Quality of life improves early after gender reassignment surgery in transgender women

Lindqvist, Ebba K.; Sigurjónsson, Hannes; Möllermark, Caroline; Rinder, Johan; Farnebo, Filip; Lundgren, Tobias

doi:10.1007/s00238-016-1252-0

Cited by 76 publications

(92 citation statements)

References 19 publications

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“…The earliest articles included within this review were published in 2006 [ 17 , 87 ] whilst the most recent papers were published in 2017 [ 31 , 32 , 55 , 57 , 64 ].…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Quality of life of treatment-seeking transgender adults: A systematic review and meta-analysis

Nobili

Glazebrook

2018

Rev Endocr Metab Disord

134

100

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The study aims to systematically extract and analyse data about Quality of Life (QoL) in the transgender population. A systematic literature search and meta-analysis were conducted using the MEDLINE, EMBASE, PubMed, and PsycINFO databases, up to July 2017. Only English language quantitative studies, in adults, which reported the means for validated QoL measures were included. Random-effect meta-analysis was adopted to pool data and estimate the 95% Confidence Intervals (CI). From 94 potentially relevant articles, 29 studies were included within the review and data extraction for meta-analysis was available in 14 studies. The majority of the studies were cross-sectional, lacked controls and displayed moderate risk of bias. Findings from the systematic review suggested that transgender people display poor QoL, independent of the domain investigated. Pooling across studies showed that transgender people report poorer mental health QoL compared to the general population (−0.78, 95% CI = −1.08 to −0.48, 14 studies). However, meta-analysis in a subgroup of studies looking at QoL in participants who were exclusively post-CHT found no difference in mental health QoL between groups (−0.42, 95% CI = −1.15 to 0.31; 7 studies). There was insufficient data for a pre-treatment subgroup. Evidence suggests that transgender people have lower QoL than the general population. Some evidence suggests that QoL improves post-treatment. Better quality studies that include clearly defined transgender populations, divided by stage of gender affirming treatment and with appropriate matched control groups are needed to draw firmer conclusions.

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“…The earliest articles included within this review were published in 2006 [ 17 , 87 ] whilst the most recent papers were published in 2017 [ 31 , 32 , 55 , 57 , 64 ].…”

Section: Resultsmentioning

confidence: 99%

“…The measure was validated in a wide variety of clinical and non-clinical populations, and it displayed an internal consistency value of .88 when used with Transgender populations [ 63 ]. This tool was employed by six studies reported on within this review [ 43 , 54 , 55 , 64 – 66 ]. 2.…”

Section: Introductionmentioning

confidence: 99%

Quality of life of treatment-seeking transgender adults: A systematic review and meta-analysis

Nobili

Glazebrook

2018

Rev Endocr Metab Disord

134

100

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“…Access to gender-affirming care is associated with improvements in psychological health [12][13][14][15][16] and quality of life, 15,[17][18][19] reduced HIV incidence, 16,20 decreased viral load, 21 decreased substance use, 22 and increased engagement in preventive health services. 23 However, trans people face numerous and extraordinary barriers in obtaining gender-affirming care.…”

Section: Introductionmentioning

confidence: 99%

Inequalities in Crowdfunding for Transgender Health Care

Barcelos

Budge

2019

Transgender Health

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An emerging body of research analyzes the scope, ethics, and inequalities of web-based crowdfunding to raise money for medical expenses related to illness or injury. To date, little research has investigated how transgender communities utilize crowdfunding expenses related to gender affirming medical care. Methods: Using GoFundMe.com, we created a data set of 391 crowdfunding campaigns for gender-affirming care created from 2012 to 2016. In addition to descriptive statistics of recipient demographics and campaign financials, we conducted hierarchical multiple regression analyses to determine the factors associated with financial outcomes of fundraising for medical expenses. Results: Findings indicate that the majority of campaigns were used to fund chest surgeries among young, white, binary-identified trans men in the United States. Few campaigns met their fundraising goal. Being a trans man whose Facebook community shares the crowdfunding campaign is predictive of meeting a higher percentage of the fundraising goal, whereas being a trans woman whose Facebook community shares the campaign is predictive of raising more money. Conclusion: The use of crowdfunding for gender affirming care highlights the difficulties that transgender persons face with using private and public health care programs to fund medically necessary care. Health care providers should exercise caution in recommending crowdfunding as a viable strategy to raise money for out-of-pocket costs.

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“…To date, most research on the surgical experiences of gender diverse patients involved exclusively adult 6 – 11 and/or transfeminine 7 , 8 , 10 , 11 samples. Preliminary research with transmasculine patients has demonstrated that gender-affirming surgery is associated with better quality of life, 12 , 13 including decreased chest-related dysphoria after top surgery 13 , 14 and better perceived gender congruence after bottom surgery.…”

Section: Introductionmentioning

confidence: 99%

Barriers to Gender-affirming Surgery Consultations in a Sample of Transmasculine Patients in Boston, Mass.

Tabaac

Jolly

Boskey

et al. 2020

Plastic and Reconstructive Surgery - Global Open

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Background: Gender diverse people are increasingly pursuing gender-affirming surgery, but little is known about their experiences on accessing care. As part of the baseline assessment for an ongoing longitudinal study, we examined the types of barriers and self-reported out-of-pocket costs associated with gender-affirming surgery most commonly endorsed by transmasculine chest (top) and genital (bottom) surgery patients at their initial surgical consultation. Methods: A brief survey was administered to a clinical sample of transmasculine patients (n = 160; age ≥15 years) seeking a gender-affirming surgery at the Center for Gender Surgery in Boston, Mass. from April 2018 to February 2020. Results: The barriers most commonly endorsed by top surgery patients were insurance coverage and age. For bottom surgery patients, the most commonly endorsed barriers were getting mental health letters and readiness for surgery. Bottom surgery patients were also more likely to report barriers of readiness for surgery and cost of/access to hair removal, than top surgery patients (Ps < 0.05). Bottom surgery patients were more likely to report out-of-pocket costs related to hair removal, surgical consultation, and surgery (Ps < 0.05), whereas top surgery patients were more likely to report hormone treatment costs (P = 0.01). Average out-of-pocket costs were high (mean = 2148.31) and significantly higher for bottom surgery patients (b = 4140.30; β = 0.64; 95% confidence interval, 3064.6–5216.0). Conclusions: Transmasculine patients experience a variety of barriers when seeking gender-affirming surgery. Presurgical requirements, insurance access, and high out-of-pocket costs may hinder access to care for many transmasculine people seeking bottom surgery.

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Quality of life improves early after gender reassignment surgery in transgender women

Cited by 76 publications

References 19 publications

Quality of life of treatment-seeking transgender adults: A systematic review and meta-analysis

Quality of life of treatment-seeking transgender adults: A systematic review and meta-analysis

Inequalities in Crowdfunding for Transgender Health Care

Barriers to Gender-affirming Surgery Consultations in a Sample of Transmasculine Patients in Boston, Mass.

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