Patient satisfaction after Nuss procedure with one or two bars in young adults: A propensity score-matched cohort study.

IF 0.7 Q3 Medicine

ASIAN CARDIOVASCULAR & THORACIC ANNALS Pub Date : 2024-08-12 DOI:10.1177/02184923241272887

Alessio Campisi, Riccardo Giovannetti, Giovanni Falezza, Emanuele Voulaz, Alessandro Lonardoni, Maurizio Valentino Infante

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引用次数: 0

Abstract

Background: The Nuss procedure is the primary treatment for pectus excavatum (PE), but patient expectations are not always met. In our unit, our standard approach in the last few years has been the routine application of two bars instead of one. We aimed to retrospectively assess the impact of this approach on patient satisfaction, quality of life (QoL) and safety.

Methods: A retrospective study included 182 patients over 16 years old who underwent the Nuss procedure for PE between January 2007 and September 2021. Patients were categorized into one-bar or two-bar correction groups. Propensity score matching (PSM) was used, resulting in 30 patients in each group. Primary endpoints were QoL and cosmetic satisfaction, while secondary endpoints included complications and recurrence.

Results: After PSM, both groups showed similar general characteristics. Patients treated with two bars reported fewer psychological complaints post-surgery (93.3% vs. 73.3%, p = 0.031). There were no significant differences in QoL improvement (96.7% in both groups, p = 0.197), perioperative complications (p = 0.771) or recurrence (one patient in the one-bar group, p = 1.000).

Conclusions: Our study reveals that patients undergoing the Nuss Procedure for PE with two bars exhibit comparable clinical outcomes and QoL to those with one bar. However, patients with two bars may have higher levels of psychological well-being and satisfaction, indicating potential benefits associated with this approach. These findings suggest potential advantages of the two-bar approach, but further research with larger sample sizes is warranted to confirm these observations.

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青壮年接受一杠或两杠努斯手术后的患者满意度：倾向得分匹配队列研究。

背景：努氏手术是治疗胸大肌（PE）的主要方法，但并非总能满足患者的期望。在我们科室，过去几年的标准方法是常规应用两根横杆而不是一根。我们的目的是回顾性评估这种方法对患者满意度、生活质量（QoL）和安全性的影响：一项回顾性研究纳入了 2007 年 1 月至 2021 年 9 月间接受 Nuss 手术治疗 PE 的 182 名 16 岁以上患者。患者被分为单杠或双杠矫正组。采用倾向评分匹配法（PSM），每组 30 名患者。主要终点是生活质量和外观满意度，次要终点包括并发症和复发：经过 PSM 分析，两组患者的总体特征相似。接受双杠治疗的患者术后的心理抱怨较少（93.3% 对 73.3%，P = 0.031）。在生活质量改善（两组均为96.7%，p = 0.197）、围手术期并发症（p = 0.771）或复发（单杠组有一名患者，p = 1.000）方面没有明显差异：我们的研究表明，接受 Nuss 手术治疗 PE 的患者中，双杠患者的临床疗效和生活质量与单杠患者相当。然而，使用双杠的患者可能具有更高的心理健康水平和满意度，这表明这种方法具有潜在的益处。这些研究结果表明了双杠法的潜在优势，但要证实这些观察结果，还需要进行样本量更大的进一步研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

ASIAN CARDIOVASCULAR & THORACIC ANNALS Multiple-

CiteScore

1.30

自引率

0.00%

发文量

期刊介绍： The Asian Cardiovascular and Thoracic Annals is an international peer-reviewed journal pertaining to cardiovascular and thoracic medicine. Besides original clinical manuscripts, we welcome research reports, product reviews, reports of new techniques, and findings of special significance to Asia and the Pacific Rim. Case studies that have significant novel original observations, are instructive, include adequate methodological details and provide conclusions. Workshop proceedings, meetings and book reviews, letters to the editor, and meeting announcements are encouraged along with relevant articles from authors.