| Title |
Ethical principles and recommendations for the medical management of differences of sex development (DSD)/intersex in children and adolescents
|
|---|---|
| Published in |
European Journal of Pediatrics, October 2009
|
| DOI | 10.1007/s00431-009-1086-x |
| Pubmed ID | |
| Authors |
Claudia Wiesemann, Susanne Ude-Koeller, Gernot H. G. Sinnecker, Ute Thyen |
| Abstract |
The medical management of differences of sex development (DSD)/intersex in early childhood has been criticized by patients' advocates as well as bioethicists from an ethical point of view. Some call for a moratorium of any feminizing or masculinizing operations before the age of consent except for medical emergencies. No exhaustive ethical guidelines have been published until now. In particular, the role of the parents as legal representatives of the child is controversial. In the article, we develop, discuss, and present ethical principles and recommendations for the medical management of intersex/DSD in children and adolescents. We specify three basic ethical principles that have to be respected and substantiate them. The article includes a critical discussion of the best interest of the child and of family privacy. The argumentation draws upon recommendations by the working group "Bioethics and Intersex" within the German Network DSD/Intersex, which are presented in detail. Unlike other recommendations with regard to intersex, these guidelines represent a comprehensive view of the perspectives of clinicians, patients, and their families. |
X Demographics
The data shown below were collected from the profiles of 4 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 1 | 25% |
| Unknown | 3 | 75% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 4 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 191 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Turkey | 1 | <1% |
| Malaysia | 1 | <1% |
| France | 1 | <1% |
| Italy | 1 | <1% |
| Spain | 1 | <1% |
| Philippines | 1 | <1% |
| Unknown | 185 | 97% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 37 | 19% |
| Student > Bachelor | 32 | 17% |
| Student > Doctoral Student | 20 | 10% |
| Other | 15 | 8% |
| Student > Ph. D. Student | 15 | 8% |
| Other | 38 | 20% |
| Unknown | 34 | 18% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 63 | 33% |
| Social Sciences | 26 | 14% |
| Agricultural and Biological Sciences | 14 | 7% |
| Philosophy | 10 | 5% |
| Psychology | 10 | 5% |
| Other | 35 | 18% |
| Unknown | 33 | 17% |
Attention Score in Context
This research output has an Altmetric Attention Score of 24. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 10 April 2024.
All research outputs
#1,611,143
of 25,753,578 outputs
Outputs from European Journal of Pediatrics
#144
of 4,479 outputs
Outputs of similar age
#4,727
of 108,448 outputs
Outputs of similar age from European Journal of Pediatrics
#1
of 14 outputs
Altmetric has tracked 25,753,578 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 93rd percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 4,479 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 7.3. This one has done particularly well, scoring higher than 96% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 108,448 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 95% of its contemporaries.
We're also able to compare this research output to 14 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 92% of its contemporaries.