关于男性化生殖器的性别确认手术研究的一个核心成果:GenderCOS项目的国际共识结果
Philippine J Roijer1,2, Marleen S Vallinga1,2, Thomas E Pidgeon3
1Amsterdam UMC (Location VUmc) - Amsterdam University Medical Centre, Department of Plastic, Reconstructive and Hand Surgery, Amsterdam, the Netherlands.
EClinicalMedicine
|July 31, 2025
概括
为男性化生殖器性别确认手术 (gGAS) 开发了一个核心结果集 (COS). 这标准化了研究,改善了数据比较和基于证据的跨性别和性别多样性个体的护理.
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:
- 性器官男性化性别确认手术 (gGAS) 涉及多种不同的程序.
- 非标准化的结果报告阻碍了基于证据的决策和gGAS研究中的元分析.
研究的目的:
- 为研究男性化gGAS.开发一个核心结果集 (COS).
- 为了解决现场缺乏标准化的成果报告.
主要方法:
- 成立了一个由16名专家 (专业和实践经验) 组成的国际多学科指导小组.
- 通过采访,与生活经验专家聚焦小组以及系统文献审查来确定结果.
- 经过三轮的e-Delphi调查,随后举行了共识会议,最终确定了COS.
主要成果:
- 最初确定了384个独特的结果;38个被纳入了e-Delphi调查.
- 32名经验专家和52名专业专家参加了会议.
- 最终的COS包括1个临床结果,3个不良事件和6个患者报告的结果.
结论:
- 开发的COS对于标准化的结果测量和报告在男性化gGAS研究中至关重要.
- 实施将促进数据比较,元分析和基于证据的指导方针开发.
- 这最终旨在增强跨性别和性别多样性个体的个性化外科护理.
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