Pediatric anesthesia & critical care
Characteristics of Transgender and Gender-Diverse Youth Presenting for Surgery in the United States
Authors' conclusion
We reported the perioperative characteristics of TGD youth and showed a steady increase in the detected prevalence of TGD adolescents accessing surgical care.
Study context
- Population
- Transgender and gender-diverse (TGD) adolescents aged 10 to 18 years undergoing a surgical procedure, US, January 2016–August 2022807 identified as TGD
- Participants
- 767,224 participants
- Outcome
- Prevalence and demographic characteristics of TGD youth accessing surgical care
Methodological detailsmulti-institutional dataset (Pediatric Health Information System (PHIS))
- Multi-institutional dataset (PHIS)
Main finding
As reported in the abstract
Prevalence of identified TGD youth among surgical patients
TGD youth identified
807
0.1%, 95% CI 0.09–0.11
Prevalence in 2016
0.02%
Prevalence in 2022
0.23%
Observational data: associations, not effects.
Further findings
Demographics of TGD youth · at the time of surgery
- Assigned female at birth
- 71%
- Aged 13 to 18 years
- 91%, 733/807
- Non-Hispanic White
- 76%
- Commercial insurance
- 62%
- ZIP code median annual income $39,000–$63,000
- 49%
Census region of TGD youth
- Northeast
- 264 (33%)
- Midwest
- 226 (28%)
- West
- 219 (27%)
- South
- 98 (12%)
Most common procedures in TGD youth
- Breast reduction/augmentation
- 135
- Insertion/removal of subcutaneous implant device
- 98
- Orthopedic procedures of the hip and lower extremity
- 29
Original publication
Characteristics of Transgender and Gender-Diverse Youth Presenting for Surgery in the United States. Anesth Analg. Published 20 July 2023. doi:10.
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