德国的生殖器性别确认手术趋势:从2006年到2022年,总人口数据为19600例
Cem Aksoy1, Sascha Wellenbrock2, Philipp Reimold1
1Department of Urology, Philipps-University Marburg, Marburg, Germany.
Andrology
|September 17, 2024
概括
2006年至2022年,德国的性别确认手术 (GAS) 呈指数级增长,男性化和女性化手术都显著增加. 外科手术越来越多地集中在专门的高体积中心.
科学领域:
- 医学统计 医学统计
- 外科手术的发展趋势
- 公共卫生 公共卫生
背景情况:
- 性别确认手术 (GAS) 是许多跨性别者的性别转变的关键组成部分.
- 了解GAS供应的趋势对于医疗保健规划和资源分配至关重要.
研究的目的:
- 分析和描述在2006年至2022年期间在德国进行的性别确认手术 (GAS) 的当前趋势.
- 在男性化和女性化程序的数量和分布中识别模式.
主要方法:
- 通过reimbursement.info工具,利用了从2006年到2022年的德国医院质量报告.
- 评估的德国程序分类 (OPS) 代码 5-646.0 (男性化) 和 5-646.1 (女性化) 用于GAS识别.
- 采用线性回归模型来分析和描绘手术过程中的趋势.
主要成果:
- 总共进行了19,632次GAS手术,在研究期间呈指数级增长.
- 男性化手术增加了424% (246至1291例),女性化手术增加了343% (180至799例).
- 提供GAS的医院数量增加了21% (从24个增加到29个),在高病例负载中心的集中化趋势.
结论:
- 在德国,男性化和女性化性别肯定手术的显著指数增长.
- 观察到,在全国各地的专业化,大批量医疗中心内,程序集中的明显趋势.
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