Improving Quality of Life With Dynamic Compression Bracing in Patients With Pectus Carinatum.

Autor: van Braak H; Department of Pediatric Surgery, Emma Kinderziekenhuis Amsterdam University Medical Center, Meibergdreef 9, 1105AZ Amsterdam, the Netherlands; Department of Surgery, Leiden University Medical Center, Albinusdreef 2, 2333ZA Leiden, the Netherlands. Electronic address: h.vanbraak@amsterdamumc.nl., de Beer SA; Department of Pediatric Surgery, Emma Kinderziekenhuis Amsterdam University Medical Center, Meibergdreef 9, 1105AZ Amsterdam, the Netherlands., Twisk JWR; Department of Epidemiology and Biostatistics, Amsterdam UMC, Vrije Universiteit Amsterdam, De Boelelaan 1105, 1081HV Amsterdam, the Netherlands., Zwaveling S; Department of Pediatric Surgery, Emma Kinderziekenhuis Amsterdam University Medical Center, Meibergdreef 9, 1105AZ Amsterdam, the Netherlands., Oomen MWN; Department of Pediatric Surgery, Emma Kinderziekenhuis Amsterdam University Medical Center, Meibergdreef 9, 1105AZ Amsterdam, the Netherlands., de Jong JR; Department of Pediatric Surgery, Emma Kinderziekenhuis Amsterdam University Medical Center, Meibergdreef 9, 1105AZ Amsterdam, the Netherlands., Ernest van Heurn LW; Department of Pediatric Surgery, Emma Kinderziekenhuis Amsterdam University Medical Center, Meibergdreef 9, 1105AZ Amsterdam, the Netherlands; Department of Surgery, Leiden University Medical Center, Albinusdreef 2, 2333ZA Leiden, the Netherlands.
Jazyk: angličtina
Zdroj: Journal of pediatric surgery [J Pediatr Surg] 2024 Sep 30; Vol. 60 (1), pp. 161975. Date of Electronic Publication: 2024 Sep 30.
DOI: 10.1016/j.jpedsurg.2024.161975
Abstrakt: Background: Patients with pectus carinatum have lower quality of life and self-esteem than their peers. We assessed the impact of dynamic compression system bracing on quality of life in patients with pectus carinatum.
Methods: We conducted a prospective cohort study on patients aged 10-21 years. We assessed quality of life using the Child Health Questionnaire-87, the State-Trait Anxiety Inventory-6, the World Health Organization Quality of Life-BREF, the 36-Item Short Form Survey, and the Single-Step Questionnaire adapted for pectus carinatum.
Results: Between March 2013 and March 2016, 225 patients treated with dynamic compression system bracing were included. Patients showed improvements across the overall scores of the 36-Item Short Form Survey (Δ7.7 (2.9-12.4)), Single-Step Questionnaire (Δ4.1 (2.0-6.3)) and three out of four World Health Organization Quality of Life-BREF domains (physical health (Δ8.7 (3.7-13.7)), psychological health (Δ11.8 (6.1-17.5)), environment (Δ5.7 (0.2-11.3))). No changes across the Child Health Questionnaire-87 overall score were observed (Δ5.5 (-0.5-11.5)). Most improvement occurred within six to twelve months after treatment initiation, stabilizing thereafter. Anxiety scores on the State-Trait Anxiety Inventory-6 did not improve (Δ0.5 (-0.1-1.2)). Scores on physical complaints, pain, psychological health and self-esteem/self-image improved across all questionnaires. In contrast to the successfully treated group, the unsuccessfully treated group showed no improvement on any of the questionnaires. Most patients (87.2 %) would choose bracing again, 94.9 % of patients were satisfied with the treatment.
Conclusions: Dynamic compression system bracing improves quality of life, reduces physical complaints and pain and boosts psychological health and self-esteem in patients with pectus carinatum.
Competing Interests: Conflicts of interest Sjoerd A. de Beer, contracted by the company Atricure, works as a proctor for cryotherapy in pectus patients. The other authors have no relevant financial or non-financial interests to disclose.
(Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: