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• W4382396095 abstract "Background Although gender affirmation surgery (GAS) can be an effective treatment for gender dysphoria, it remains one of the most expensive components of gender affirming care. This study aims to identify the impact of financial wellbeing on GAS access and hospital course in the United States. Methods The National Inpatient Sample database was queried from 2012–2019. US transgender patients undergoing GAS were identified. Predictors included patient sociodemographic variables. Outcomes included hospitalization course variables. Regression modeling was used to assess the relationship between predictor and outcome variables. Significance was set at α = 0.05. Results A total of 5,620 weighted GAS encounters were identified (genital surgery 92.3%, chest surgery 16.6%). 1,825 (32.5%) patients were in the highest income bracket, compared to 1,120 (19.9%) patients in the lowest bracket. Higher income was associated with younger age at the time of GAS. Patients in the highest income quartile were also 3.7 times more likely to be funded by private insurance and self-pay options than those in the lowest income quartile (95% CI: 3.1-4.4, p<0.0001). Additionally, patients in the lowest income quartile were 4.2 times more likely to require either home health care or transfer to a nursing facility post-discharge than those in the highest income quartile (95% CI: 3.1–5.8, p<0.001). Conclusions To promote equitable care to transgender patients, efforts to reduce financial barriers to healthcare access are much needed, particularly through broader insurance coverage of GAS procedures. Broadly, our results highlight the impact of socioeconomic variables on healthcare access and outcomes." @default.
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• W4382396095 date "2023-10-01" @default.
• W4382396095 modified "2023-10-14" @default.
• W4382396095 title "Impact of Financial Well-Being on Gender Affirmation Surgery Access and Hospital Course" @default.
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• W4382396095 doi "https://doi.org/10.1016/j.bjps.2023.06.059" @default.
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