在性别确认手术中数据库跟踪:患者正在通过裂掉落吗?
Ton C Doan1, Kasey Leigh Wood Matabele1, Peter J Nicksic1
1University of Wisconsin School of Medicine and Public Health, Division of Plastic Surgery, Madison, Wisconsin.
概括
变女性阴道整形没有静脉血栓栓塞的病例,但编码问题限制了研究. 需要更好的分类来准确评估性别确认手术中的并发症.
科学领域:
- 医学研究 医学研究
- 外科手术的结果
- 肯定性别的护理.
背景情况:
- 在转女性性阴道造形术中调查静脉血栓塞栓症 (VTE) 风险因素.
- 鉴定由于编码实践导致的研究患者分类方面的挑战.
研究的目的:
- 检查转女性性阴道成形术患者静脉血栓栓塞 (VTE) 的危险因素.
- 突出现有编码系统的性别确认手术研究问题.
主要方法:
- 利用国家手术数据库从2010年至2019年.
- 通过使用诊断和程序特定的代码进行阴道造形手术的已识别的变性患者.
主要成果:
- 进行了457次女性转移性阴道移植手术.
- 观察到的并发症包括伤口消失 (24),未计划的重新手术 (17),以及手术部位感染 (12).
- 记录了0个静脉血栓塞栓症 (VTE) 病例,推迟了风险因素分析.
结论:
- 对性别确认手术的编码异质性导致了一个小的,不代表性的患者队列.
- 目前的诊断和程序代码是不具体的和不捆绑的,阻碍了准确的并发症发病率评估.
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