Health state utility values in patients undergoing chest masculinization surgery

Chest masculinization surgery is the most common gender-affirming procedure performed in transgender and gender-diverse individuals. While evidence on the health-related quality of life (HRQL) impact of chest masculinization is starting to emerge, data on health state utility values (HSUVs) associat...

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Bibliographic Details
Published in:Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2023-06, Vol.81, p.26-33
Main Authors: Kaur, Manraj N., Gallo, Lucas, Wang, Yi, Rae, Charlene, McEvenue, Giancarlo, Semple, John, Johnson, Natasha, Savard, Kinusan, Pusic, Andrea L., Coon, Devin, Klassen, Anne F.
Format: Article
Language:English
Subjects:
Adult
BODY-Q
Chest masculinization
Depression
EQ-5D
Health Status
Humans
Pain
Patient-reported outcome measures
Quality of Life
Regression Analysis
Surveys and Questionnaires
Thoracic Surgical Procedures
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Summary:Chest masculinization surgery is the most common gender-affirming procedure performed in transgender and gender-diverse individuals. While evidence on the health-related quality of life (HRQL) impact of chest masculinization is starting to emerge, data on health state utility values (HSUVs) associated with the surgery is largely missing. The objectives of this study were to estimate the HSUVs using EQ-5D for patients seeking chest masculinization surgery and assess the determinants of EQ-5D score at 6 months postoperatively. Patients seeking chest masculinization at a single community plastic surgery clinic by 2 surgeons completed 3 patient-reported outcome measures – EQ-5D-3L, Patient Health Questionnaire (PHQ)-9, and BODY-Q Chest module – preoperatively and postoperatively at 6 weeks and 6-months. Friedman test was used to assess the differences in PROM scores at the 3 timepoints. Simple and backward stepwise regression analyses of 6-month postoperative EQ-5D scores were performed. A total of 113 patients (mean [SD] age, 25.7 [6.9] years) were included. The mean [SD] EQ-5D scores at preoperative, postoperative 6 weeks and 6 months were 0.81 [0.15], 0.84 [0.15] and 0.87 [0.12], respectively. Postoperatively, problems were most frequently reported in the dimensions “pain/discomfort” and “anxiety/depression". Preoperative PHQ-9 score was a predictor of 6-month postoperative EQ-5D scores following simple (p 
ISSN:1748-6815
1878-0539
DOI:10.1016/j.bjps.2023.02.004