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- Association Between Body Mass Index and Clinical Outcomes of Gender-Affirming Masculinizing Chest Reconstruction.
| Language | Label | Description | Also known as |
|---|---|---|---|
| English | No label defined |
No description defined |
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Statements
Body mass index (BMI) is often used in surgical settings to determine patients' risk of complications. (English)
INTRODUCTION (English)
Copyright © 2024 Elsevier Inc. All rights reserved. (English)
2024
In the context of gender-affirming care, BMI requirements for surgery can limit access to necessary care for larger-bodied people. (English)
INTRODUCTION (English)
Copyright © 2024 Elsevier Inc. All rights reserved. (English)
2024
There is a critical need to understand the association between BMI and postoperative outcomes for this population. (English)
INTRODUCTION (English)
Copyright © 2024 Elsevier Inc. All rights reserved. (English)
2024
A retrospective chart review was conducted using the first 250 consecutive gender-affirming masculinizing chest reconstructions performed between 2017 and 2021 at a large academic medical institution. (English)
METHODS (English)
Copyright © 2024 Elsevier Inc. All rights reserved. (English)
2024
The relationships between BMI, preoperative factors, and common postsurgical outcomes were assessed. (English)
METHODS (English)
Copyright © 2024 Elsevier Inc. All rights reserved. (English)
2024
Average BMI at surgery was 27.5 ± 6.7 kg/m<sup>2</sup>. (English)
RESULTS (English)
Copyright © 2024 Elsevier Inc. All rights reserved. (English)
2024
Increases in BMI were associated with longer drain stays, larger volume of tissue resected, higher likelihood of nipple grafts, and lower likelihood of periareolar surgery (all P < 0.0001). (English)
RESULTS (English)
Copyright © 2024 Elsevier Inc. All rights reserved. (English)
2024
Simple logistic regression revealed that BMI increases were significantly related to the likelihood of experiencing dog ears in the intermediate term (P = 0.002). (English)
RESULTS (English)
Copyright © 2024 Elsevier Inc. All rights reserved. (English)
2024
Multivariate logistic regression adjusted for common covariates (age, ethnicity, smoking status, asthma, autoimmune disorders, cardiovascular conditions, and mental health disorders) did not reveal any significant relationships between BMI and the likelihood of experiencing complications at any study point. (English)
RESULTS (English)
Copyright © 2024 Elsevier Inc. All rights reserved. (English)
2024
Masculinizing chest reconstruction is safe and satisfactory for young adult patients across the range of BMI, with significant differences in outcomes found only for esthetic complications (i.e., dog ears). (English)
CONCLUSIONS (English)
Copyright © 2024 Elsevier Inc. All rights reserved. (English)
2024
Surgeons should inform patients with higher BMIs about what outcomes to expect but higher BMI should not preclude surgery access. (English)
CONCLUSIONS (English)
Copyright © 2024 Elsevier Inc. All rights reserved. (English)
2024
Sangeeta K (English)
Subedi (English)
SK
Joseph A (English)
Martinez (English)
JA
Dee (English)
Jolly (English)
D
Catherine A (English)
Wu (English)
CA
Lisa (English)
Nussbaum (English)
L
S Kate (English)
Bridges (English)
SK
Elizabeth R (English)
Boskey (English)
ER
19 October 2024
19 October 2024