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  • Breast Reduction Epidemiology and Complications in Nonbinary, Transgender, and Cisgender Adults.
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English
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  • Breast Reduction Epidemiology and Complications in Nonbinary, Transgender, and Cisgender Adults.

Statements

Breast Reduction Epidemiology and Complications in Nonbinary, Transgender, and Cisgender Adults. (English)
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Research in gender-affirming chest surgery has primarily compared cisgender versus transgender and gender-diverse (TGD) people, without specifically addressing nonbinary people. (English)
INTRODUCTION (English)
Copyright © 2024. Published by Elsevier Inc. (English)
1 reference
This study will assess surgical complications between cisgender, transgender, and nonbinary adults undergoing breast reductions. (English)
INTRODUCTION (English)
Copyright © 2024. Published by Elsevier Inc. (English)
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The National Surgical Quality Improvement Program databases from 2015 to 2021 were used to identify TGD patients who underwent breast reduction (Current Procedural Terminology code: 19318) and cisgender patients who underwent this procedure for cosmesis or cancer prophylaxis. (English)
METHODS (English)
Copyright © 2024. Published by Elsevier Inc. (English)
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Analysis of variance tests, chi-squared tests, unpaired t-tests, and regression models compared complications among cisgender, transgender, and nonbinary patients. (English)
METHODS (English)
Copyright © 2024. Published by Elsevier Inc. (English)
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A total of 1222 patients met the inclusion criteria: 380 (31.1%) were cisgender, 769 (62.9%) were transgender, and 73 (6.0%) were nonbinary. (English)
RESULTS (English)
Copyright © 2024. Published by Elsevier Inc. (English)
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The proportion of TGD patients grew significantly relative to cisgender patients over the study period (P < 0.001). (English)
RESULTS (English)
Copyright © 2024. Published by Elsevier Inc. (English)
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The overall all-cause complication rate was 3.4%, with 4.2% of cisgender, 1.4% of nonbinary, and 3.1% of transgender patients experiencing surgical complications. (English)
RESULTS (English)
Copyright © 2024. Published by Elsevier Inc. (English)
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After adjusting for confounding variables, no statistically significant difference was observed in all-cause complication rates between the cohorts. (English)
RESULTS (English)
Copyright © 2024. Published by Elsevier Inc. (English)
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In the sample, 19 transgender patients (2.5%) underwent reoperation. (English)
RESULTS (English)
Copyright © 2024. Published by Elsevier Inc. (English)
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Transgender patients had a lower likelihood of wound complications (odds ratio: 0.172; 95% confidence interval: 0.035-0.849; P = 0.031) compared to cisgender patients and nonbinary patients. (English)
RESULTS (English)
Copyright © 2024. Published by Elsevier Inc. (English)
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None of the patients experienced a severe systemic complication. (English)
RESULTS (English)
Copyright © 2024. Published by Elsevier Inc. (English)
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The findings emphasize the growing demand and safety of gender-affirming breast reductions. (English)
CONCLUSIONS (English)
Copyright © 2024. Published by Elsevier Inc. (English)
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They underscore the importance of continued research and tailored approaches to delivering care to nonbinary and transgender patients, addressing their diverse needs and improving access to gender-affirming surgeries. (English)
CONCLUSIONS (English)
Copyright © 2024. Published by Elsevier Inc. (English)
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October 2024
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October 2024
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302
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437-445
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437
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445
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S0022-4804(24)00467-0
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