{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T19:38:13Z","timestamp":1791574693330,"version":"4.3.4"},"reference-count":21,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2021,4,30]],"date-time":"2021-04-30T00:00:00Z","timestamp":1619740800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>Management of children with differences\/disorders of sex development (DSD) is complex with limited evidence to guide clinical decisions. Regular multidisciplinary team meetings were set up in Sydney and Melbourne paediatric hospitals to enable systematic peer review of complex decision\u2010making. We aim to describe the workload and role of these meetings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The multidisciplinary team forum includes invited representatives from endocrinology, urology, gynaecology, genetics, psychology, social work, clinical ethics, laboratory and hospital executive and meetings occur 1\u20133 times monthly. Descriptive data were collected from de\u2010identified meeting referrals and minutes between August 2012 to August 2018 (Sydney) and January 2014 to August 2018 (Melbourne).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 192 referrals (142 new and 50 follow\u2010ups) aged 1\u00a0week to 17\u2009years were discussed across the two sites. 46, XY DSD (<jats:italic>n<\/jats:italic>\u00a0=\u00a081) was the most common sub\u2010classification. Consideration of surgical options and optimal management of gonads with malignant potential were amongst the common reasons for referral to the multidisciplinary team meetings. Surgical interventions were considered but not recommended after review for 38 of 154 (24.7%) procedures. Gonad retention to allow potential functional benefit was recommended in 15\/46 (32.6%) referrals. Evidence of premalignant or malignant changes was found in 20\/57 (35%) gonads removed, with dysgenetic features and atrophy\/streak features in 6 (10.5%) and 27 (47.4%) gonads respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Formal DSD multidisciplinary team meetings provide a framework and opportunity for multi and interdisciplinary discussions amongst representatives from several specialities to help make complex decision\u2010making.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.15474","type":"journal-article","created":{"date-parts":[[2021,4,30]],"date-time":"2021-04-30T07:42:34Z","timestamp":1619768554000},"page":"1402-1407","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Role of cross\u2010campus multidisciplinary team meetings in decision\u2010making for children and adolescents with differences of sex development\/intersex"],"prefix":"10.1111","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2487-3319","authenticated-orcid":false,"given":"Komal A","family":"Vora","sequence":"first","affiliation":[{"name":"Department of Paediatric Endocrinology John Hunter Children's Hospital  Newcastle NSW Australia"},{"name":"School of Medicine and Public Health University of Newcastle  Newcastle NSW Australia"},{"name":"Institute of Endocrinology and Diabetes The Children's Hospital at Westmead  Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5714-2195","authenticated-orcid":false,"given":"Chloe A","family":"Hanna","sequence":"additional","affiliation":[{"name":"Department of Gynaecology The Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Reproductive development Murdoch Children's Research Institute  Melbourne Victoria Australia"},{"name":"Department of Paediatrics University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristen A","family":"Neville","sequence":"additional","affiliation":[{"name":"Department of Endocrinology Sydney Children's Hospital  Sydney NSW Australia"},{"name":"School of Women and Children's Health, Faculty of Medicine UNSW Sydney  Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip B","family":"Bergman","sequence":"additional","affiliation":[{"name":"Department of Paediatric Endocrinology &amp; Diabetes Monash Children's Hospital  Melbourne Victoria Australia"},{"name":"Department of Paediatrics Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5183-2892","authenticated-orcid":false,"given":"Sonia R","family":"Grover","sequence":"additional","affiliation":[{"name":"Department of Gynaecology The Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Reproductive development Murdoch Children's Research Institute  Melbourne Victoria Australia"},{"name":"Department of Paediatrics University of Melbourne  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4003-956X","authenticated-orcid":false,"given":"Michele A","family":"O'Connell","sequence":"additional","affiliation":[{"name":"Reproductive development Murdoch Children's Research Institute  Melbourne Victoria Australia"},{"name":"Department of Paediatrics University of Melbourne  Melbourne Victoria Australia"},{"name":"Department of Endocrinology and Diabetes The Royal Children's Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shubha","family":"Srinivasan","sequence":"additional","affiliation":[{"name":"Institute of Endocrinology and Diabetes The Children's Hospital at Westmead  Sydney NSW Australia"},{"name":"Children's Hospital Westmead Clinical School University of Sydney  Sydney NSW Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,4,30]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2006-0738"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/00224490209552139"},{"key":"e_1_2_6_4_1","unstructured":"BlackE BondK BriffaTet al.Darlington Statement: Joint consensus statement from the intersex community retreat in Darlington. 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