There is a growing concern in the field of geriatric medicine that transgender health is often overlooked and under-reported. Not only does this impact the health and safety of the aging transgender community, but it also often influences the ability of physicians to provide high-quality evidence-based care. This article reviews the current knowledge base for geriatric transgender health and aims to organize evidence-based clinical recommendations for the primary care provider. Our proposed guideline, the Trans-specific Geriatric Health Assessment (TGHA), highlights areas of current clinical practice that do not address the geriatric transgender experience and modifies them to include trans-specific clinical recommendations found in the literature. The TGHA emphasizes topics such as cognitive function, vision and hearing, gait and stability, nutrition, sleep, functional/social status, urogenital health, psychiatric health, hormone replacement therapy, cancer screening, disease prevention and advanced care planning. Our review also addresses the limitations of certain clinical topics and where there is significant need for supportive research.

中文翻译：

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跨性别老年健康评估 (TGHA)：初级保健机构中老年跨性别患者的包容性临床指南

在老年医学领域，人们越来越担心跨性别健康经常被忽视和报道不足。这不仅会影响老龄化跨性别社区的健康和安全，而且通常还会影响医生提供高质量循证护理的能力。本文回顾了老年跨性别健康的当前知识库，旨在为初级保健提供者组织基于证据的临床建议。我们提出的指南，即跨性别特定老年健康评估 (TGHA)，突出了当前临床实践中没有解决老年跨性别经历的领域，并对其进行了修改，以包括文献中发现的跨性别临床建议。TGHA 强调认知功能、视力和听力、步态和稳定性等主题，营养、睡眠、功能/社会状态、泌尿生殖健康、精神健康、激素替代疗法、癌症筛查、疾病预防和高级护理计划。我们的审查还解决了某些临床主题的局限性以及对支持性研究的重大需求。