性别确认手术中的数据库跟踪:患者是否被忽视了?

Q3 Medicine

Wisconsin Medical Journal Pub Date : 2023-07-01

Ton C Doan, Kasey Leigh Wood Matabele, Peter J Nicksic, Katherine M Gast, Samuel O Poore

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引用次数: 0

摘要

背景:本研究旨在探讨经女性阴道成形术中静脉血栓栓塞的危险因素。其次，作者概述了尽管使用了相关的查询代码，但患者没有被充分分类用于研究目的的原因。方法:使用2010年至2019年国家外科数据库，通过诊断和手术特定代码识别接受阴道成形术的跨性别患者。结果:变性阴道成形术457例，伤口裂开24例，意外再手术17例，手术部位感染12例。由于没有静脉血栓栓塞病例，风险因素分析被推迟。结论:性别确认手术编码实践的异质性导致数据库中捕获的跨女性阴道成形术患者异常少。目前的诊断和程序特异性代码是非特异性和非捆绑的，妨碍了对标准手术并发症发生率的准确评估。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

本刊更多论文

Database Tracking in Gender-Affirming Surgery: Are Patients Falling Through the Cracks?

Background: This study sought to examine risk factors for venous thromboembolism in transfeminine vaginoplasty. Secondarily, the authors outline reasons why patients are not adequately classified for research purposes despite using relevant queried codes.

Methods: Transgender patients undergoing vaginoplasty were identified with diagnostic and procedure-specific codes using a national surgical database from 2010 through 2019.

Results: There were 457 transgender vaginoplasties performed, with 24 wound dehiscences, 17 unplanned reoperations, and 12 surgical site infections. With zero cases of venous thromboembolism, risk factor analysis was deferred.

Conclusions: Heterogeneity in coding practices for gender-affirming surgery led to an uncharacteristically small cohort of transfeminine vaginoplasty patients captured in the database. Current diagnostic and procedure-specific codes are nonspecific and unbundled, hindering accurate assessment of the incidence of standard surgical complications.

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来源期刊

Wisconsin Medical Journal Medicine-Medicine (all)

CiteScore

1.30

自引率

0.00%

发文量

期刊介绍： The Wisconsin Medical Society is the largest association of medical doctors in the state with more than 12,000 members dedicated to the best interests of their patients. With that in mind, wisconsinmedicalsociety.org offers patients a unique source for reliable, physician-reviewed medical information. The Wisconsin Medical Society has been a trusted source for health policy leadership since 1841.