Scholars@Duke
Deanna Wilson Adkins

Deanna Wilson Adkins

Associate Professor of Pediatrics
Pediatrics, Endocrinology
Box 102820 Med Ctr, Durham, NC 27710
2000 Erwin Rd, Box 102820, Durham, NC 27710

Selected Publications

Expert Care of Adolescent Transgender and Gender-diverse Athletes.

Journal Article Sports Med Arthrosc Rev · March 1, 2025 As a population, transgender and gender-diverse (TGD) adolescents face higher rates of discrimination than their cisgender peers, both in their personal lives and while seeking health care. Negative experiences with health care can be discouraging for mino ... Full text Link to item Cite

Innovations: Using telemedicine to improve care of predominantly non-white youth with suboptimal insulin dependent diabetes control.

Journal Article Diabetes Res Clin Pract · April 2024 AIM: Despite advances in diabetes treatments, youth commonly fail to meet glucose targets. Telehealth support may help youth meet diabetes related goals. The objective of the project was to assess whether intensive telehealth support in a group of poorly c ... Full text Link to item Cite

Barriers to oral health care for transgender and gender nonbinary populations.

Journal Article J Am Dent Assoc · May 2023 BACKGROUND: Despite health disparities and barriers to medical care being well documented in the literature, transgender and gender nonbinary (TGNB) people's experiences and expectations with regard to oral health care remain understudied. The authors exam ... Full text Link to item Cite

Gender identity and sex assignment

Chapter · January 1, 2023 Gender identity and sex assignment can be fraught with difficulty for people who have intersex conditions (a.k.a. differences/disorders of sex development). An incongruence between these two can develop during a person's lifetime and more commonly occurs i ... Full text Cite

Simulation-Based Teaching to Improve Perioperative Care of Transgender Patients

Journal Article Clinical Simulation in Nursing · May 1, 2022 Background: Transgender individuals face significant health disparities which can be largely attributed to lack of provider education on healthcare issues faced by this population. Methods: A quality improvement project using a pre-posttest design was used ... Full text Cite

Understanding and Caring for LGBTQ+ Youth by the Oral Health Care Provider.

Journal Article Dent Clin North Am · October 2021 With growing visibility, there is an increasing prevalence of lesbian, gay, bisexual, transgender, and queer (LGBTQ+) youth who feel empowered to own their true identity. Members of the oral health team frequently do not receive sufficient education in the ... Full text Link to item Cite

Differences in Patient and Parent Informant Reports of Depression and Anxiety Symptoms in a Clinical Sample of Transgender and Gender Diverse Youth.

Journal Article LGBT Health · 2021 Purpose: We assessed characteristics of patients at a pediatric gender clinic and investigated if reports of mental health concerns provided by transgender and gender diverse (TGD) youth patients differed from reports provided by a parent informant on thei ... Full text Link to item Cite

Community perspectives on difference of sex development (DSD) diagnoses: A crowdsourced survey.

Journal Article J Pediatr Urol · June 2020 INTRODUCTION AND OBJECTIVES: Differences of sex development (DSD) engender ethical, social and psychosexual complexities that can complicate medical decision-making. We performed a web-based pilot study to estimate the utility value of a DSD diagnosis and ... Full text Link to item Cite

Longitudinal Changes in Depression Symptoms and Glycemia in Adults With Type 1 Diabetes.

Journal Article Diabetes Care · July 2019 OBJECTIVE: This study assessed longitudinal change in depression symptoms over ≥4 years in adults with type 1 diabetes and examined the association between change in depression symptom status and glycemia. RESEARCH DESIGN AND METHODS: Adults in the T1D Exc ... Full text Link to item Cite

THE METABOLIC AND ENDOCRINE SYSTEM

Chapter · January 1, 2019 Cite

Best Practices in Transgender Health: A Clinician's Guide.

Journal Article Prim Care · December 2018 Providing culturally competent and medically knowledgeable care to the transgender community is increasingly falling within the realms of practice for primary care providers. The purpose of this article is to provide an overview of best practices as they r ... Full text Link to item Cite

Contemporary Demographic, Treatment, and Geographic Distribution Patterns for Disorders of Sex Development.

Journal Article Clin Pediatr (Phila) · March 2018 This study aimed to describe the demographic characteristics, hospital utilizations, patterns of inpatient surgical management, and the overall state/regional variation in surgery rate among patients with disorders of sex development (DSD). We analyzed the ... Full text Link to item Cite

Down Syndrome Disintegrative Disorder: New-Onset Autistic Regression, Dementia, and Insomnia in Older Children and Adolescents With Down Syndrome.

Journal Article J Child Neurol · August 2015 Over a 10-year period in a Down syndrome Clinic, 11 children and adolescents were encountered with a history of new-onset (8) or worsening (3) autistic characteristics. Ten of the 11 (91%) had cognitive decline to a dementia-like state and 9 of the 11 (82% ... Full text Link to item Cite

Hypophosphatemic rickets in opsismodysplasia.

Journal Article J Pediatr Endocrinol Metab · January 2007 BACKGROUND: Opsismodysplasia is a rare spondylo(epi)chondrodysplasia characteristized by delayed skeletal maturation and a constellation of dysplastic features. Although metaphyseal irregularities/cupping have been noted, neither renal phosphate wasting no ... Full text Link to item Cite