Abstract
OBJECTIVE. This study evaluated changes in both physical and psychosocial quality of life reported by the parent and child after surgical repair of pectus excavatum. METHODS. As part of a multicenter study of pectus excavatum, a previously validated tool called the Pectus Excavatum Evaluation Questionnaire was administered by the research coordinator, via telephone, to parents and patients (8-21 years of age) before and 1 year after surgery. Eleven North American children's hospitals participated. From 2001 to 2006, 264 patients and 291 parents completed the initial questionnaire, and 247 patients and 274 parents completed the postoperative questionnaire. Responses used a Likert-type scale of 1 to 4, reflecting the extent or frequency of a particular experience, with higher values conveying less-desirable experience. RESULTS. Preoperative psychosocial functioning was unrelated to objective pectus excavatum severity (computed tomographic index). Patients and their parents reported significant positive postoperative changes. Improvements occurred in both physical and psychosocial functioning, including less social self-consciousness and a more-favorable body image. For children, the body image component improved from 2.30 ± 0.62 (mean ± SD) to 1.40 ± 0.42 after surgery and the physical difficulties component improved from 2.11 ± 0.82 to 1.37 ± 0.44. For the parent questionnaire, the child's emotional difficulties improved from 1.81 ± 0.70 to 1.24 ± 0.36, social self-consciousness improved from 2.86 ± 1.03 to 1.33 ± 0.68, and physical difficulties improved from 2.14 ± 0.75 to 1.32 ± 0.39. Ninety-seven percent of patients thought that surgery improved how their chest looked. CONCLUSIONS. Surgical repair of pectus excavatum can significantly improve the body image difficulties and limitations on physical activity experienced by patients. These results should prompt physicians to consider the physiologic and psychological implications of pectus excavatum just as they would any other physical deformity known to have such consequences.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1218-1222 |
| Number of pages | 5 |
| Journal | Pediatrics |
| Volume | 122 |
| Issue number | 6 |
| DOIs | |
| State | Published - Dec 2008 |
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Keywords
- Body image
- Comparative study
- Exercise capacity
- Multicenter study
- Nuss procedure
- Open procedure
- Outcomes research
- Pectus excavatum
- Quality of life
- Ravitch procedure
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
Cite this
Surgical repair of pectus excavatum markedly improves body image and perceived ability for physical activity : Multicenter study. / Kelly, Robert E.; Cash, Thomas F.; Shamberger, Robert C.; Mitchell, Karen K.; Mellins, Robert B.; Lawson, M. Louise; Oldham, Keith; Azizkhan, Richard G.; Hebra, Andre V.; Nuss, Donald; Goretsky, Michael J.; Sharp, Ronald J.; Holcomb, George W.; Shim, Walton K T; Megison, Stephen M.; Moss, R. Lawrence; Fecteau, Annie H.; Colombani, Paul M.; Bagley, Traci; Quinn, Amy; Moskowitz, Alan B.
In: Pediatrics, Vol. 122, No. 6, 12.2008, p. 1218-1222.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Surgical repair of pectus excavatum markedly improves body image and perceived ability for physical activity
T2 - Multicenter study
AU - Kelly, Robert E.
AU - Cash, Thomas F.
AU - Shamberger, Robert C.
AU - Mitchell, Karen K.
AU - Mellins, Robert B.
AU - Lawson, M. Louise
AU - Oldham, Keith
AU - Azizkhan, Richard G.
AU - Hebra, Andre V.
AU - Nuss, Donald
AU - Goretsky, Michael J.
AU - Sharp, Ronald J.
AU - Holcomb, George W.
AU - Shim, Walton K T
AU - Megison, Stephen M.
AU - Moss, R. Lawrence
AU - Fecteau, Annie H.
AU - Colombani, Paul M.
AU - Bagley, Traci
AU - Quinn, Amy
AU - Moskowitz, Alan B.
