Sociodemographics of Patient Populations Undergoing Gender-Affirming Surgery: A Systematic Review of All Cohort Studies
Importance: Sociodemographic and health characteristics of patients undergoing gender-affirming surgery (GAS) are currently unknown. Understanding these patient characteristics is vital to optimizing patient-centered care for transgender patients. Objective: To determine sociodemographic characteris...
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| Veröffentlicht in: | Transgender health 2023-06, Vol.8 (3), p.213-219 |
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| creator | Fazal, Maria Oles, Norah Beckham, Sam Wilson Wang, June Noyes, Melissa Twose, Claire Coon, Devin |
| description | Importance:
Sociodemographic and health characteristics of patients undergoing gender-affirming surgery (GAS) are currently unknown. Understanding these patient characteristics is vital to optimizing patient-centered care for transgender patients.
Objective:
To determine sociodemographic characteristics for the transgender population undergoing GAS. Collected sociodemographic information included the following: age, race/ethnicity, body metrics, hormone replacement therapy administration and duration, substance use, psychiatric comorbidities, and medical comorbidities.
Evidence Review:
A search of seven electronic databases (PubMed, PsycINFO, Embase, CINAHL, Web of Science, Cochrane, and Gender Studies) was used to find all articles on GAS from inception through May 2019. The 15,190 articles were then subjected to two levels of screening, and articles unrelated to gender-affirming care, unavailable in English,
n |
| doi_str_mv | 10.1089/trgh.2021.0111 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2828772132</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2821701017</sourcerecordid><originalsourceid>FETCH-LOGICAL-c368t-5cf793e353b25994230ce8dbbb9388652a16f51aad4ca49ee9eef71ecc2c9abc3</originalsourceid><addsrcrecordid>eNqFkc9r2zAYhsXoWEPX645D0Esv9vTDjuTeQti6QaClaWE3I8ufHRXbSiV5If_9JNLt0EtBoJeP53v54EHoCyU5JbL6Fly_yxlhNCeU0g9owbgkGa3477OYl1JmhZTiHF16_0wIoWUhy5J8Qudc8IIVgi_QYWu1sS2MtndqvzPaY9vhexUMTAHf2_08xGwnj5-mFlxvzdTjW0g5W3WdcWMabGfXgzve4BXeHn2AMe5o_AB_DBxS32oY8NrurAt4G-bWgP-MPnZq8HD5-l-gpx_fH9c_s83d7a_1apNpvpQhK3UnKg685A0rq6pgnGiQbdM0FZdyWTJFl11JlWoLrYoKIL5OUNCa6Uo1ml-g61Pv3tmXGXyoR-M1DIOawM6-ZpJJIRjlLKJXb9BnO7spXpcoKgglVEQqP1HaWe8ddPXemVG5Y01JnazUyUqdrNTJSlz4-lo7NyO0__F_DiJQnIA0VtM0GGjAhfd6_wIRM5uM</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2821701017</pqid></control><display><type>article</type><title>Sociodemographics of Patient Populations Undergoing Gender-Affirming Surgery: A Systematic Review of All Cohort Studies</title><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Fazal, Maria ; Oles, Norah ; Beckham, Sam Wilson ; Wang, June ; Noyes, Melissa ; Twose, Claire ; Coon, Devin</creator><creatorcontrib>Fazal, Maria ; Oles, Norah ; Beckham, Sam Wilson ; Wang, June ; Noyes, Melissa ; Twose, Claire ; Coon, Devin</creatorcontrib><description>Importance:
Sociodemographic and health characteristics of patients undergoing gender-affirming surgery (GAS) are currently unknown. Understanding these patient characteristics is vital to optimizing patient-centered care for transgender patients.
Objective:
To determine sociodemographic characteristics for the transgender population undergoing GAS. Collected sociodemographic information included the following: age, race/ethnicity, body metrics, hormone replacement therapy administration and duration, substance use, psychiatric comorbidities, and medical comorbidities.
Evidence Review:
A search of seven electronic databases (PubMed, PsycINFO, Embase, CINAHL, Web of Science, Cochrane, and Gender Studies) was used to find all articles on GAS from inception through May 2019. The 15,190 articles were then subjected to two levels of screening, and articles unrelated to gender-affirming care, unavailable in English,
n
<5, and with no outcomes reporting were excluded. Textbook chapters and letters were also excluded.
