Genital gender‐affirming surgery trends in Germany: Total population data with 19,600 cases from 2006 to 2022

IF 3.2 2区医学 Q1 ANDROLOGY

Andrology Pub Date : 2024-09-17 DOI:10.1111/andr.13762

Cem Aksoy, Sascha Wellenbrock, Philipp Reimold, Philipp Karschuck, Mahmut Ozturk, Tobias Hirsch, Michael Sohn, Nicole Eisenmenger, Sabine Kliesch, Saskia Morgenstern, Aristeidis Zacharis, Johannes Huber, Luka Flegar

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Abstract

PurposeTo delineate the current trends regarding gender‐affirming surgeries (GAS) in Germany.MethodsAnalysis of German hospital quality reports from 2006 to 2022 was conducted using the reimbursement.info tool. The German procedure classification (OPS) codes 5‐646.0 for masculinizing‐ and 5‐646.1 for feminizing surgery were assessed to identify GAS. Linear regression models were utilized for the analysis and depiction of current trends.ResultsA total of 19,632 gender‐affirming procedures were performed during the study period with an exponential increase over the years. Masculinizing surgeries increased from 246 in 2006 to 1291 cases in 2022 (increase by 424%; p < 0.001). The highest annual increase of 37.2% in numbers was from 2018 to 2019 (from 1235 to 1694 cases). Feminizing surgeries increased from 180 cases in 2006 to 799 procedures in 2022 (increase by 343%; p < 0.001). The cases increased most between 2015 and 2016 from 277 to 502 cases (81.2%). The number of hospitals offering these surgeries expanded from 24 in 2006 to 29 in 2022 (21% increase; p < 0.001).ConclusionThis study demonstrates an exponential growth in numbers feminizing and masculinizing of GAS performed each year in Germany. Furthermore, a discernible trend emerges with a propensity for concentration of procedures within selected high‐caseload centers across Germany.

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德国生殖器性别确认手术趋势：2006 年至 2022 年 19,600 个病例的总人口数据

方法使用 reimbursement.info 工具对 2006 年至 2022 年的德国医院质量报告进行分析。对德国手术分类（OPS）代码 5-646.0 （男性化手术）和 5-646.1 （女性化手术）进行评估，以确定 GAS。研究期间共进行了 19,632 例性别确认手术，手术数量呈指数级增长。男性化手术从 2006 年的 246 例增加到 2022 年的 1291 例（增加了 424%；p < 0.001）。2018年至2019年（从1235例增至1694例）的数量年增幅最高，达37.2%。女性化手术从 2006 年的 180 例增加到 2022 年的 799 例（增加了 343%；p <；0.001）。2015年至2016年间，病例数增幅最大，从277例增至502例（81.2%）。提供此类手术的医院数量从 2006 年的 24 家增至 2022 年的 29 家（增长 21%；p <；0.001）。此外，还发现了一个明显的趋势，即手术集中在全德国选定的高手术量中心。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Andrology ANDROLOGY-

CiteScore

9.10

自引率

6.70%

发文量

200

期刊介绍： Andrology is the study of the male reproductive system and other male gender related health issues. Andrology deals with basic and clinical aspects of the male reproductive system (gonads, endocrine and accessory organs) in all species, including the diagnosis and treatment of medical problems associated with sexual development, infertility, sexual dysfunction, sex hormone action and other urological problems. In medicine, Andrology as a specialty is a recent development, as it had previously been considered a subspecialty of urology or endocrinology