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- Breast Surgery in Adolescents: Cisgender Breast Reduction Versus Transgender and Nonbinary Chest Masculinization.
| Language | Label | Description | Also known as |
|---|---|---|---|
| English | No label defined |
No description defined |
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Statements
Both breast reduction surgery (BRS) in adolescent girls and chest masculinization surgery (CMS) transgender and nonbinary (TGNB) individuals improve physical discomfort and psychological well-being. (English)
PURPOSE (English)
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved. (English)
2024
Nonetheless, CMS in adolescents is highly contested due to concerns regarding safety and capacity for consent. (English)
PURPOSE (English)
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved. (English)
2024
Here, we compare both procedures to quantify trends in incidence, minimum age, and surgical outcomes. (English)
PURPOSE (English)
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved. (English)
2024
The National Surgical Quality Improvement Program database was queried from 2018 to 2021 for cisgender and TGNB adolescents 18 years or younger who underwent BRS or CMS. (English)
METHODS (English)
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved. (English)
2024
Our primary outcome was the incidence of postoperative complications within 30 days of surgery. (English)
METHODS (English)
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved. (English)
2024
Multivariate logistic regression was performed to determine if CMS was associated with postoperative complications. (English)
METHODS (English)
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved. (English)
2024
Of 2504 adolescents, the majority (n = 2186 [87.3%]) were cisgender female patients who underwent BRS, compared with TGNB adolescents (n = 318 [12.7%]) who underwent CMS. (English)
RESULTS (English)
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved. (English)
2024
BRS patients were younger at time of surgery (mean [SD] 16.7 [1.2], 17.5 [0.9]; P < 0.001). (English)
RESULTS (English)
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved. (English)
2024
The minimum age for BRS was consistently 2 to 3 years younger than that for CMS (12.1 to 12.6 years vs 14.0 to 15.1 years). (English)
RESULTS (English)
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved. (English)
2024
A comparable frequency of BRS and CMS patients developed 1 or more complications within 30 days of surgery (n = 98 [4.5%], n = 13 [4.1%]; P = 0.775). (English)
RESULTS (English)
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved. (English)
2024
Cisgender female adolescents undergo breast surgery at a 7-fold rate compared with TGNB adolescents and do so at significantly younger ages. (English)
CONCLUSION (English)
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved. (English)
2024
Given the favorable effects of BRS and CMS on psychosocial well-being and their comparable surgical risk of complications, our data help recontextualize the concerns surrounding adolescent CMS. (English)
CONCLUSION (English)
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved. (English)
2024
Bashar (English)
Hassan (English)
B
Ferris (English)
Zeitouni (English)
F
Mona (English)
Ascha (English)
M
Renata (English)
Sanders (English)
R
Zackary (English)
Berger (English)
Z
Errol (English)
Fields (English)
E
Fan (English)
Liang (English)
F
Conflicts of interest and sources of funding: none declared. (English)