Findings:
A total of 406 studies were fully extracted, with 307 studies reporting age (
n
=22,727 patients), 19 reporting race/ethnicity (
n
=1184), 74 reporting body metrics (body mass index [BMI]
n
=6852, height
n
=416, and weight
n
=475), 58 reporting hormone therapies (
n
=5104), 56 reporting substance use (
n
=1146), 44 reporting psychiatric comorbidities (
n
=574), and 47 reporting medical comorbidities (
n
=573). From the 406 studies, 80 were done in the United States. Regarding U.S. studies, 59 studies reported age (
n
=5365), 10 reported race/ethnicity (
n
=709), 22 reported body metrics (BMI
n
=2519), 18 reported hormone therapies (
n
=3285), 15 reported substance use (
n
=478), 44 reported psychiatric comorbidities (
n
=394), and 47 reported medical comorbidities (
n
=293). Age was the most reported characteristic, reported in 75.62% of studies (73.75% of U.S. studies). Race/ethnicity was the least commonly reported data, reported in 4.68% of studies (12.50% of U.S. studies).
Conclusions and Relevance:
The type of sociodemographic information reported by GAS studies is inconsistently reported. To improve patient-centered care for transgender patients, further work is needed to create a standardization of collected sociodemographic information.</description><identifier>ISSN: 2688-4887</identifier><identifier>EISSN: 2380-193X</identifier><identifier>DOI: 10.1089/trgh.2021.0111</identifier><identifier>PMID: 37342473</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc., publishers</publisher><subject>Age ; Body mass index ; Cohort analysis ; Drug use ; Ethnicity ; Gender identity ; Gender reassignment surgery ; Gender-affirming care ; Health care access ; Hormone replacement therapy ; Hysterectomy ; Mastectomy ; Non-binary gender ; Patients ; Race ; Sociodemographics ; Systematic review ; Transgender persons</subject><ispartof>Transgender health, 2023-06, Vol.8 (3), p.213-219</ispartof><rights>2022, Mary Ann Liebert, Inc., publishers</rights><rights>Copyright 2023, Mary Ann Liebert, Inc., publishers.</rights><rights>Copyright Mary Ann Liebert, Inc. Jun 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c368t-5cf793e353b25994230ce8dbbb9388652a16f51aad4ca49ee9eef71ecc2c9abc3</citedby><cites>FETCH-LOGICAL-c368t-5cf793e353b25994230ce8dbbb9388652a16f51aad4ca49ee9eef71ecc2c9abc3</cites><orcidid>0000-0003-3203-1429</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37342473$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fazal, Maria</creatorcontrib><creatorcontrib>Oles, Norah</creatorcontrib><creatorcontrib>Beckham, Sam Wilson</creatorcontrib><creatorcontrib>Wang, June</creatorcontrib><creatorcontrib>Noyes, Melissa</creatorcontrib><creatorcontrib>Twose, Claire</creatorcontrib><creatorcontrib>Coon, Devin</creatorcontrib><title>Sociodemographics of Patient Populations Undergoing Gender-Affirming Surgery: A Systematic Review of All Cohort Studies</title><title>Transgender health</title><addtitle>Transgend Health</addtitle><description>Importance:
Sociodemographic and health characteristics of patients undergoing gender-affirming surgery (GAS) are currently unknown. Understanding these patient characteristics is vital to optimizing patient-centered care for transgender patients.
Objective:
To determine sociodemographic characteristics for the transgender population undergoing GAS. Collected sociodemographic information included the following: age, race/ethnicity, body metrics, hormone replacement therapy administration and duration, substance use, psychiatric comorbidities, and medical comorbidities.
Evidence Review:
A search of seven electronic databases (PubMed, PsycINFO, Embase, CINAHL, Web of Science, Cochrane, and Gender Studies) was used to find all articles on GAS from inception through May 2019. The 15,190 articles were then subjected to two levels of screening, and articles unrelated to gender-affirming care, unavailable in English,
n
<5, and with no outcomes reporting were excluded. Textbook chapters and letters were also excluded.
