadvantages in key social-economi...

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Main Authors: Alberto Giovanni Leone, Raffaella Casolino, Dario Trapani, Rosalba Miceli, Massimo Massagrande, Federica Morano, Nicla La Verde, Davide Dalu, Rossana Berardi, Silvia Marsoni, Matteo Lambertini, Bianca Iula, Eva Carieri, Manlio Converti, Massimo Di Maio, Giordano Domenico Beretta, Francesco Perrone, Filippo Pietrantonio, Saverio Cinieri
Format: Article
Language:English
Published: Elsevier 2023-11-01
Series:EClinicalMedicine
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2589537023004546
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author Alberto Giovanni Leone
Raffaella Casolino
Dario Trapani
Rosalba Miceli
Massimo Massagrande
Federica Morano
Nicla La Verde
Davide Dalu
Rossana Berardi
Silvia Marsoni
Matteo Lambertini
Bianca Iula
Eva Carieri
Manlio Converti
Massimo Di Maio
Giordano Domenico Beretta
Francesco Perrone
Filippo Pietrantonio
Saverio Cinieri
author_facet Alberto Giovanni Leone
Raffaella Casolino
Dario Trapani
Rosalba Miceli
Massimo Massagrande
Federica Morano
Nicla La Verde
Davide Dalu
Rossana Berardi
Silvia Marsoni
Matteo Lambertini
Bianca Iula
Eva Carieri
Manlio Converti
Massimo Di Maio
Giordano Domenico Beretta
Francesco Perrone
Filippo Pietrantonio
Saverio Cinieri
author_sort Alberto Giovanni Leone
collection DOAJ
description Summary: Transgender and gender-diverse individuals experience substantial health disparities across the cancer care continuum. Despite well recognized unique healthcare needs, there are barriers in accessing cancer prevention and treatment services, influenced by disadvantages in key social-economic determinants of health which result in worse clinical outcomes, as compared to the general population. The Italian Association of Medical Oncology (AIOM) acknowledges the critical relevance of this issue. The “Assisi Recommendations” here summarize the outcomes of the “AIOM Oncology Ethics Day” dedicated to gender differences in oncology and cancer care of transgender and gender-diverse people. The recommendations generated during a 2-day multidisciplinary discussion address the various aspects of cancer care experience of transgender and gender-diverse people. The promotion of research in this field, through the generation of new evidence and the collection of prospective data, has been identified as a priority action to mitigate these disparities. By acknowledging the challenges of cancer care in transgender and gender-diverse people and recognizing the need for dedicated policy and clinical recommendations, AIOM demonstrates its commitment to improving the health and well-being of all patients with cancer, regardless of their gender identity or any other personal or social circumstances, as part of health-for-all societal vision.
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spelling doaj.art-b5199cbee2264e5cb366a24df25b899c2023-11-28T07:26:47ZengElsevierEClinicalMedicine2589-53702023-11-0165102277Position paper of the Italian association of medical oncology on health disparities among transgender and gender-diverse people: the Assisi recommendationsAlberto Giovanni Leone0Raffaella Casolino1Dario Trapani2Rosalba Miceli3Massimo Massagrande4Federica Morano5Nicla La Verde6Davide Dalu7Rossana Berardi8Silvia Marsoni9Matteo Lambertini10Bianca Iula11Eva Carieri12Manlio Converti13Massimo Di Maio14Giordano Domenico Beretta15Francesco Perrone16Filippo Pietrantonio17Saverio Cinieri18Medical Oncology Department, Fondazione IRCCS Istituto Nazionale dei Tumori, Via G. Venezian 1, Milan 21033, ItalyWolfson Wohl Cancer Research Centre, Institute of Cancer Sciences, University of Glasgow, Glasgow, UKEuropean Institute of Oncology, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), Milan, Italy; Department of Oncology and Hemato-oncology (DIPO), University of Milan, Milan, ItalyDepartment of Biostatistics for Clinical Research, Fondazione IRCCS Istituto Nazionale dei Tumori, Via G. Venezian 1, Milan 21033, ItalyELMA Research, Milan, ItalyMedical Oncology Department, Fondazione IRCCS Istituto Nazionale dei Tumori, Via G. Venezian 1, Milan 21033, ItalyDepartment of Oncology, Luigi Sacco Hospital, ASST Fatebenefratelli Sacco, Milan, ItalyDepartment of Oncology, Luigi Sacco Hospital, ASST Fatebenefratelli Sacco, Milan, ItalyOncology Clinic, Università Politecnica delle Marche, AOU delle Marche, Ancona, ItalyIFOM - the FIRC Institute of Molecular Oncology, Milan, ItalyDepartment of Internal Medicine and Medical Specialties (DiMI), School of Medicine, University of Genova, Genova, Italy; Department of Medical