{"id":"https://openalex.org/W7151908655","doi":"https://doi.org/10.1093/jbcr/irag033.225","title":"528. Impact of Hormone Therapy on Healing and Complications in Transgender Patients with Previous Burn Injuries","display_name":"528. Impact of Hormone Therapy on Healing and Complications in Transgender Patients with Previous Burn Injuries","publication_year":2026,"publication_date":"2026-03-01","ids":{"openalex":"https://openalex.org/W7151908655","doi":"https://doi.org/10.1093/jbcr/irag033.225"},"language":"en","primary_location":{"id":"doi:10.1093/jbcr/irag033.225","doi":"https://doi.org/10.1093/jbcr/irag033.225","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jbcr/irag033.225","pdf_url":null,"source":{"id":"https://openalex.org/S57131103","display_name":"Journal of Burn Care & Research","issn_l":"1559-047X","issn":["1559-047X","1559-0488"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Burn Care &amp; Research","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.1093/jbcr/irag033.225","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5047797726","display_name":"Joshua E. Lewis","orcid":"https://orcid.org/0000-0002-4168-0407","observed_orcids":["https://orcid.org/0000-0002-4168-0407"]},"institutions":[{"id":"https://openalex.org/I1283055418","display_name":"Indiana University Health","ror":"https://ror.org/01aaptx40","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1283055418","https://openalex.org/I4388446366","https://openalex.org/I592451"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Joshua E Lewis","raw_affiliation_strings":["Indiana University Health , Galveston, TX"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Indiana University Health , Galveston, TX","institution_ids":["https://openalex.org/I1283055418"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5119066706","display_name":"Olivia Anga","orcid":"https://orcid.org/0009-0005-8941-2814","observed_orcids":["https://orcid.org/0009-0005-8941-2814"]},"institutions":[{"id":"https://openalex.org/I130799901","display_name":"University of St. Thomas - Texas","ror":"https://ror.org/02pkt3s45","country_code":"US","type":"education","lineage":["https://openalex.org/I130799901"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Olivia Anga","raw_affiliation_strings":["University of St. Thomas , Houston, TX"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of St. Thomas , Houston, TX","institution_ids":["https://openalex.org/I130799901"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5133177983","display_name":"Jarrell Patterson","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I186335123","display_name":"East Carolina University","ror":"https://ror.org/01vx35703","country_code":"US","type":"education","lineage":["https://openalex.org/I186335123"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jarrell Patterson","raw_affiliation_strings":["Brody School of Medicine East Carolina University , Greenville, NC"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Brody School of Medicine East Carolina University , Greenville, NC","institution_ids":["https://openalex.org/I186335123"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5119066704","display_name":"Derek Nuamah","orcid":"https://orcid.org/0009-0000-3893-1896","observed_orcids":["https://orcid.org/0009-0000-3893-1896"]},"institutions":[{"id":"https://openalex.org/I145608581","display_name":"University of Miami","ror":"https://ror.org/02dgjyy92","country_code":"US","type":"education","lineage":["https://openalex.org/I145608581"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Derek Nuamah","raw_affiliation_strings":["Miller School of Medicine, University of Miami , Miami, FL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Miller School of Medicine, University of Miami , Miami, FL","institution_ids":["https://openalex.org/I145608581"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5127833523","display_name":"Chrishaun Alexander","orcid":"https://orcid.org/0009-0008-0575-3569","observed_orcids":["https://orcid.org/0009-0008-0575-3569"]},"institutions":[{"id":"https://openalex.org/I6332465","display_name":"Morehouse School of Medicine","ror":"https://ror.org/01pbhra64","country_code":"US","type":"education","lineage":["https://openalex.org/I6332465"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Chrishaun Alexander","raw_affiliation_strings":["Morehouse School of Medicine , Atlanta, GA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Morehouse School of Medicine , Atlanta, GA","institution_ids":["https://openalex.org/I6332465"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5118862335","display_name":"Jordan Kankam","orcid":"https://orcid.org/0009-0003-7563-9677","observed_orcids":["https://orcid.org/0009-0003-7563-9677"]},"institutions":[{"id":"https://openalex.org/I12315562","display_name":"Texas Tech University","ror":"https://ror.org/0405mnx93","country_code":"US","type":"education","lineage":["https://openalex.org/I12315562"]},{"id":"https://openalex.org/I926076166","display_name":"Texas