Patient-Centered Approaches to Using BMI to Evaluate Gender-Affirming Surgery Eligibility
Bibliographic Data
| ID | 15745232 |
|---|---|
| Authors | Whitney Linsenmeyer (0000-0002-5939-250X, University of Missouri–St. Louis, corresponding author), Sarah Garwood (0000-0002-0857-9710, St. Louis Children's Hospital) |
| Year | 2023 |
| Volume | 25 |
| Issue | 6 |
| Pages | E398-406 |
| Publication date | 2023-06-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | The AMA Journal of Ethic (JOURNAL) |
| Journal identifiers | ISSN: 2376-6980 • E-ISSN: 2376-6980 |
| Publisher | American Medical Association (PUBLISHER • US) |
| DOI | 10.1001/amajethics.2023.398 |
| PMID | 37285293 |
| OpenAlex | W4379645862 |
| Language | EN |
| Citations received | 1 |
| References cited | 11 |
Body mass index (BMI) cutoffs are routinely used to assess eligibility for gender-affirming surgeries (GAS), yet they are not empirically based. The transgender population is disproportionately affected by overweight and obesity due to clinical and psychosocial influences on body size. Strict BMI requirements for GAS are likely to cause harm by delaying care or denying patients the benefits of GAS. A patient-centered approach to assessing GAS eligibility with respect to BMI would utilize reliable predictors of surgical outcomes specific to each gender-affirming surgery, include measures of body composition and body fat distribution rather than BMI alone, center on the patient's desired body size, and emphasize collaboration and support if the patient genuinely desires weight loss
Body mass index · Classification of obesity · Environmental health · Fat mass · Harm · Obesity · Overweight · Population · Psychiatry · Psychosocial · Sex reassignment surgery (male-to-female · Transgender · Transsexual · Demography · LGBTQ Health, Identity, and Policy · Medicine · Obesity and Health Practices · Psychology · Social Psychology · Internal Medicine
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| Unique citing works | 1 |
|---|---|
| Citations per year | 0,33 |
| Citation span | 2023 - 2023 (1) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 1 |