PY - 2008/12
Y1 - 2008/12
N2 - OBJECTIVE. This study evaluated changes in both physical and psychosocial quality of life reported by the parent and child after surgical repair of pectus excavatum. METHODS. As part of a multicenter study of pectus excavatum, a previously validated tool called the Pectus Excavatum Evaluation Questionnaire was administered by the research coordinator, via telephone, to parents and patients (8-21 years of age) before and 1 year after surgery. Eleven North American children's hospitals participated. From 2001 to 2006, 264 patients and 291 parents completed the initial questionnaire, and 247 patients and 274 parents completed the postoperative questionnaire. Responses used a Likert-type scale of 1 to 4, reflecting the extent or frequency of a particular experience, with higher values conveying less-desirable experience. RESULTS. Preoperative psychosocial functioning was unrelated to objective pectus excavatum severity (computed tomographic index). Patients and their parents reported significant positive postoperative changes. Improvements occurred in both physical and psychosocial functioning, including less social self-consciousness and a more-favorable body image. For children, the body image component improved from 2.30 ± 0.62 (mean ± SD) to 1.40 ± 0.42 after surgery and the physical difficulties component improved from 2.11 ± 0.82 to 1.37 ± 0.44. For the parent questionnaire, the child's emotional difficulties improved from 1.81 ± 0.70 to 1.24 ± 0.36, social self-consciousness improved from 2.86 ± 1.03 to 1.33 ± 0.68, and physical difficulties improved from 2.14 ± 0.75 to 1.32 ± 0.39. Ninety-seven percent of patients thought that surgery improved how their chest looked. CONCLUSIONS. Surgical repair of pectus excavatum can significantly improve the body image difficulties and limitations on physical activity experienced by patients. These results should prompt physicians to consider the physiologic and psychological implications of pectus excavatum just as they would any other physical deformity known to have such consequences.
AB - OBJECTIVE. This study evaluated changes in both physical and psychosocial quality of life reported by the parent and child after surgical repair of pectus excavatum. METHODS. As part of a multicenter study of pectus excavatum, a previously validated tool called the Pectus Excavatum Evaluation Questionnaire was administered by the research coordinator, via telephone, to parents and patients (8-21 years of age) before and 1 year after surgery. Eleven North American children's hospitals participated. From 2001 to 2006, 264 patients and 291 parents completed the initial questionnaire, and 247 patients and 274 parents completed the postoperative questionnaire. Responses used a Likert-type scale of 1 to 4, reflecting the extent or frequency of a particular experience, with higher values conveying less-desirable experience. RESULTS. Preoperative psychosocial functioning was unrelated to objective pectus excavatum severity (computed tomographic index). Patients and their parents reported significant positive postoperative changes. Improvements occurred in both physical and psychosocial functioning, including less social self-consciousness and a more-favorable body image. For children, the body image component improved from 2.30 ± 0.62 (mean ± SD) to 1.40 ± 0.42 after surgery and the physical difficulties component improved from 2.11 ± 0.82 to 1.37 ± 0.44. For the parent questionnaire, the child's emotional difficulties improved from 1.81 ± 0.70 to 1.24 ± 0.36, social self-consciousness improved from 2.86 ± 1.03 to 1.33 ± 0.68, and physical difficulties improved from 2.14 ± 0.75 to 1.32 ± 0.39. Ninety-seven percent of patients thought that surgery improved how their chest looked. CONCLUSIONS. Surgical repair of pectus excavatum can significantly improve the body image difficulties and limitations on physical activity experienced by patients. These results should prompt physicians to consider the physiologic and psychological implications of pectus excavatum just as they would any other physical deformity known to have such consequences.
KW - Body image
KW - Comparative study
KW - Exercise capacity
KW - Multicenter study
KW - Nuss procedure
KW - Open procedure
KW - Outcomes research
KW - Pectus excavatum
KW - Quality of life
KW - Ravitch procedure
UR - http://www.scopus.com/inward/record.url?scp=58249093610&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=58249093610&partnerID=8YFLogxK
U2 - 10.1542/peds.2007-2723
DO - 10.1542/peds.2007-2723
M3 - Article
C2 - 19047237
AN - SCOPUS:58249093610
VL - 122
SP - 1218
EP - 1222
JO - Pediatrics
JF - Pediatrics
SN - 0031-4005
IS - 6
ER -