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

IF 2.4 2区医学 Q1 PEDIATRICS

Journal of pediatric surgery Pub Date : 2024-09-30 DOI:10.1016/j.jpedsurg.2024.161975

Hendrik van Braak , Sjoerd A. de Beer , Jos W.R. Twisk , Sander Zwaveling , Matthijs W.N. Oomen , Justin R. de Jong , L.W. Ernest van Heurn

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引用次数: 0

Abstract

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.

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用动态加压支撑提高胸肌患者的生活质量

背景：与同龄人相比，鸡胸患者的生活质量和自尊心较低。我们评估了动态加压系统支具对鸡胸患者生活质量的影响：我们对 10-21 岁的患者进行了一项前瞻性队列研究。我们使用儿童健康问卷-87、状态-特质焦虑量表-6、世界卫生组织生活质量-BREF、36项简表调查和针对心胸畸形改编的单步问卷对生活质量进行了评估：结果：2013年3月至2016年3月期间，225名患者接受了动态加压系统支架治疗。患者在 36 项简表调查（Δ7.7（2.9-12.4））、单步问卷（Δ4.1（2.0-6.3））和世界卫生组织生活质量REF 四个领域中的三个（身体健康（Δ8.7（3.7-13.7））、心理健康（Δ11.8（6.1-17.5））、环境（Δ5.7（0.2-11.3）））。儿童健康问卷-87 的总分没有变化（Δ5.5 (-0.5-11.5)）。大部分改善发生在治疗开始后的六到十二个月内，之后趋于稳定。状态-特质焦虑量表-6 的焦虑评分没有改善（Δ0.5 (-0.1-1.2)）。身体不适、疼痛、心理健康和自尊/自我形象的得分在所有问卷调查中均有所改善。与治疗成功组相比，治疗失败组在所有问卷上都没有任何改善。大多数患者（87.2%）会再次选择支具，94.9%的患者对治疗表示满意：动态加压系统矫形器可改善贲门失弛缓症患者的生活质量，减少身体不适和疼痛，提高心理健康水平和自尊心。

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来源期刊

Journal of pediatric surgery 医学-外科

CiteScore

1.10

自引率

12.50%

发文量

569

审稿时长

38 days

期刊介绍： The journal presents original contributions as well as a complete international abstracts section and other special departments to provide the most current source of information and references in pediatric surgery. The journal is based on the need to improve the surgical care of infants and children, not only through advances in physiology, pathology and surgical techniques, but also by attention to the unique emotional and physical needs of the young patient.