BMI Is Not Associated With Chest-Specific Body Image, Complications, or Revisions in Gender-Affirming Mastectomy: A Single-Center Cross-Sectional Study.

IF 7.5 1区 医学 Q1 SURGERY Annals of surgery Pub Date : 2025-04-01 Epub Date: 2023-10-23 DOI:10.1097/SLA.0000000000006143
Cole Roblee, Tannon Topple, Jennifer B Hamill, Maria Ibarra, Andrew Bolze, Alexander N Khouri, Jessica J Hsu, Megan Lane, William M Kuzon, Edwin G Wilkins, Shane D Morrison
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Abstract

Objective: To analyze the impact of Body Mass Index (BMI) on clinical and patient-reported outcomes following gender-affirming mastectomy (GM).

Background: BMI is a barrier for obese patients seeking GM despite increasing evidence that it is safe in this population. Currently, little is known about the impact of BMI on chest-specific body image and satisfaction after GM.

Methods: This single-center, cross-sectional study included individuals 18 years and older who underwent GM between 1990 and 2020 and were at least 2 years postoperative. Patient-reported chest-specific body image was measured using the BODY-Q and Gender Congruence and Life Satisfaction chest subscales. Satisfaction was measured using the Holmes-Rovner Satisfaction with Decision scale. Clinical and demographic variables were identified from the chart review. Bivariate analysis was performed to determine whether BMI was associated with chest-specific body image, satisfaction, and complications within 30 days or revisions in GM.

Results: Two hundred twenty-seven individuals meeting eligibility criteria were contacted to participate and 137 responded (60.4% response rate). The mean age was 29.1 (SD=9.0), and mean BMI was 30.9 (SD=8.0), with 26.4% (N=60) of the cohort having a BMI>35. Chest-specific body image and satisfaction with the decision did not vary by BMI or breast resection weight. Complications and revisions were not associated with BMI.

Conclusions: Individuals undergoing GM reported high rates of satisfaction after GM regardless of BMI. Complication and revision rates did not vary significantly by BMI or breast resection weight. Surgeons should re-evaluate the role BMI plays in patient selection and counseling for GM.

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BMI与胸部特定身体图像、性别确认乳房切除术并发症或修正无关:一项单中心横断面研究。
目的:分析体重指数(BMI)对性别确认乳房切除术(GM)后临床和患者报告结果的影响。背景:尽管越来越多的证据表明BMI在这一人群中是安全的,但BMI是肥胖患者寻求GM的障碍。目前,人们对BMI对GM后胸部特定身体形象和满意度的影响知之甚少。方法:这项单中心、横断面研究包括1990-2020年间接受GM且术后至少2年的18岁及以上的个体。使用body-Q和性别一致性和生活满意度(GCLS)胸部分量表测量患者报告的胸部特定身体图像。满意度采用Holmes Rovner决策满意度量表(SWD)进行测量。临床和人口统计学变量是从图表审查中确定的。进行双变量分析,以确定BMI是否与胸部特异性身体图像、满意度、30天内并发症或GM修订有关。平均年龄为29.1(SD=9.0),平均BMI为30.9(SD=8.0),26.4%(N=60)的队列BMI>35。胸部特定的身体图像和对决定的满意度并没有因BMI或乳房切除重量而变化。并发症和修正与BMI无关。结论:无论BMI如何,接受GM的个体在GM后的满意度都很高。并发症和翻修率没有因BMI或乳腺切除重量而有显著差异。外科医生应该重新评估BMI在患者选择和GM咨询中的作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Annals of surgery
Annals of surgery 医学-外科
CiteScore
14.40
自引率
4.40%
发文量
687
审稿时长
4 months
期刊介绍: The Annals of Surgery is a renowned surgery journal, recognized globally for its extensive scholarly references. It serves as a valuable resource for the international medical community by disseminating knowledge regarding important developments in surgical science and practice. Surgeons regularly turn to the Annals of Surgery to stay updated on innovative practices and techniques. The journal also offers special editorial features such as "Advances in Surgical Technique," offering timely coverage of ongoing clinical issues. Additionally, the journal publishes monthly review articles that address the latest concerns in surgical practice.
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