Tech University Health Sciences Center","ror":"https://ror.org/033ztpr93","country_code":"US","type":"education","lineage":["https://openalex.org/I926076166"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jordan Kankam","raw_affiliation_strings":["Texas Tech University Health Sciences Center , Lubbock, Lubbock, TX"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Texas Tech University Health Sciences Center , Lubbock, Lubbock, TX","institution_ids":["https://openalex.org/I12315562","https://openalex.org/I926076166"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5133191986","display_name":"Erin Jackson","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I250520410","display_name":"Prairie View A&M University","ror":"https://ror.org/0449kf092","country_code":"US","type":"education","lineage":["https://openalex.org/I250520410"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Erin Jackson","raw_affiliation_strings":["Prairie View A&M University , Prairie View, TX"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Prairie View A&M University , Prairie View, TX","institution_ids":["https://openalex.org/I250520410"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5117405916","display_name":"Brianna L. Gilner","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I83809506","display_name":"University of South Alabama","ror":"https://ror.org/01s7b5y08","country_code":"US","type":"education","lineage":["https://openalex.org/I83809506"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Brianna L Gilner","raw_affiliation_strings":["Whiddon College of Medicine at the University of South Alabama , Mobile, AL"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Whiddon College of Medicine at the University of South Alabama , Mobile, AL","institution_ids":["https://openalex.org/I83809506"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111173940","display_name":"Bryan S. Torres","orcid":"https://orcid.org/0009-0002-1730-2200","observed_orcids":["https://orcid.org/0009-0002-1730-2200"]},"institutions":[{"id":"https://openalex.org/I114832834","display_name":"Tulane University","ror":"https://ror.org/04vmvtb21","country_code":"US","type":"education","lineage":["https://openalex.org/I114832834"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Bryan S Torres","raw_affiliation_strings":["Tulane School of Medicine , New Orleans, LA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Tulane School of Medicine , New Orleans, LA","institution_ids":["https://openalex.org/I114832834"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5075522331","display_name":"Oyetokunbo Ibidapo-Obe","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1306862143","display_name":"Memorial Hermann","ror":"https://ror.org/049d9a475","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1306862143"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Oyetokunbo Ibidapo-Obe","raw_affiliation_strings":["Memorial Hermann , Houston, TX"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Memorial Hermann , Houston, TX","institution_ids":["https://openalex.org/I1306862143"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":11,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":3698,"currency":"USD","value_usd":3698},"apc_paid":{"value":3698,"currency":"USD","value_usd":3698},"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"47","issue":"Supplement_1","first_page":"S200","last_page":"S200"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11422","display_name":"Burn Injury Management and Outcomes","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11422","display_name":"Burn Injury Management and Outcomes","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10156","display_name":"LGBTQ Health, Identity, and Policy","score":0.0010000000474974513,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11172","display_name":"Dermatologic Treatments and Research","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/2708","display_name":"Dermatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/gender-affirming-hormone-therapy","display_name":"gender-affirming hormone therapy","score":0.8989999890327454},{"id":"https://openalex.org/keywords/transgender-patients","display_name":"transgender patients","score":0.7820000052452087},{"id":"https://openalex.org/keywords/burns","display_name":"burns","score":0.9409999847412109},{"id":"https://openalex.org/keywords/estrogen-therapy","display_name":"estrogen therapy","score":0.9150000214576721},{"id":"https://openalex.org/keywords/testosterone-replacement-therapy","display_name":"testosterone replacement therapy","score":0.996999979019165},{"id":"https://openalex.org/keywords/wound-infection","display_name":"wound infection","score":0.9750000238418579},{"id":"https://openalex.org/keywords/hypertrophic-scars","display_name":"hypertrophic scars","score":0.9380000233650208},{"id":"https://openalex.org/keywords/sepsis","display_name":"sepsis","score":0.9789999723434448},{"id":"https://openalex.org/keywords/mortality","display_name":"mortality","score":0.7570000290870667},{"id":"https://openalex.org/keywords/wound-complications","display_name":"wound