{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T04:51:11Z","timestamp":1747198271418,"version":"3.40.5"},"reference-count":41,"publisher":"Walter de Gruyter GmbH","issue":"3","license":[{"start":{"date-parts":[[2023,8,8]],"date-time":"2023-08-08T00:00:00Z","timestamp":1691452800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,8,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The 2006 Chicago consensus statement of management of disorders\/difference of sex development (DSD) has achieved advantages in clinical care and diagnosis for patients and families affect by DSD. This article provides a brief overview of contexts of care for physicians, and points out specific challenges in clinical practice that have arisen from the transformations of the sex\/gender system in recent years. We focus on the impact of diagnosis and laboratory measurements. Both laboratory measurements and hormonal therapies still depend on the binary system. One problem is the lack of reference intervals for the different forms of DSD, which means that diversity is often neglected. In the following, we will give a brief insight into this complex topic.<\/jats:p>","DOI":"10.1515\/medgen-2023-2037","type":"journal-article","created":{"date-parts":[[2023,8,15]],"date-time":"2023-08-15T11:11:07Z","timestamp":1692097867000},"page":"181-187","source":"Crossref","is-referenced-by-count":0,"title":["Contexts of care for people with differences of sex development"],"prefix":"10.1515","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4411-6879","authenticated-orcid":false,"given":"Alexandra E.","family":"Kulle","sequence":"first","affiliation":[{"name":"Campus Kiel\/Christian-Albrechts University of Kiel Division of Pediatric Endocrinology and Diabetes, Department of children and adolescent medicine I, University Hospital of Schleswig-Holstein Rosalind-Franklin-Str 9 Kiel Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9576-397X","authenticated-orcid":false,"given":"Martina","family":"J\u00fcrgensen","sequence":"additional","affiliation":[{"name":"Campus L\u00fcbeck\/University of L\u00fcbeck Division of Pediatric Endocrinology and Diabetes, Department of Pediatrics, University-Hospital of Schleswig-Holstein L\u00fcbeck Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1259-2029","authenticated-orcid":false,"given":"Ulla","family":"D\u00f6hnert","sequence":"additional","affiliation":[{"name":"Campus L\u00fcbeck\/University of L\u00fcbeck Division of Pediatric Endocrinology and Diabetes, Department of Pediatrics, University-Hospital of Schleswig-Holstein L\u00fcbeck Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9013-8681","authenticated-orcid":false,"given":"Lisa","family":"Malich","sequence":"additional","affiliation":[{"name":"University of L\u00fcbeck Institute for the History of Medicine and Science Studies L\u00fcbeck Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2788-0311","authenticated-orcid":false,"given":"Louise","family":"Marshall","sequence":"additional","affiliation":[{"name":"Campus L\u00fcbeck\/University of L\u00fcbeck Division of Pediatric Endocrinology and Diabetes, Department of Pediatrics, University-Hospital of Schleswig-Holstein L\u00fcbeck Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7490-4983","authenticated-orcid":false,"given":"Olaf","family":"Hiort","sequence":"additional","affiliation":[{"name":"Campus L\u00fcbeck\/University of L\u00fcbeck Division of Pediatric Endocrinology and Diabetes, Department of Pediatrics, University-Hospital of Schleswig-Holstein L\u00fcbeck Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2023,8,16]]},"reference":[{"key":"2024080713011963257_j_medgen-2023-2037_ref_001","doi-asserted-by":"crossref","unstructured":"[1]\tHughes IA, Houk C, Ahmed SF, Lee PA. 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Endocrine. 2022;76:722\u201332. doi:10.1007\/s12020-022-03017-8.","DOI":"10.1007\/s12020-022-03017-8"}],"container-title":["Medizinische Genetik"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.1515\/medgen-2023-2037\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.1515\/medgen-2023-2037\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T13:03:42Z","timestamp":1723035822000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.degruyter.com\/document\/doi\/10.1515\/medgen-2023-2037\/html"}},"subtitle":["Diversity is still missing in the laboratory routine"],"short-title":[],"issued":{"date-parts":[[2023,8,8]]},"references-count":41,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2023,8,16]]},"published-print":{"date-parts":[[2023,8,8]]}},"alternative-id":["10.1515\/medgen-2023-2037"],"URL":"https:\/\/doi.org\/10.1515\/medgen-2023-2037","relation":{},"ISSN":["1863-5490","0936-5931"],"issn-type":[{"type":"electronic","value":"1863-5490"},{"type":"print","value":"0936-5931"}],"subject":[],"published":{"date-parts":[[2023,8,8]]}}}