Body Mass Index Requirements for Gender-Affirming Surgeries Are Not Empirically Based

被引：42

作者：

Brownstone, Lisa M. ^{[1
]}

DeRieux, Jaclyn ^{[2
]}

Kelly, Devin A. ^{[1
]}

Sumlin, Lanie J. ^{[3
,4
]}

Gaudiani, Jennifer L. ^{[5
]}

机构：

[1] Univ Denver, Morgridge Coll Educ, Counseling Psychol, 1999 East Evans Blvd,Room 253, Denver, CO 80210 USA

[2] Santa Barbara Cottage Hosp, Dept Surg, Santa Barbara, CA USA

[3] Eating Disorder Care, Denver, CO USA

[4] Univ Colorado, Sch Educ & Human Dev Counseling Psychol & Counsel, Denver, CO 80202 USA

[5] Gaudiani Clin, Denver, CO USA

来源：

TRANSGENDER HEALTH | 2021年 / 6卷 / 03期

关键词：

BMI; gender affirmation surgery; gender nonconforming; LGBTQ Healthcare; transgender; PENILE INVERSION VAGINOPLASTY; WEIGHT STIGMA; TRANSGENDER; OBESITY; COMPLICATIONS; IDENTITY; OUTCOMES; SAMPLE; IMPACT; RISK;

D O I：

10.1089/trgh.2020.0068

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Body mass index (BMI) requirements for gender affirmation surgery (GAS) are ubiquitous and vary across providers. Requirement variation is not surprising given little data to suggest an association between BMI and GAS outcomes. Implementation of subjective BMI requirements limits access to GAS and negatively impacts patient health and safety. We outline the literature on BMI and GAS outcomes, discuss clinical utility of GAS, and summarize dangers of prescribing weight loss as a prerequisite for surgery. We propose that providers use empirically supported indices of health and comorbidity instead of BMI to determine surgical eligibility for all patients considering GAS.

引用

页码：121 / 124

页数：4

共 35 条

[1]

[Anonymous], 2020, BLUE CROSS BLUE SHIE

[2] Outcomes of Single Stage Phalloplasty by Pedicled Anterolateral Thigh Flap versus Radial Forearm Free Flap in Gender Confirming Surgery [J].

Ascha, Mona ;

Massie, Jonathan P. ;

Morrison, Shane D. ;

Crane, Curtis N. ;

Chen, Mang L. .

JOURNAL OF UROLOGY, 2018, 199 (01) :206-213

[3] Suicide risk in the UK trans population and the role of gender transition in decreasing suicidal ideation and suicide attempt [J].

Bailey, Louis ;

Ellis, Sonja J. ;

McNeil, Jay .

MENTAL HEALTH REVIEW JOURNAL, 2014, 19 (04) :209-+

[4]

Beth Israel Deaconess Medical Center, Gender affirming surgery services. Gender Affirming Surgery

[5] Diet and Physical Activity Behaviors Among Adolescent Transgender Students: School Survey Results [J].

Bishop, Anna ;

Overcash, Francine ;

McGuire, Jenifer ;

Reicks, Marla .

JOURNAL OF ADOLESCENT HEALTH, 2020, 66 (04) :484-490

[6] Complication Rates and Outcomes After Hysterectomy in Transgender Men [J].

Bretschneider, C. Emi ;

Sheyn, David ;

Pollard, Robert ;

Ferrando, Cecile A. .

OBSTETRICS AND GYNECOLOGY, 2018, 132 (05) :1265-1273

[7] Surgical Outcome after Penile Inversion Vaginoplasty: A Retrospective Study of 475 Transgender Women [J].

Buncamper, Marlon E. ;

van der Sluis, Wouter B. ;

van der Pas, Roos S. D. ;

Ozer, Mujde ;

Smit, Jan Maerten ;

Witte, Birgit I. ;

Bouman, Mark-Bram ;

Mullender, Margriet G. .

PLASTIC AND RECONSTRUCTIVE SURGERY, 2016, 138 (05) :999-1007

[8] Beyond BMI: The value of more accurate measures of fatness and obesity in social science research [J].

Burkhauser, Richard V. ;

Cawley, John .

JOURNAL OF HEALTH ECONOMICS, 2008, 27 (02) :519-529

[9] Visceral fat, waist circumference, and BMI: Impact of race/ethnicity [J].

Carroll, Joan F. ;

Chiapa, Ana L. ;

Rodriquez, Mayra ;

Phelps, David R. ;

Cardarelli, Kathryn M. ;

Vishwanatha, Jamboor K. ;

Bae, Sejong ;

Cardarelli, Roberto .

OBESITY, 2008, 16 (03) :600-607

[10]

CoLEMAN Ed, 2012, Int J Transgend Health, V13, P165, DOI [10.1080/15532739.2011.700873, DOI 10.1080/15532739.2011.700873]

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