complications","score":0.7099999785423279},{"id":"https://openalex.org/keywords/mortality-risk-stratification","display_name":"mortality risk stratification","score":0.35499998927116394}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9661999940872192},{"id":"https://openalex.org/C2780275930","wikidata":"https://www.wikidata.org/wiki/Q1628266","display_name":"Hormone therapy","level":4,"score":0.6969000101089478},{"id":"https://openalex.org/C2778384902","wikidata":"https://www.wikidata.org/wiki/Q183134","display_name":"Sepsis","level":2,"score":0.670799970626831},{"id":"https://openalex.org/C197934379","wikidata":"https://www.wikidata.org/wiki/Q2047938","display_name":"Adverse effect","level":2,"score":0.6044999957084656},{"id":"https://openalex.org/C2779279991","wikidata":"https://www.wikidata.org/wiki/Q6058681","display_name":"Testosterone (patch)","level":2,"score":0.4781999886035919},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.43939998745918274},{"id":"https://openalex.org/C2777164284","wikidata":"https://www.wikidata.org/wiki/Q277954","display_name":"Estrogen","level":2,"score":0.42750000953674316},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.4092000126838684},{"id":"https://openalex.org/C2780159708","wikidata":"https://www.wikidata.org/wiki/Q17003363","display_name":"Hormone replacement therapy (female-to-male)","level":3,"score":0.3928999900817871},{"id":"https://openalex.org/C2779232120","wikidata":"https://www.wikidata.org/wiki/Q1511599","display_name":"Negative-pressure wound therapy","level":3,"score":0.382999986410141},{"id":"https://openalex.org/C65409693","wikidata":"https://www.wikidata.org/wiki/Q425265","display_name":"Statistical significance","level":2,"score":0.38109999895095825},{"id":"https://openalex.org/C71315377","wikidata":"https://www.wikidata.org/wiki/Q11364","display_name":"Hormone","level":2,"score":0.376800000667572},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.35280001163482666},{"id":"https://openalex.org/C2776782833","wikidata":"https://www.wikidata.org/wiki/Q3454235","display_name":"Total body surface area","level":2,"score":0.3215999901294708},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.3215000033378601},{"id":"https://openalex.org/C2779671885","wikidata":"https://www.wikidata.org/wiki/Q189125","display_name":"Transgender","level":2,"score":0.3100000023841858},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.30869999527931213},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.3082999885082245},{"id":"https://openalex.org/C17923572","wikidata":"https://www.wikidata.org/wiki/Q7250160","display_name":"Propensity score matching","level":2,"score":0.3075000047683716},{"id":"https://openalex.org/C2778311097","wikidata":"https://www.wikidata.org/wiki/Q5903784","display_name":"Hormonal therapy","level":4,"score":0.30720001459121704},{"id":"https://openalex.org/C30092816","wikidata":"https://www.wikidata.org/wiki/Q419613","display_name":"Sex hormone-binding globulin","level":4,"score":0.2802000045776367},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.2777999937534332},{"id":"https://openalex.org/C2993242423","wikidata":"https://www.wikidata.org/wiki/Q170518","display_name":"Burn injury","level":2,"score":0.27559998631477356},{"id":"https://openalex.org/C2776204877","wikidata":"https://www.wikidata.org/wiki/Q477415","display_name":"Amputation","level":2,"score":0.2639000117778778},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.2599000036716461},{"id":"https://openalex.org/C50440223","wikidata":"https://www.wikidata.org/wiki/Q1475848","display_name":"Risk factor","level":2,"score":0.2556000053882599}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1093/jbcr/irag033.225","doi":"https://doi.org/10.1093/jbcr/irag033.225","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jbcr/irag033.225","pdf_url":null,"source":{"id":"https://openalex.org/S57131103","display_name":"Journal of Burn Care & Research","issn_l":"1559-047X","issn":["1559-047X","1559-0488"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Burn Care &amp; Research","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13057784","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13057784/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13057784/pdf/irag033.225.