Findings:
A total of 406 studies were fully extracted, with 307 studies reporting age (
n
=22,727 patients), 19 reporting race/ethnicity (
n
=1184), 74 reporting body metrics (body mass index [BMI]
n
=6852, height
n
=416, and weight
n
=475), 58 reporting hormone therapies (
n
=5104), 56 reporting substance use (
n
=1146), 44 reporting psychiatric comorbidities (
n
=574), and 47 reporting medical comorbidities (
n
=573). From the 406 studies, 80 were done in the United States. Regarding U.S. studies, 59 studies reported age (
n
=5365), 10 reported race/ethnicity (
n
=709), 22 reported body metrics (BMI
n
=2519), 18 reported hormone therapies (
n
=3285), 15 reported substance use (
n
=478), 44 reported psychiatric comorbidities (
n
=394), and 47 reported medical comorbidities (
n
=293). Age was the most reported characteristic, reported in 75.62% of studies (73.75% of U.S. studies). Race/ethnicity was the least commonly reported data, reported in 4.68% of studies (12.50% of U.S. studies).
Conclusions and Relevance:
The type of sociodemographic information reported by GAS studies is inconsistently reported. To improve patient-centered care for transgender patients, further work is needed to create a standardization of collected sociodemographic information.</description><subject>Age</subject><subject>Body mass index</subject><subject>Cohort analysis</subject><subject>Drug use</subject><subject>Ethnicity</subject><subject>Gender identity</subject><subject>Gender reassignment surgery</subject><subject>Gender-affirming care</subject><subject>Health care access</subject><subject>Hormone replacement therapy</subject><subject>Hysterectomy</subject><subject>Mastectomy</subject><subject>Non-binary gender</subject><subject>Patients</subject><subject>Race</subject><subject>Sociodemographics</subject><subject>Systematic review</subject><subject>Transgender persons</subject><issn>2688-4887</issn><issn>2380-193X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNqFkc9r2zAYhsXoWEPX645D0Esv9vTDjuTeQti6QaClaWE3I8ufHRXbSiV5If_9JNLt0EtBoJeP53v54EHoCyU5JbL6Fly_yxlhNCeU0g9owbgkGa3477OYl1JmhZTiHF16_0wIoWUhy5J8Qudc8IIVgi_QYWu1sS2MtndqvzPaY9vhexUMTAHf2_08xGwnj5-mFlxvzdTjW0g5W3WdcWMabGfXgzve4BXeHn2AMe5o_AB_DBxS32oY8NrurAt4G-bWgP-MPnZq8HD5-l-gpx_fH9c_s83d7a_1apNpvpQhK3UnKg685A0rq6pgnGiQbdM0FZdyWTJFl11JlWoLrYoKIL5OUNCa6Uo1ml-g61Pv3tmXGXyoR-M1DIOawM6-ZpJJIRjlLKJXb9BnO7spXpcoKgglVEQqP1HaWe8ddPXemVG5Y01JnazUyUqdrNTJSlz4-lo7NyO0__F_DiJQnIA0VtM0GGjAhfd6_wIRM5uM</recordid><startdate>20230601</startdate><enddate>20230601</enddate><creator>Fazal, Maria</creator><creator>Oles, Norah</creator><creator>Beckham, Sam Wilson</creator><creator>Wang, June</creator><creator>Noyes, Melissa</creator><creator>Twose, Claire</creator><creator>Coon, Devin</creator><general>Mary Ann Liebert, Inc., publishers</general><general>Mary Ann Liebert, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3203-1429</orcidid></search><sort><creationdate>20230601</creationdate><title>Sociodemographics of Patient Populations Undergoing Gender-Affirming Surgery: A Systematic Review of All Cohort Studies</title><author>Fazal, Maria ; Oles, Norah ; Beckham, Sam Wilson ; Wang, June ; Noyes, Melissa ; Twose, Claire ; Coon, Devin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c368t-5cf793e353b25994230ce8dbbb9388652a16f51aad4ca49ee9eef71ecc2c9abc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Age</topic><topic>Body mass index</topic><topic>Cohort analysis</topic><topic>Drug use</topic><topic>Ethnicity</topic><topic>Gender identity</topic><topic>Gender reassignment surgery</topic><topic>Gender-affirming care</topic><topic>Health care access</topic><topic>Hormone replacement therapy</topic><topic>Hysterectomy</topic><topic>Mastectomy</topic><topic>Non-binary gender</topic><topic>Patients</topic><topic>Race</topic><topic>Sociodemographics</topic><topic>Systematic review</topic><topic>Transgender persons</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fazal, Maria</creatorcontrib><creatorcontrib>Oles, Norah</creatorcontrib><creatorcontrib>Beckham, Sam