ArticleEuropean journal of plastic surgery2017
Quality of life improves early after gender reassignment surgery in transgender women.
Article in European journal of plastic surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 4 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
41 citing papers in PubMed, 4 syntheses or guidelines pooled it, 99 citations in OpenAlex.
- Do hormones and surgery improve the health of adults with gender incongruence? A systematic review of patient reported outcomes.ANZ journal of surgery · 2025Pooled it
- Implementation of Patient-Reported Outcome Measures for Gender-Affirming Care Worldwide: A Systematic Review.JAMA network open · 2023Pooled it
- Correlates of Tobacco and Nicotine Use Among Transgender and Gender Diverse People: A Systematic Review Guided by the Minority Stress Model.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2022Pooled it
- Quality of life of treatment-seeking transgender adults: A systematic review and meta-analysis.Reviews in endocrine & metabolic disorders · 2018Pooled it
- Mental Health, Gender Dysphoria, and Quality of Life in Trans Individuals Following Top Surgery: Protocol for a Prospective Cohort Study.JMIR research protocols · 2026Article
- Primary sigmoid vaginoplasty in gender affirmation surgery: technique and outcomes.Sexual medicine · 2026Article
- Impact of Gender-Affirming Surgery on Psychiatric Outcomes and Quality of Life in Transgender Individuals: A Systematic Review of Longitudinal Cohort Studies.Journal of clinical medicine · 2026Review
- Psychosocial and mental health outcomes associated with gender-affirming interventions among transgender youth: a scoping review.Frontiers in public health · 2026Article
- Relationship between early maladaptive schemas (EMSs), adverse childhood experiences and mental health in adulthood among transgender individuals.European journal of psychotraumatology · 2025Article
- General and transgender-specific quality of life in trans persons assigned female at birth: validation of the Essen Transgender Quality of Life-Inventory.Sexual medicine · 2025Article
- Association Between Gender-Affirming Surgeries and Mental Health Outcomes.Archives of sexual behavior · 2025Article
- Innovations in gender affirmation: AI-enhanced surgical guides for mandibular facial feminization surgery.Clinical oral investigations · 2025Article
- Systematic review of prospective adult mental health outcomes following affirmative interventions for gender dysphoria.International journal of transgender health · 2025Review
- Experiences of gender-affirming healthcare among transgender and gender diverse (TGD) people during the COVID-19 pandemic: An explanatory sequential mixed methods study.International journal of transgender health · 2025Article
- Effect of gender-affirming treatments on depression and anxiety symptoms in transgender people: a retrospective cohort study.Frontiers in psychiatry · 2025Article
- Evaluating Access and Outcomes in Gender-affirming Breast Augmentation: A Comparative Study of a County Hospital and an Academic Center.Plastic and reconstructive surgery. Global open · 2024Article
- The Most-Cited Publications in Gender-Affirming Surgery: A Cross-Sectional Bibliometric Analysis.Plastic surgery (Oakville, Ont.) · 2024Article
- Pain mechanisms in the transgender individual: a review.Frontiers in pain research (Lausanne, Switzerland) · 2024Review
- Peer-based interventions to support transgender and gender diverse people's health and healthcare access: A scoping review.International journal of transgender health · 2024Article
- Partial Regret After Gender Affirmation Surgery of a 35-Year-Old Taiwanese Transgender Woman.Archives of sexual behavior · 2023Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFew studies have examined the long-term quality of life (QoL) of individuals with gender dysphoria, or how it is affected by treatment. Our aim was to examine the QoL of transgender women undergoing gender reassignment surgery (GRS).
methodsWe performed a prospective cohort study on 190 patients undergoing male-to-female GRS at Karolinska University Hospital between 2003 and 2015. We used the Swedish version of the Short Form-36 Health Survey (SF-36), which measures QoL across eight domains. The questionnaire was distributed to patients pre-operatively, as well as 1, 3, and 5 years post-operatively. The results were compared between the different measure points, as well as between the study group and the general population.
resultsOn most dimensions of the SF-36 questionnaire, transgender women reported a lower QoL than the general population. The scores of SF-36 showed a non-significant trend to be lower 5 years post-GRS compared to pre-operatively, a decline consistent with that of the general population. Self-perceived health compared to 1 year previously rose in the first post-operative year, after which it declined.
conclusionsTo our knowledge, this is the largest prospective study to follow a group of transgender patients with regards to QoL over continuous temporal measure points. Our results show that transgender women generally have a lower QoL compared to the general population. GRS leads to an improvement in general well-being as a trend but over the long-term, QoL decreases slightly in line with that of the comparison group. Level of evidence: Level III, therapeutic study.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.