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Burn Care Res","raw_type":"Text"}],"best_oa_location":{"id":"doi:10.1093/jbcr/irag033.225","doi":"https://doi.org/10.1093/jbcr/irag033.225","is_oa":true,"landing_page_url":"https://doi.org/10.1093/jbcr/irag033.225","pdf_url":null,"source":{"id":"https://openalex.org/S57131103","display_name":"Journal of Burn Care & Research","issn_l":"1559-047X","issn":["1559-047X","1559-0488"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Burn Care &amp; Research","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"sustainable_development_goals_aurora":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.5337550640106201}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4220869428","https://openalex.org/W3010400379","https://openalex.org/W4407351790","https://openalex.org/W4394930777","https://openalex.org/W4376603062","https://openalex.org/W2961959292","https://openalex.org/W2321042252","https://openalex.org/W4409073657","https://openalex.org/W3022690810","https://openalex.org/W4411671834"],"abstract_inverted_index":{"Abstract":[0],"Introduction":[1],"Transgender":[2],"and":[3,11,42,62,89,105,119,126,173,180,212,254,287,318,321,339,362],"gender-diverse":[4],"(TGD)":[5],"individuals":[6],"experience":[7],"unique":[8],"health":[9,121],"risks":[10,160,199,235,274,311],"disparities,":[12],"yet":[13],"no":[14],"research":[15,405],"has":[16],"explored":[17],"how":[18],"gender-affirming":[19],"hormone":[20,37,67,78,302,333,389],"therapy":[21,38,68,79,154,230,271,303,334,390],"(HT)":[22],"may":[23,336],"influence":[24,337],"adverse":[25,43],"burn":[26,46,60,82,115,325,347,372,384,413],"outcomes.":[27],"This":[28,398],"study":[29,418],"aims":[30],"to":[31,74,354,363,377,387,406],"evaluate":[32],"the":[33,342,356,381,401,417],"association":[34],"between":[35],"pre-injury":[36],"(estrogen":[39],"or":[40,65],"testosterone)":[41],"complications":[44],"following":[45],"injuries":[47,61],"in":[48,264,304,391,412],"TGD":[49,56,396],"patients.":[50,373,397],"Methods":[51],"Using":[52],"TriNETX":[53],"database,":[54],"adult":[55],"patients":[57,306],"who":[58],"sustained":[59],"on":[63,77,111],"estrogen":[64,153,229],"testosterone":[66],"before":[69,80],"their":[70,81],"burn-injury":[71],"were":[72,85,97,108],"compared":[73],"those":[75],"not":[76],"injury.":[83,94,326],"Outcomes":[84,95],"assessed":[86,96],"at":[87],"three":[88],"six":[90],"months":[91,151],"post":[92],"burn-":[93],"wound":[98,162,201,237,276,313],"infection,":[99,314],"hypertrophic":[100,243,315],"scarring,":[101,316],"sepsis,":[102,317],"reported":[103,174,213,255,319],"pain,":[104],"mortality.":[106],"Cohorts":[107],"propensity":[109],"matched":[110],"age,":[112],"race,":[113],"ethnicity,":[114],"severity,":[116],"diabetes,":[117],"autoimmune":[118],"mental":[120],"disorders,":[122,125],"substance":[123],"use":[124],"social":[127],"determinants":[128],"of":[129,161,185,200,236,275,312,332,375,403],"health.":[130],"Multivariable":[131],"regression":[132],"models":[133],"calculated":[134],"risk":[135,184],"ratios":[136],"(RR)":[137],"with":[138,157,196,233,261,309],"95%":[139],"confidence":[140],"intervals":[141],"(CI).":[142],"Statistical":[143],"significance":[144],"was":[145,155],"deemed":[146],"p<.05.":[147],"Results":[148],"At":[149,226],"3":[150],"post-injury,":[152],"associated":[156,232,308],"significantly":[158,182,197],"higher":[159,234],"infection":[163,202,238,277],"(RR":[164,169,176,187,203,208,215,222,239,245,250,257,266,278,283,289,296],"=":[165,170,177,188,204,209,216,223,240,246,251,258,267,279,284,290,297],"2.59,":[166],"p=.0126),":[167],"sepsis":[168,207,249,282],"1.44,":[171],"p=.0047),":[172],"pain":[175,214,256,288,320],"1.14,":[178],"p<.0001),":[179,260],"a":[181],"lower":[183],"mortality":[186,221,265,295,323],"0.85,":[189],"p=.0004).":[190],"Testosterone":[191,270],"users":[192],"showed":[193],"similar":[194],"trends":[195],"increased":[198,273],"1.33,":[205,285],"p=.0228),":[206],"1.21,":[210],"p=.0425),":[211],"1.10,":[217],"p=.0023),":[218],"alongside":[219],"reduced":[220],"0.74,":[224],"p=.0167).":[225],"6":[227],"months,":[228],"remained":[231],"2.90,":[241],"p=.0078),":[242],"scarring":[244],"1.83,":[247],"p=.0026),":[248],"1.61,":[252],"p=.0019),":[253],"1.27,":[259],"further":[262],"reduction":[263],"0.47,":[268],"p=.0016).":[269],"similarly":[272],"1.81,":[280],"p=.0172),":[281],"p=.0054),":[286],"1.09,":[291],"p=.0267),":[292],"while":[293],"lowering":[294],"0.59,":[298],"p=.0051).":[299],"Conclusions":[300],"Pre-injury":[301],"transgender":[305,371],"is":[307],"increase":[310],"decreased":[322],"after":[324],"These":[327],"findings":[328],"suggest":[329],"possible":[330],"effects":[331],"that":[335],"healing":[338],"survival,":[340],"highlighting":[341],"need":[343,382],"for":[344,370,383,395,416],"hormone-aware,":[345],"personalized":[346],"care":[348,385,394],"protocols.":[349],"Further":[350],"studies":[351],"are":[352],"needed":[353],"elucidate":[355],"biological":[357],"mechanisms":[358],"underlying":[359],"these":[360],"associations":[361],"develop":[364],"optimized,":[365],"hormone-informed":[366],"clinical":[367],"management":[368],"strategies":[369,411],"Applicability":[374],"Research":[376],"Practice":[378],"Findings":[379],"highlight":[380],"teams":[386],"consider":[388],"tailoring":[392],"post-burn":[393],"work":[399],"underscores":[400],"importance":[402],"inclusive":[404],"inform":[407],"personalized,":[408],"equitable":[409],"treatment":[410],"recovery.":[414],"Funding":[415],"N/A.":[419]},"counts_by_year":[],"updated_date":"2026-10-29T09:56:32.521200","created_date":"2026-04-09T00:00:00"}