Wilson</creatorcontrib><creatorcontrib>Wang, June</creatorcontrib><creatorcontrib>Noyes, Melissa</creatorcontrib><creatorcontrib>Twose, Claire</creatorcontrib><creatorcontrib>Coon, Devin</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Transgender health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fazal, Maria</au><au>Oles, Norah</au><au>Beckham, Sam Wilson</au><au>Wang, June</au><au>Noyes, Melissa</au><au>Twose, Claire</au><au>Coon, Devin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sociodemographics of Patient Populations Undergoing Gender-Affirming Surgery: A Systematic Review of All Cohort Studies</atitle><jtitle>Transgender health</jtitle><addtitle>Transgend Health</addtitle><date>2023-06-01</date><risdate>2023</risdate><volume>8</volume><issue>3</issue><spage>213</spage><epage>219</epage><pages>213-219</pages><issn>2688-4887</issn><eissn>2380-193X</eissn><abstract>Importance:
Sociodemographic and health characteristics of patients undergoing gender-affirming surgery (GAS) are currently unknown. Understanding these patient characteristics is vital to optimizing patient-centered care for transgender patients.
Objective:
To determine sociodemographic characteristics for the transgender population undergoing GAS. Collected sociodemographic information included the following: age, race/ethnicity, body metrics, hormone replacement therapy administration and duration, substance use, psychiatric comorbidities, and medical comorbidities.
Evidence Review:
A search of seven electronic databases (PubMed, PsycINFO, Embase, CINAHL, Web of Science, Cochrane, and Gender Studies) was used to find all articles on GAS from inception through May 2019. The 15,190 articles were then subjected to two levels of screening, and articles unrelated to gender-affirming care, unavailable in English,
n
<5, and with no outcomes reporting were excluded. Textbook chapters and letters were also excluded.
Findings:
A total of 406 studies were fully extracted, with 307 studies reporting age (
n
=22,727 patients), 19 reporting race/ethnicity (
n
=1184), 74 reporting body metrics (body mass index [BMI]
n
=6852, height
n
=416, and weight
n
=475), 58 reporting hormone therapies (
n
=5104), 56 reporting substance use (
n
=1146), 44 reporting psychiatric comorbidities (
n
=574), and 47 reporting medical comorbidities (
n
=573). From the 406 studies, 80 were done in the United States. Regarding U.S. studies, 59 studies reported age (
n
=5365), 10 reported race/ethnicity (
n
=709), 22 reported body metrics (BMI
n
=2519), 18 reported hormone therapies (
n
=3285), 15 reported substance use (
n
=478), 44 reported psychiatric comorbidities (
n
=394), and 47 reported medical comorbidities (
n
=293). Age was the most reported characteristic, reported in 75.62% of studies (73.75% of U.S. studies). Race/ethnicity was the least commonly reported data, reported in 4.68% of studies (12.50% of U.S. studies).
Conclusions and Relevance:
The type of sociodemographic information reported by GAS studies is inconsistently reported. To improve patient-centered care for transgender patients, further work is needed to create a standardization of collected sociodemographic information.</abstract><cop>United States</cop><pub>Mary Ann Liebert, Inc., publishers</pub><pmid>37342473</pmid><doi>10.1089/trgh.2021.0111</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-3203-1429</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2688-4887 |
| ispartof | Transgender health, 2023-06, Vol.8 (3), p.213-219 |
| issn | 2688-4887 2380-193X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2828772132 |
| source | EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Age Body mass index Cohort analysis Drug use Ethnicity Gender identity Gender reassignment surgery Gender-affirming care Health care access Hormone replacement therapy Hysterectomy Mastectomy Non-binary gender Patients Race Sociodemographics Systematic review Transgender persons |
| title | Sociodemographics of Patient Populations Undergoing Gender-Affirming Surgery: A Systematic Review of All Cohort Studies |
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