Facial Feminization Surgery and Mental Health Resource Utilization: A Retrospective Institutional Review.

IF 2.6 3区医学 Q1 OTORHINOLARYNGOLOGY

Otolaryngology- Head and Neck Surgery Pub Date : 2025-05-01 Epub Date: 2025-02-25 DOI:10.1002/ohn.1172

Pauline P Huynh, Andrew Kleinberger, Kathleyn Brandstetter, David W Chou, Alice R Pressman, Charles Shih

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引用次数: 0

Abstract

Objective: This study aims to assess the effects of facial feminization surgery (FFS) on mental health resource utilization among patients with gender dysphoria within an integrated multicenter health care system.

Study design: A retrospective database review.

Setting: An equal-access, integrated health care system.

Methods: We retrospectively analyzed the medical records of Kaiser Permanente Northern California patients who underwent FFS from 2016 to 2021 on utilization of mental health services in a large integrated health care system. Full FFS was defined as all 3 facial thirds. We compared average quarterly utilization for 12 to 24 months before FFS with quarterly utilization during 12 to 24 months of follow-up. Patients who did not have continuous coverage for at least 12 months before and 12 months after FFS were excluded.

Results: A total of 699 FFS cases were performed between 2016 and 2021, of which 478 cases were included (35.6 ± 12.3 years old, 207 [43.3%] had full FFS). Wilcoxon matched-pairs signed-rank tests comparing pre-FFS and post-FFS utilization counts showed statistically significant reductions in the number of mental health-associated visits. Age and comorbid mental health diagnoses were significant predictors of mental health resource utilization in the pre-FFS period. A comorbid mood or anxiety disorder was a predictor of changes in resource utilization following FFS.

Conclusion: To our knowledge, this endeavor is the first utilization study of FFS conducted in the United States. FFS was associated with significantly lower utilization of mental health services in the 12-month post-FFS period compared to the 12-month pre-FFS period.

查看原文本刊更多论文

面部女性化手术与心理健康资源利用：一项回顾性研究。

目的：本研究旨在评估多中心综合医疗系统中面部女性化手术（FFS）对性别焦虑症患者心理健康资源利用的影响。研究设计：回顾性数据库分析。环境：平等获取的综合卫生保健系统。方法：我们回顾性分析了2016年至2021年在大型综合医疗保健系统中使用精神卫生服务的Kaiser Permanente北加州患者的医疗记录。完整FFS定义为所有3个面部三分之一。我们比较了田间FFS前12至24个月的平均季度利用率与后续12至24个月的季度利用率。在FFS之前和之后至少12个月没有连续覆盖的患者被排除在外。结果：2016 - 2021年共实施FFS 699例，其中纳入478例（年龄35.6±12.3岁，完整FFS 207例（43.3%））。Wilcoxon配对配对签名秩检验比较了ffs前和ffs后的使用率，结果显示，与心理健康相关的就诊次数在统计上显著减少。年龄和共病心理健康诊断是ffs前心理健康资源利用的重要预测因子。共病性情绪或焦虑障碍是FFS后资源利用变化的预测因子。结论：据我们所知，这是在美国进行的第一个FFS利用研究。与实施FFS前的12个月相比，FFS后12个月的心理健康服务使用率显著降低。

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

Otolaryngology- Head and Neck Surgery 医学-耳鼻喉科学

CiteScore

6.70

自引率

2.90%

发文量

250

审稿时长

2-4 weeks

期刊介绍： Otolaryngology–Head and Neck Surgery (OTO-HNS) is the official peer-reviewed publication of the American Academy of Otolaryngology–Head and Neck Surgery Foundation. The mission of Otolaryngology–Head and Neck Surgery is to publish contemporary, ethical, clinically relevant information in otolaryngology, head and neck surgery (ear, nose, throat, head, and neck disorders) that can be used by otolaryngologists, clinicians, scientists, and specialists to improve patient care and public health.