以患者为中心的方法使用BMI来评估性别确认手术的资格
Whitney Riley Linsenmeyer1, Sarah Garwood2
1Assistant professor of nutrition at Saint Louis University in St Louis, Missouri.
AMA journal of ethics
|June 7, 2023
概括
目前用于性别确认手术 (GAS) 的身体质量指数 (BMI) 标准缺乏证据,可能会伤害跨性别患者. 建议以患者为中心的方法,重点关注个体结果和身体组成,以评估GAS资格.
科学领域:
- 医学科学 医学科学 医学科学
- 内分泌学 在内分泌学.
- 外科手术的结果
背景情况:
- 身体质量指数 (BMI) 截止值是评估性别确认手术 (GAS) 资格的标准,但缺乏经验基础.
- 由于临床和心理社会因素,变性人群的超重和肥胖率更高.
- 严格的BMI要求可能会阻碍获得必要的GAS,可能会对患者造成伤害.
研究的目的:
- 评估当前BMI截止值对GAS资格的经验基础.
- 倡导修订,以患者为中心的GAS资格评估方法.
- 突出需要个性化评估,考虑到手术结果和身体组成.
主要方法:
- 关于BMI截止值和GAS资格的文献综述.
- 对影响跨性别人口体型的临床和心理社会因素的分析.
- 为以患者为中心的评估模型制定建议.
主要成果:
- 目前GAS的BMI截止值没有经验支持.
- 严格的BMI标准可能会导致寻求GAS的跨性别患者的护理延迟或被拒绝.
- 相当一部分跨性别人口不成比例地受到超重和肥胖的影响.
结论:
- 对GAS进行BMI评估的修订对于确保公平获得护理至关重要.
- 一种以患者为中心的方法应该优先考虑个人手术结果和身体成分,而不是任意的BMI值.
- 合作和支持体重管理,当患者希望,是GAS护理的重要组成部分.
相关概念视频
Psychosurgery
81
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
81
Obesity
552
The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
552
Anorexia Nervosa
155
Anorexia nervosa is a complex and severe eating disorder characterized by an intense fear of weight gain, an unrelenting pursuit of thinness, and a distorted body image. It often leads to dangerously low body weight relative to an individual's age and height. This disorder is marked by significant physical and psychological consequences, making it one of the most life-threatening psychiatric illnesses.
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
155


