{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,1,16]],"date-time":"2025-01-16T05:36:54Z","timestamp":1737005814790,"version":"3.33.0"},"reference-count":12,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,6,6]],"date-time":"2024-06-06T00:00:00Z","timestamp":1717632000000},"content-version":"vor","delay-in-days":36,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Hastings Center Report"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>This commentary responds to the article \u201cWhat Is the Aim of Pediatric \u2018Gender\u2010Affirming\u2019 Care?,\u201d by Moti Gorin, in the same issue of the journal. Gender\u2010affirming care is often treated as exceptional and subject to heightened scrutiny. This exceptionalization results in its being held to stricter evidentiary standards than other forms of medical interventions are. But values and value judgments are inextricable from the practice of evidence\u2010based medicine. For gender\u2010affirming care, values shape what counts as \u201cstrong\u201d evidence, whether the legitimacy of transgender identity is assumed versus treated as something to be investigated, how to characterize the testimonial accounts of trans and gender\u2010nonconforming patients, and more. We argue that these kinds of questions are part of the practice of medicine, not exceptional to transgender people and gender\u2010affirming care. However, litigation of evidence for gender\u2010affirming care in state and national policy underscores the moral urgency of thinking carefully about what values ought to guide evidence<\/jats:italic>.<\/jats:p>","DOI":"10.1002\/hast.1592","type":"journal-article","created":{"date-parts":[[2024,6,6]],"date-time":"2024-06-06T15:32:22Z","timestamp":1717687942000},"page":"51-53","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Values and Evidence in Gender\u2010Affirming Care"],"prefix":"10.1002","volume":"54","author":[{"given":"Os","family":"Keyes","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth A.","family":"Dietz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,6,6]]},"reference":[{"key":"e_1_2_5_1_1","doi-asserted-by":"publisher","DOI":"10.1002\/hast.1583"},{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1353\/ken.2022.0010"},{"key":"e_1_2_5_3_1","unstructured":"Gorin \u201cWhat Is the Aim of Pediatric \u2018Gender-Affirming\u2019 Care? \u201d46."},{"key":"e_1_2_5_4_1","unstructured":"Ashley \u201cAdolescent Medical Transition Is Ethical \u201d146."},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.5172\/hesr.2012.21.3.313"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2016.03.600"},{"volume-title":"The Gold Standard: The Challenge of Evidence-Based Medicine","year":"2010","author":"Timmermans S.","key":"e_1_2_5_7_1"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzl040"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2010.482"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)61086-2"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(04)16261-2"},{"key":"e_1_2_5_12_1","doi-asserted-by":"crossref","unstructured":"Tenn. Code Ann. \u00a768-33-101(2024).","DOI":"10.1159\/000538570"}],"container-title":["Hastings Center Report"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/hast.1592","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,15]],"date-time":"2025-01-15T20:12:57Z","timestamp":1736971977000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/hast.1592"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5]]},"references-count":12,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2024,5]]}},"alternative-id":["10.1002\/hast.1592"],"URL":"https:\/\/doi.org\/10.1002\/hast.1592","archive":["Portico"],"relation":{},"ISSN":["0093-0334","1552-146X"],"issn-type":[{"type":"print","value":"0093-0334"},{"type":"electronic","value":"1552-146X"}],"subject":[],"published":{"date-parts":[[2024,5]]},"assertion":[{"value":"2024-06-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}