Academic Journal
Gender-Affirming Mastectomy Trends and Surgical Outcomes in Adolescents
| العنوان: | Gender-Affirming Mastectomy Trends and Surgical Outcomes in Adolescents |
|---|---|
| المؤلفون: | Tang, Annie, Hojilla, J Carlo, Jackson, Jordan E, Rothenberg, Kara A, Gologorsky, Rebecca C, Stram, Douglas A, Mooney, Colin M, Hernandez, Stephanie L, Yokoo, Karen M |
| المصدر: | Annals of Plastic Surgery, vol 88, iss 4 |
| بيانات النشر: | eScholarship, University of California |
| سنة النشر: | 2022 |
| المجموعة: | University of California: eScholarship |
| مصطلحات موضوعية: | Biomedical and Clinical Sciences, Clinical Sciences, Pediatric, Patient Safety, 6.4 Surgery, Good Health and Well Being, Adolescent, Breast Neoplasms, Child, Female, Humans, Mastectomy, Sex Reassignment Surgery, Testosterone, Transgender Persons, Treatment Outcome, gender affirming, adolescents, complications, regret, revisions, top surgery, incidence, gender-affirming, Surgery, Dentistry |
| جغرافية الموضوع: | s325 - s331 |
| الوصف: | BackgroundThere are over 150,000 transgender adolescents in the United States, yet research on outcomes following gender-affirming mastectomy in this age group is limited. We evaluated gender-affirming mastectomy incidence, as well as postoperative complications, including regret, in adolescents within our integrated health care system.MethodsGender-affirming mastectomies performed from January 1, 2013 - July 31, 2020 in adolescents 12-17 years of age at the time of referral were identified. The incidence of gender-affirming mastectomy was calculated by dividing the number of patients undergoing these procedures by the number of adolescents assigned female at birth ages 12-17 within our system at the beginning of each year and amount of follow-up time within that year. Demographic information, clinical characteristics (comorbidities, mental health history, testosterone use), surgical technique, and complications, including mention of regret, of patients who underwent surgery were summarized. Patients with and without complications were compared to evaluate for differences in demographic or clinical characteristics using chi-squared tests.ResultsThe incidence of gender-affirming mastectomy increased 13-fold (3.7 to 47.7 per 100,000 person-years) during the study period. Of the 209 patients who underwent surgery, the median age at referral was 16 years (range 12-17) and the most common technique was double-incision (85%). For patients with greater than 1-year follow-up (n=137, 65.6%), at least one complication was found in 7.3% (n=10), which included hematoma (3.6%), infection (2.9%), hypertrophic scars requiring steroid injection (2.9%), seroma (0.7%), and suture granuloma (0.7%); 10.9 % underwent revision (n=15). There were no statistically significant differences in patient demographics and clinical characteristics between those with and without complications (p>0.05). Two patients (0.95%) had documented postoperative regret but neither underwent reversal surgery at follow-up of 3 and 7 years ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | unknown |
| Relation: | qt3qp6k9m8; https://escholarship.org/uc/item/3qp6k9m8; https://escholarship.org/content/qt3qp6k9m8/qt3qp6k9m8.pdf |
| DOI: | 10.1097/sap.0000000000003135 |
| الاتاحة: | https://escholarship.org/uc/item/3qp6k9m8 https://escholarship.org/content/qt3qp6k9m8/qt3qp6k9m8.pdf https://doi.org/10.1097/sap.0000000000003135 |
| Rights: | public |
| رقم الانضمام: | edsbas.7924AA6C |
| قاعدة البيانات: | BASE |
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We evaluated gender-affirming mastectomy incidence, as well as postoperative complications, including regret, in adolescents within our integrated health care system.MethodsGender-affirming mastectomies performed from January 1, 2013 - July 31, 2020 in adolescents 12-17 years of age at the time of referral were identified. The incidence of gender-affirming mastectomy was calculated by dividing the number of patients undergoing these procedures by the number of adolescents assigned female at birth ages 12-17 within our system at the beginning of each year and amount of follow-up time within that year. Demographic information, clinical characteristics (comorbidities, mental health history, testosterone use), surgical technique, and complications, including mention of regret, of patients who underwent surgery were summarized. Patients with and without complications were compared to evaluate for differences in demographic or clinical characteristics using chi-squared tests.ResultsThe incidence of gender-affirming mastectomy increased 13-fold (3.7 to 47.7 per 100,000 person-years) during the study period. Of the 209 patients who underwent surgery, the median age at referral was 16 years (range 12-17) and the most common technique was double-incision (85%). For patients with greater than 1-year follow-up (n=137, 65.6%), at least one complication was found in 7.3% (n=10), which included hematoma (3.6%), infection (2.9%), hypertrophic scars requiring steroid injection (2.9%), seroma (0.7%), and suture granuloma (0.7%); 10.9 % underwent revision (n=15). There were no statistically significant differences in patient demographics and clinical characteristics between those with and without complications (p>0.05). 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