D101. An Analysis Of Gender-affirming Breast Augmentation Access and Outcomes: A Comparative Study between a Safety Net Hospital and an Academic Medical Center

• DOI: 10.1097/01.gox.0001018880.45166.81
• Publication Date: 2024-05-10T12:07:13Z
• Authors: Matthew F. McLaug...; Mica Rosser; Siyou Song; Nina Mehta; Michael Terry; Esther Kim
• Keywords: Safety net; Center (category theory)

PURPOSE: We compared patients undergoing gender-affirming breast augmentation at San Francisco General Hospital (SFGH), a safety net county hospital, and the University of California, (UCSF), an academic medical center. METHODS: reviewed who underwent primary SFGH from August 2019 to June 2023 (n = 73) UCSF March 2015 122). Pearson's chi-squared, Fisher's exact, Student's t-tests were used assess differences in sociodemographic characteristics, surgical access, outcomes between patients. RESULTS: more likely be unstably housed (p 0.000), Spanish-speaking 0.001), have HIV infection obesity (both p's < 0.05). hormones for longer 0.000) but had shorter referral-to-surgery intervals 0.024). Surgical complications uncommon (6.7%). site infections 0.028). Aesthetic occurred 27.2% patients, most common being implant asymmetry (15.9%). follow-up periods 0.001). CONCLUSION: Given their lengthier pre-surgical hormone treatment duration, might experience greater barriers that delay eligibility surgery. Nevertheless, established patient navigation services may explain intervals. More work is needed improve among underserved discern additional factors influencing this procedure.