Perioperative considerations for transgender women undergoing routine surgery: a narrative review

Lennie, Yasmin; Leareng, Keitebe; Evered, Lis

doi:10.1016/j.bja.2020.01.024

Cited by 18 publications

(16 citation statements)

References 60 publications

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“…Transgender patients presenting for non-gender affirming surgery who have undergone medical and/or surgical genderaffirming interventions have several specific considerations to be aware of [3,4]. These can range from structural changes to the airway (e.g.…”

Section: Stonewall'smentioning

confidence: 99%

“…There were 310 registrations with 118 delegates joining the live webinar. We received 92 survey responses from the 310 (30%) sent out to on a scale of 1 (strongly disagree) to 10 (strongly agree), the median (IQR [range]) score when asked if attendees felt they had received sufficient prior education on transgender healthcare was 4 (2-5 [1-10]) and when asked about confidence discussing patients' pronouns was 5 (4-8 [1][2][3][4][5][6][7][8][9][10]). The initial low confidence in the peri-operative management of transgender patients was, therefore, easily, rapidly and significantly improved.…”

Section: Stonewall'smentioning

confidence: 99%

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Peri‐operative management of transgender patients: time for some guidance?

Flower

Edwardson²

2022

Anaesthesia

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merely a probability order and should be interpreted with caution, as the differences in probability of being superior are small. One advantage of network meta-analysis is that it evaluates all the treatments on a common scale. Clinicians all registered attendees, which comprised 58% (53/92) consultants, 40% (37/92) trainees and 2% (2/92) specialty or specialist grade doctors. All survey respondents gave consent for publication of their data. The survey results were as follows:

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Section: Stonewall'smentioning

confidence: 99%

Section: Stonewall'smentioning

confidence: 99%

Peri‐operative management of transgender patients: time for some guidance?

Flower

Edwardson²

2022

Anaesthesia

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“…7,8 Breast augmentation rate procedures are reported up to 67% in the male-to-female transgender population. 8,11 Some prefer silicone filler injection over implant insertion due to cheaper costs. 9 However, breast implant usage may interfere with the routine mammography to detect any lump that may delay the treatment.…”

Section: Introductionmentioning

confidence: 99%

“…7 Peer influence and the job scope as sex workers are reasons why breast implant surgery is mainly done as the requirement to be a male-to-female transgender. 11 Hence, they value the importance of the breast implant despite knowing the cancer risks involved. 11 Multiple complications related to breast implants should be emphasized as primary prevention for transgender population as implant carries risk outweighs the benefits.…”

Section: Introductionmentioning

confidence: 99%

Validity and Reliability of Malay Language Breast Cancer Awareness Scale for Male-to-Female Transgender

Zin

Draman

Shalihin

et al. 2023

imjm

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Introduction The breast cancer risk among female transgender for those using hormonal therapy is emerging. However, most of them also engaged in breast implant procedures resembling female sexual characteristics and satisfaction without realizing the risk of cancer development. Thus, breast cancer risk assessment of female transgender in Malaysia should be further evaluated. This study aims to develop and validate an assessment tool in the Malay version to measure breast cancer awareness among female transgender in Malaysia. Materials and Methods A cross-sectional study with a purposive sampling method was conducted among 300 respondents in Pahang, Kedah, and Kelantan. The minimum number of respondents required was 300 persons based on the Nunnally method, with an item ratio of 1:10. All the subjects were given questionnaires on sociodemographic data and breast cancer-related items, consisting of five domains; knowledge of symptoms and clinical features, breast cancer risk factors, breast screening programs, barriers in seeking medical help, and lastly, the confidence, skills and behaviour concerning breast self-examination. Each domain consists of five to seven items. All the responses are recorded as ‘Yes,’ ‘No,’ or ‘Not Sure’ responses. Reliability was determined using Cronbach’s alpha for internal consistency, while construct validity was assessed using exploratory factor analysis. Results The reliability of the 28 items for Malay Version of Breast Cancer Awareness scale by Cronbach Alpha is 0.864, suggesting that the constructs are reliable and acceptable. In addition, the construct validity was assessed using exploratory factor analysis highlights five meaningful domain. Conclusion This Malay language breast cancer awareness scale is a convenient self-assessment method, inexpensive and understandable which highlights common issues faced male-to-female transgender with targeted domains. In conclusion, this scale is valid and reliable by achievable internal consistency value of 0.864.

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“…Nonetheless, many of the issues raised are relevant to all individuals who identify as women and some to those who identify as trans‐men. This special issue has limited its scope as described, however, there are a number of excellent review articles on peri‐operative care of transgender patients, useful reading for all healthcare professionals [5, 6].…”

mentioning

confidence: 99%