Oncology, U.O. Clinica di Oncologia Medica, IRCCS Ospedale Policlinico San Martino, Genova, ItalyACET - Associazione per la Cultura e l’etica Transgenere (Association for Transgender Culture and Ethics), Milan, Italy Degree: N/AIndependent Researcher, Italy Degree: N/AAMIGAY Aps - Associazione Italiana Medici e Personale Sanitario, LGBTQIA+ e Friendly (Italian Association of LGBTQIA+ Medical care Providers), ItalyDepartment of Oncology, University of Turin, A.O. Ordine Mauriziano, Turin, Italy; National Secretary of the Italian Association of Medical Oncology (AIOM), ItalyUOC Oncologia Medica, ASL Pescara P.O., Pescara, Italy; National President of the Italian Foundation of Medical Oncology (Fondazione AIOM), ItalyClinical Trial Unit, Istituto Nazionale Tumori, IRCCS, Fondazione G. Pascale, Napoli, Italy; President-elect of the Italian Association of Medical Oncology (AIOM), ItalyMedical Oncology Department, Fondazione IRCCS Istituto Nazionale dei Tumori, Via G. Venezian 1, Milan 21033, Italy; Corresponding author. Department of Medical Oncology, Fondazione IRCCS Istituto Nazionale dei Tumori, Via Giacomo Venezian 1, Milan 20133, Italy.Medical Oncology Unit, Ospedale di Summa A. Perrino, Brindisi, Italy; National President of the Italian Association of Medical Oncology (AIOM), ItalySummary: Transgender and gender-diverse individuals experience substantial health disparities across the cancer care continuum. Despite well recognized unique healthcare needs, there are barriers in accessing cancer prevention and treatment services, influenced by disadvantages in key social-economic determinants of health which result in worse clinical outcomes, as compared to the general population. The Italian Association of Medical Oncology (AIOM) acknowledges the critical relevance of this issue. The “Assisi Recommendations” here summarize the outcomes of the “AIOM Oncology Ethics Day” dedicated to gender differences in oncology and cancer care of transgender and gender-diverse people. The recommendations generated during a 2-day multidisciplinary discussion address the various aspects of cancer care experience of transgender and gender-diverse people. The promotion of research in this field, through the generation of new evidence and the collection of prospective data, has been identified as a priority action to mitigate these disparities. By acknowledging the challenges of cancer care in transgender and gender-diverse people and recognizing the need for dedicated policy and clinical recommendations, AIOM demonstrates its commitment to improving the health and well-being of all patients with cancer, regardless of their gender identity or any other personal or social circumstances, as part of health-for-all societal vision.http://www.sciencedirect.com/science/article/pii/S2589537023004546TransgenderGender-diverseGenderCancerDisparities
spellingShingle Alberto Giovanni Leone
Raffaella Casolino
Dario Trapani
Rosalba Miceli
Massimo Massagrande
Federica Morano
Nicla La Verde
Davide Dalu
Rossana Berardi
Silvia Marsoni
Matteo Lambertini
Bianca Iula
Eva Carieri
Manlio Converti
Massimo Di Maio
Giordano Domenico Beretta
Francesco Perrone
Filippo Pietrantonio
Saverio Cinieri
Position paper of the Italian association of medical oncology on health disparities among transgender and gender-diverse people: the Assisi recommendations
EClinicalMedicine
Transgender
Gender-diverse
Gender
Cancer
Disparities
title Position paper of the Italian association of medical oncology on health disparities among transgender and gender-diverse people: the Assisi recommendations
title_full Position paper of the Italian association of medical oncology on health disparities among transgender and gender-diverse people: the Assisi recommendations
title_fullStr Position paper of the Italian association of medical oncology on health disparities among transgender and gender-diverse people: the Assisi recommendations
title_full_unstemmed Position paper of the Italian association of medical oncology on health disparities among transgender and gender-diverse people: the Assisi recommendations
title_short Position paper of the Italian association of medical oncology on health disparities among transgender and gender-diverse people: the Assisi recommendations
title_sort position paper of the italian association of medical oncology on health disparities among transgender and gender diverse people the assisi recommendations
topic Transgender
Gender-diverse
Gender
Cancer
Disparities
url http://www.sciencedirect.com/science/article/pii/S2589537023004546
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