Evaluation of Life Improvement in Trans Men After Mastectomy: A Prospective Study Using the TRANS-Q

Sır, Emin; Tuluy, Yavuz

doi:10.1007/s00266-022-02907-6

Cited by 4 publications

(10 citation statements)

References 13 publications

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“…Following abstract screening, 98 articles underwent full-text review and assessment in accordance with the inclusion/exclusion criteria. Following final review, a total of 34 studies [ 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 ], encompassing n = 5064 patients, were included in the final analysis. Figure 1 shows the PRISMA flow diagram.…”

Section: Resultsmentioning

confidence: 99%

“…A total of 12 studies (35.3%) [ 17 , 18 , 19 , 21 , 29 , 31 , 32 , 33 , 34 , 35 , 39 , 46 ] were from lower-middle-income countries and 22 studies (64.7%) [ 16 , 20 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 30 , 36 , 37 , 38 , 40 , 41 , 42 , 43 , 44 , 45 , 47 , 48 , 49 ] were from upper-middle-income countries. No studies originated from low-income countries.…”

Section: Resultsmentioning

confidence: 99%

“…Figure 2 displays a global map illustrating the LMICs included in this review, along with the corresponding number of publications from each country. Five studies involving n = 201 patients originated from Turkey, where GAS is not legalized, and an explicit court order must be sought for provision of services [ 16 , 20 , 41 , 42 , 49 ].…”

Section: Resultsmentioning

confidence: 99%

“…The mean patient age was 30 years (absolute range: 24.4–41.0). A total of 16 (47.1%) studies included patients’ medical histories [ 16 , 17 , 20 , 21 , 22 , 23 , 29 , 31 , 38 , 39 , 40 , 41 , 44 , 46 , 47 , 49 ] and 31 (91.2%) reported on post-operative outcomes [ 16 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 ]. The mean post-operative follow-up was 48 months (absolute range: 6–94 months).…”

Section: Resultsmentioning

confidence: 99%

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Gender-Affirming Surgery in Low- and Middle-Income Countries: A Systematic Review

Shah,

Hassan,

Hassan

et al. 2024

JCM

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Objectives: Fewer than one-fifth of all studies on gender-affirming care originate from low- and middle-income countries (LMICs). This is the first systematic review to examine surgical demographics and outcomes following gender-affirming surgery (GAS) in LMICs. Methods: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, five databases were systematically searched for original studies and case series on GAS within LMIC settings. Excluded reports included animal studies, non-English language studies, secondary studies including reviews, individual case reports and conference abstracts. Results: This review includes 34 studies involving n = 5064 TGNB individuals. Most studies (22, 64.7%) were from upper-middle-income countries, followed by lower-middle-income countries (12, 35.3%). A total of 31 studies (91.2%) reported on post-operative outcomes. Of n = 5013 patients who underwent GAS, 71.5% (n = 3584) underwent masculinizing and 29.5% (n = 1480) underwent feminizing procedures. The predominant procedures were metoidioplasty (n = 2270/3584, 63.3%) and vaginoplasty (n = 1103/1480, 74.5%). Mean follow-up was 47.7 months. In patients who underwent metoidioplasty, 6.8% (n = 155) of patients experienced a complication and 6.3% (n = 144) underwent revision surgery. In patients who underwent vaginoplasty, 11.5% (n = 127) of patients experienced a complication and 8.5% (n = 94) underwent revision surgery. Of the studies (25/34, 73.5%) that reported on quality of life and post-operative satisfaction, the majority showed marked improvements in psychosocial and functional outcomes. Notably, no post-surgical regret was reported among the surveyed patients. Conclusions: Existing literature on GAS in LMICs remains scarce and is concentrated in select institutions that drive specific procedures. Our review highlights the low reported volumes of GAS, variability in surgical outcomes and quality of life.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Gender-Affirming Surgery in Low- and Middle-Income Countries: A Systematic Review

Shah,

Hassan,

Hassan

et al. 2024

JCM

View full text Add to dashboard Cite

show abstract

“…A total of 17 380 records were identified from the search, with 286 studies 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 , 83 ...…”

Section: Resultsmentioning

confidence: 99%

Implementation of Patient-Reported Outcome Measures for Gender-Affirming Care Worldwide

et al. 2023

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ImportanceGender-affirming care is a key clinical area that can benefit from implementation of patient-reported outcome measures (PROMs). Identifying barriers to and enablers of PROM implementation is needed to develop an evidence-based implementation strategy.ObjectiveTo identify (1) PROMs previously implemented for gender-affirming care and constructs measured, (2) how patients completed PROMs and how results were reported and used, and (3) barriers to and enablers of PROM implementation.Evidence ReviewIn this systematic review, PubMed, Embase, MEDLINE, PsycINFO, CINAHL, and Web of Science were searched from inception to October 25, 2021, and updated on December 16, 2022. Gray literature was searched through gray literature database, online search engine, and targeted website searching. Inclusion criteria were (1) original articles of (2) a formally developed PROM or ad hoc instrument administered for gender-affirming care to (3) patients accessing gender-affirming care. The Critical Appraisal Skills Programme tool was used to evaluate quality of included studies. This review was registered on PROSPERO (CRD42021233080).FindingsIn total, 286 studies were included, representing 85 395 transgender and nonbinary patients from more than 30 countries. A total of 205 different PROMs were used in gender-affirming care. No studies described using an implementation science theory, model, or framework to support PROM deployment. Key barriers to PROM implementation included issues with evidence strength and quality of the PROM, engaging participants, and PROM complexity. Key enablers of PROM implementation included using PROMs validated for gender-affirming care, implementing PROMs able to be deployed online or in person, implementing PROMs that are shorter and reduce patient burden, engaging key stakeholders and participants as part of developing an implementation plan, and organizational climate.Conclusions and RelevanceIn this systematic review of barriers to and enablers of PROM implementation in gender-affirming care, PROM implementation was inconsistent and did not follow evidence-based approaches in implementation science. There was also a lack of patient input in creating implementation strategies, suggesting a need for patient-centered approaches to PROM implementation. Frameworks created from these results can be used to develop evidence-based PROM implementation initiatives for gender-affirming care and have potential generalizability for other clinical areas interested in implementing PROMs.

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Invited Discussion of “Evaluation of Life Improvement in Trans Men After Mastectomy: A Prospective Study Using the TRANS-Q”

Medalie

2022

Aesth Plast Surg

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Evaluation of Life Improvement in Trans Men After Mastectomy: A Prospective Study Using the TRANS-Q

Cited by 4 publications

References 13 publications

Gender-Affirming Surgery in Low- and Middle-Income Countries: A Systematic Review

Gender-Affirming Surgery in Low- and Middle-Income Countries: A Systematic Review

Implementation of Patient-Reported Outcome Measures for Gender-Affirming Care Worldwide

Invited Discussion of “Evaluation of Life Improvement in Trans Men After Mastectomy: A Prospective Study Using the TRANS-Q”

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