Racial Disparities in the 30-Day Outcomes of Gender-affirming Chest Surgeries

被引:13
作者
Jolly, Divya [1 ]
Boskey, Elizabeth R. [1 ,2 ,3 ]
Ganor, Oren [1 ,2 ]
机构
[1] Boston Childrens Hosp, Ctr Gender Surg, Dept Plast & Oral Surg, Boston, MA 02115 USA
[2] Harvard Med Sch, Dept Surg, Boston, MA 02115 USA
[3] Harvard TH Chan Sch Publ Hlth, Dept Social & Behav Sci, Boston, MA USA
关键词
racial disparities; gender-affirming surgery; transgender health; mastectomy; top surgery; breast augmentation; QUALITY-OF-LIFE; TRANSGENDER ADULTS; SURGICAL OUTCOMES; RACE; HEALTH; INDIVIDUALS; PREDICTOR; RISK;
D O I
10.1097/SLA.0000000000005512
中图分类号
R61 [外科手术学];
学科分类号
摘要
Objective:To determine if and how race impacts the 30-day outcomes of gender-affirming chest surgeries. Background:Little is currently known about how race may affect the outcomes of gender-affirming surgeries. Methods:We analyzed data from the National Surgical Quality Improvement Program (NSQIP) database of 30-day complications of gender-affirming chest surgeries from 2005 to 2019. All participants had a postoperative diagnosis code for gender dysphoria and at least one procedure code for bilateral mastectomy, bilateral breast reduction, or bilateral augmentation mammoplasty. Differences by racial group were analyzed through Pearson chi(2) and multivariate logistic regression. Results:There were no racial differences in the all-complication rates for both transmasculine and transfeminine individuals undergoing gender-affirming chest surgeries. Black patients undergoing masculinizing procedures were significantly more likely to experience mild systemic [adjusted odds ratio (aOR): 2.17, 95% confidence interval (CI): 1.02-4.65] and severe complications (aOR: 5.63, 95% CI: 1.99-15.98) when compared with White patients. Patients of unknown race had increased odds of experiencing severe complications for masculinizing procedures compared with White patients (aOR: 3.77, 95% CI: 1.39-10.24). Transmasculine individuals whose race was unknown were 1.98 times more likely (95% CI: 1.03-3.81) to experience an unplanned reoperation compared with White individuals. Black transfeminine individuals were 10.50 times more likely to experience an unplanned reoperation (95% CI: 1.15-95.51) than their White peers. Conclusions:Although overall complications are uncommon, there is evidence to suggest that there are racial disparities in certain 30-day outcomes of gender-affirming chest surgeries.
引用
收藏
页码:E196 / E202
页数:7
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