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Health-related quality of life after Nuss procedure for pectus excavatum : A cross-sectional study

Norlander, Louise ; Sundqvist, Ann Sofie ; Anderzén-Carlsson, Agneta ; Dreifaldt, Mats ; Andreasson, Jesper LU and Vidlund, Mårten (2022) In Interactive Cardiovascular and Thoracic Surgery 35(1).
Abstract

OBJECTIVES: Pectus excavatum (PE) can cause both physical and psychosocial symptoms and affect patients' health-related quality of life. Previous international studies have shown that the Nuss procedure increases both self-esteem and body image. The aim of the study was to evaluate the health-related quality of life in patients who have undergone the Nuss procedure for PE. METHODS: The study had a cross-sectional multicentre design. All patients (N = 420) who underwent the Nuss procedure for PE in 3 cardiothoracic departments in Sweden from 2000 to 2019 were invited to answer the RAND-36 and Nuss Questionnaire modified for adults. Genders were compared using the Mann-Whitney U-test. Patients were divided into groups based on age at time... (More)

OBJECTIVES: Pectus excavatum (PE) can cause both physical and psychosocial symptoms and affect patients' health-related quality of life. Previous international studies have shown that the Nuss procedure increases both self-esteem and body image. The aim of the study was to evaluate the health-related quality of life in patients who have undergone the Nuss procedure for PE. METHODS: The study had a cross-sectional multicentre design. All patients (N = 420) who underwent the Nuss procedure for PE in 3 cardiothoracic departments in Sweden from 2000 to 2019 were invited to answer the RAND-36 and Nuss Questionnaire modified for adults. Genders were compared using the Mann-Whitney U-test. Patients were divided into groups based on age at time of surgery (<20, 20-30 or >30 years) and analysed by the Kruskal-Wallis H-test with post-hoc analyses. RESULTS: A total of 236 patients returned the questionnaires; 82.2% were males. Men scored significantly better on the modified Nuss Questionnaire total (P = 0.01) and psychosocial (P = 0.02) subscales. Patients who had surgery at <20 years of age had significantly better scores on the same scales (P = 0.007 and 0.006, respectively) compared to patients aged 20-30 years at the time of surgery. However, no significant difference was seen in comparison with patients >30 years. Patients who had their bar removed had significantly better values on both scales. CONCLUSIONS: Male gender, young age at surgery and bar removal seem to be associated with better health-related quality of life after the Nuss procedure for PE.

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author
; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Bar removal, Nuss procedure, Pectus excavatum, Quality of life
in
Interactive Cardiovascular and Thoracic Surgery
volume
35
issue
1
article number
ivac031
publisher
European Association of Cardio-Thoracic Surgery
external identifiers
  • pmid:35142354
  • scopus:85134083334
ISSN
1569-9293
DOI
10.1093/icvts/ivac031
language
English
LU publication?
yes
id
18f42962-dc25-45f1-85dc-d42e179edab5
date added to LUP
2022-09-15 15:23:03
date last changed
2025-03-03 22:30:43
@article{18f42962-dc25-45f1-85dc-d42e179edab5,
  abstract     = {{<p>OBJECTIVES: Pectus excavatum (PE) can cause both physical and psychosocial symptoms and affect patients' health-related quality of life. Previous international studies have shown that the Nuss procedure increases both self-esteem and body image. The aim of the study was to evaluate the health-related quality of life in patients who have undergone the Nuss procedure for PE. METHODS: The study had a cross-sectional multicentre design. All patients (N = 420) who underwent the Nuss procedure for PE in 3 cardiothoracic departments in Sweden from 2000 to 2019 were invited to answer the RAND-36 and Nuss Questionnaire modified for adults. Genders were compared using the Mann-Whitney U-test. Patients were divided into groups based on age at time of surgery (&lt;20, 20-30 or &gt;30 years) and analysed by the Kruskal-Wallis H-test with post-hoc analyses. RESULTS: A total of 236 patients returned the questionnaires; 82.2% were males. Men scored significantly better on the modified Nuss Questionnaire total (P = 0.01) and psychosocial (P = 0.02) subscales. Patients who had surgery at &lt;20 years of age had significantly better scores on the same scales (P = 0.007 and 0.006, respectively) compared to patients aged 20-30 years at the time of surgery. However, no significant difference was seen in comparison with patients &gt;30 years. Patients who had their bar removed had significantly better values on both scales. CONCLUSIONS: Male gender, young age at surgery and bar removal seem to be associated with better health-related quality of life after the Nuss procedure for PE. </p>}},
  author       = {{Norlander, Louise and Sundqvist, Ann Sofie and Anderzén-Carlsson, Agneta and Dreifaldt, Mats and Andreasson, Jesper and Vidlund, Mårten}},
  issn         = {{1569-9293}},
  keywords     = {{Bar removal; Nuss procedure; Pectus excavatum; Quality of life}},
  language     = {{eng}},
  month        = {{07}},
  number       = {{1}},
  publisher    = {{European Association of Cardio-Thoracic Surgery}},
  series       = {{Interactive Cardiovascular and Thoracic Surgery}},
  title        = {{Health-related quality of life after Nuss procedure for pectus excavatum : A cross-sectional study}},
  url          = {{http://dx.doi.org/10.1093/icvts/ivac031}},
  doi          = {{10.1093/icvts/ivac031}},
  volume       = {{35}},
  year         = {{2022}},
}