The fig of thorax reconstruction surgeries performed for adolescents roseate astir fourfold betwixt 2016 and 2019, researchers study successful a survey published today successful JAMA Pediatrics.
"To our knowledge, this survey is the largest probe to day of gender-affirming thorax reconstruction successful a pediatric population. The results show important increases successful gender-affirming thorax reconstruction for adolescents," the authors report.
The researchers, from Vanderbilt University School of Medicine, Nashville, Tennessee, utilized the Nationwide Ambulatory Surgery Sample to place younker with sex dysphoria who underwent apical country to remove, or, successful uncommon cases, to adhd breasts.
The authors identified 829 thorax surgeries. They adjusted the fig to a weighted fig of 1130 patients who underwent thorax reconstruction during the survey period. Of those, 98.6% underwent masculinizing country to region breasts, and 1.4% underwent feminizing surgery. Roughly 100 individuals received gender-affirming thorax surgeries successful 2016. In 2019, the fig had risen to 489 ― a 389% increase, the authors reported.
Approximately 44% of the patients successful the survey were aged 17 years astatine the clip of surgery, portion 5.5% were younger than 14.
Around 78% of the individuals who underwent thorax surgeries successful 2019 were White, 2.7% were Black, 12.2% were Hispanic, and 2.5% were Asian oregon Pacific Islander. Half of the patients who underwent country had a household income of $82,000 oregon more, according to the researchers.
"Most transgender adolescents had either nationalist oregon backstage wellness security sum for these procedures, contrasting with the predominance of self-payers reported successful earlier studies connected transgender adults," constitute the researchers, citing a 2018 study of trends successful transgender surgery.
Masculinizing thorax reconstruction, specified arsenic mastectomy, and feminizing thorax reconstruction, specified arsenic augmentation mammaplasty, tin beryllium performed arsenic outpatient procedures oregon arsenic ambulatory surgeries, according to a 2018 study.
The survey was supported by a assistance from the National Center for Advancing Translational Sciences Clinical and Translational Science Awards Program. Smith has received assistance backing from Merck. Jones reports nary applicable fiscal relationships.
JAMA Pediatr. Published online October 17, 2022. Full text
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