Association Between Body Mass Index and Clinical Outcomes of Gender-Affirming Masculinizing Chest Reconstruction (Q28879)

No description defined

Association Between Body Mass Index and Clinical Outcomes of Gender-Affirming Masculinizing Chest Reconstruction.

Language	Label	Description	Also known as
English	Association Between Body Mass Index and Clinical Outcomes of Gender-Affirming Masculinizing Chest Reconstruction	No description defined	Association Between Body Mass Index and Clinical Outcomes of Gender-Affirming Masculinizing Chest Reconstruction.

Statements

1 reference

Association Between Body Mass Index and Clinical Outcomes of Gender-Affirming Masculinizing Chest Reconstruction. (English)

1 reference

stated in

PubMed

abstract

Body mass index (BMI) is often used in surgical settings to determine patients' risk of complications. (English)

source label

INTRODUCTION (English)

subsection NLM category

1

2024

1 reference

In the context of gender-affirming care, BMI requirements for surgery can limit access to necessary care for larger-bodied people. (English)

source label

INTRODUCTION (English)

subsection NLM category

2

2024

1 reference

There is a critical need to understand the association between BMI and postoperative outcomes for this population. (English)

source label

INTRODUCTION (English)

subsection NLM category

3

2024

1 reference

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)

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METHODS (English)

subsection NLM category

4

2024

1 reference

The relationships between BMI, preoperative factors, and common postsurgical outcomes were assessed. (English)

source label

METHODS (English)

subsection NLM category

5

2024

1 reference

Average BMI at surgery was 27.5 ± 6.7 kg/m<sup>2</sup>. (English)

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RESULTS (English)

subsection NLM category

6

2024

1 reference

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)

source label

RESULTS (English)

subsection NLM category

7

2024

1 reference

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)

source label

RESULTS (English)

subsection NLM category

8

2024

1 reference

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)

source label

RESULTS (English)

subsection NLM category

9

2024

1 reference

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)

source label

CONCLUSIONS (English)

subsection NLM category

10

2024

1 reference