Pectus Carinatum: Factors That Contribute to Success and Failure of Nonoperative Treatment.

Q4 Medicine

Connecticut Medicine Pub Date : 2017-04-01

Shefali Thaker, Matthew Anderson, James Fezio, Christine Rader, Meghna V Misra

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引用次数: 0

Abstract

Background: Pectus carinatum is a congenital chest wall deformity characterized by protrusion ofthe sternum and ribs. External bracing has been the gold standard treatment for this condition for the past 20 years.

Purpose: The primary purpose of the study was to identify factors that contribute to treatment success of bracing for patients with pectus carinatum. The secondary aim was to identify the optimal age to recommend bracing for pectus carinatum.

Methods: 176 patients who were evaluated for a brace for pectus carinatum were contacted to participate in an online survey about their experience. A retrospective chart review was conducted on patients who participated in the survey.

Results: Subjects rated themselves as more confident afterbracing(P=.002). Patients who hadfamily sup- port, and no documented complaints (P = .024) and (P = .009) respectively, were more likely to say they had made the right choice to wear the brace.

Conclusions: This study demonstrated that family support and fewer complaints are predictors of success for the brace.

本刊更多论文

胸突:影响非手术治疗成败的因素。

背景:胸突是一种以胸骨和肋骨突出为特征的先天性胸壁畸形。在过去的20年里，外部支架一直是治疗这种疾病的黄金标准。目的:本研究的主要目的是确定影响胸突患者支具治疗成功的因素。第二个目的是确定推荐使用托具治疗胸突的最佳年龄。方法:我们联系了176名接受胸突支架治疗的患者，让他们参与一项关于他们经历的在线调查。对参与调查的患者进行回顾性图表回顾。结果:受试者认为自己在支具后更自信(P= 0.002)。有家人支持的患者，没有记录的投诉(P = 0.024)和(P = 0.009)，更有可能说他们戴支架的选择是正确的。结论:本研究表明家庭支持和较少的投诉是支具成功的预测因素。

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

Connecticut Medicine Medicine-Medicine (all)

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期刊介绍： The Connecticut State Medical Society (CSMS) is a federation of eight component county medical associations, with a total membership exceeding 7,000 physicians. CSMS itself is a constituent state entity of the American Medical Association. Founded by the physician-patriots of the American Revolution, the Society operates from a heritage of democratic principles embodied in its Charter and Bylaws. The base of all authority in CSMS is, of course, the individual physician member. It is the decisions of members in their own county associations that ultimately determine the nature of the Society"s policies and activities.