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A study on the effectiveness of a multidisciplinary class for gender-affirming chest surgery in transmasculine and nonbinary patients and their support persons

      With increasing acceptance and awareness, the number of patients who were assigned female at birth and identified as male or nonbinary, seeking gender-affirming chest mastectomy (top surgery)
      • Gonzalez E.
      • Frey J.D.
      • Bluebond-Langner R.
      Technical refinements in gender-affirming top surgery.
      is increasing. Efforts are being made to improve outcomes and patient satisfaction for this patient population. Studies reported that education by healthcare professionals enhanced patients’ satisfaction and readiness for surgery. Evidence demonstrated that preoperative education could reduce analgesia requirement
      • Egbert L.D.
      • Battit G.E.
      • Welch C.E.
      • Bartlett M.K.
      Reduction of postoperative pain by encouragement and instruction of patients. A study of doctor-patient rapport.
      • Kanto J.
      • Laine M.
      • Vuorisalo A.
      • Salonen M.
      Pre-operative preparation.
      and enhance recovery.
      • Gonzalez E.
      • Frey J.D.
      • Bluebond-Langner R.
      Technical refinements in gender-affirming top surgery.
      Patients reported less anxiety when given preoperative information.
      • Gammon J.
      • Mulholland C.W.
      Effect of preparatory information prior to elective total hip replacement on post-operative physical coping outcomes.
      • Lynn-McHale D.
      • Corsetti A.
      • Brady-Avis E.
      • Shaffer R.
      • McGrory J.
      • Rothenberger C.
      Preoperative ICU tours: are they helpful?.
      • Martin D.
      Pre-operative visits to reduce patient anxiety: a study.
      • Giraudet-Le Quintrec J.S.
      • Coste J.
      • Vastel L.
      • et al.
      Positive effect of patient education for hip surgery: a randomized trial.
      • Kearney M.
      • Jennrich M.K.
      • Lyons S.
      • Robinson R.
      • Berger B.
      Effects of preoperative education on patient outcomes after joint replacement surgery.
      • McDonald S.
      • Page M.J.
      • Beringer K.
      • Wasiak J.
      • Sprowson A.
      Preoperative education for hip or knee replacement.
      • McGregor A.H.
      • Rylands H.
      • Owen A.
      • Dore C.J.
      • Hughes S.P.
      Does preoperative hip rehabilitation advice improve recovery and patient satisfaction?.
      • Groller K.D.
      Systematic review of patient education practices in weight loss surgery.
      • Kruzik N.
      Benefits of preoperative education for adult elective surgery patients.
      However, there is no data on the effect of a class specifically for top surgery on surgical outcomes. At our institution, prospective patients have access to a multidisciplinary class to help prepare them for top surgery. We hypothesized that by educating patients and their support persons in a class, we could improve surgical outcomes.
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