AI Article Synopsis
- The study aimed to evaluate the impact of race on 30-day outcomes of gender-affirming chest surgeries, as previous research in this area was limited.
- Data from the National Surgical Quality Improvement Program was analyzed, focusing on complications post-surgery between 2005 to 2019, utilizing statistical methods to identify differences among racial groups.
- Results indicated no overall racial differences in complication rates; however, Black patients had higher rates of mild and severe complications, along with a higher likelihood of unplanned reoperations compared to White patients, highlighting potential racial disparities in surgical outcomes.
Article Abstract
Objective: To determine if and how race impacts the 30-day outcomes of gender-affirming chest surgeries.
Background: Little is currently known about how race may affect the outcomes of gender-affirming surgeries.
Methods: We analyzed data from the National Surgical Quality Improvement Program (NSQIP) database of 30-day complications of gender-affirming chest surgeries from 2005 to 2019. All participants had a postoperative diagnosis code for gender dysphoria and at least one procedure code for bilateral mastectomy, bilateral breast reduction, or bilateral augmentation mammoplasty. Differences by racial group were analyzed through Pearson χ 2 and multivariate logistic regression.
Results: There were no racial differences in the all-complication rates for both transmasculine and transfeminine individuals undergoing gender-affirming chest surgeries. Black patients undergoing masculinizing procedures were significantly more likely to experience mild systemic [adjusted odds ratio (aOR): 2.17, 95% confidence interval (CI): 1.02-4.65] and severe complications (aOR: 5.63, 95% CI: 1.99-15.98) when compared with White patients. Patients of unknown race had increased odds of experiencing severe complications for masculinizing procedures compared with White patients (aOR: 3.77, 95% CI: 1.39-10.24). Transmasculine individuals whose race was unknown were 1.98 times more likely (95% CI: 1.03-3.81) to experience an unplanned reoperation compared with White individuals. Black transfeminine individuals were 10.50 times more likely to experience an unplanned reoperation (95% CI: 1.15-95.51) than their White peers.
Conclusions: Although overall complications are uncommon, there is evidence to suggest that there are racial disparities in certain 30-day outcomes of gender-affirming chest surgeries.
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| http://dx.doi.org/10.1097/SLA.0000000000005512 | DOI Listing |
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