Associate research coordinator in the Department of Urology at New York University Langone Health in New York City.
Assistant professor in the Hansjörg Wyss Department of Plastic Surgery and the Department of Population Health at the New York University Grossman School of Medicine in New York City.
AMA J Ethics. 2023 Jul 1;25(7):E496-506. doi: 10.1001/amajethics.2023.496.
Use of body mass index (BMI) as a health care metric is controversial, especially in candidacy assessments for gender-affirming surgery. When considering experiences of fat trans individuals, it is important to advocate for equitable divisions of responsibility for and recognition of systemic fat phobia. This commentary on a case suggests strategies for increasing equitable access to safe surgery for all body types. If surgeons use BMI thresholds, simultaneous effort must be made to advocate for data collection so that surgical candidacy criteria are evidence-based and equitably applied.
使用身体质量指数（BMI）作为医疗保健指标存在争议，特别是在性别肯定手术的候选评估中。在考虑脂肪转移个体的经历时，重要的是倡导公平分担责任和认识系统性肥胖恐惧症。这篇关于一个案例的评论提出了增加所有体型安全手术公平机会的策略。如果外科医生使用 BMI 阈值，那么必须同时努力倡导数据收集，以使手术候选标准具有基于证据且公平适用。
