Health-Related Quality of Life in Children and Adolescents Undergoing Surgery for Pectus Excavatum

Jacobsen, Elisabeth Brammer; Thastum, Mikael; Jeppesen, Jesper; Pilegaard, Hans K.

doi:10.1055/s-0029-1243621

Cited by 55 publications

(18 citation statements)

References 18 publications

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“…Long-term follow-up in specific pediatric surgical populations shows that some surgeries are associated with improved HRQOL in the long-term (e.g. pectus surgery, scoliosis surgery) 9,13 , and others are associated with impaired HRQOL (e.g. heart surgery, transplant surgery) 1,8,19 .…”

Section: Introductionmentioning

confidence: 99%

Pain and Health-Related Quality of Life After Pediatric Inpatient Surgery

Rabbitts

Palermo

Zhou

et al. 2015

The Journal of Pain

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Around 4 million children undergo inpatient surgery in the U.S. each year, however little is known about the impact of surgery and postoperative pain on children’s health-related quality of life (HRQOL) during the weeks and months after surgery. We measured pain and HRQOL in a large, heterogeneous pediatric postsurgical population from baseline to 1-month follow-up. Over a 20-month period, parents of 915 children age 2–18 years (Mean=9.6 years), 50% male, 56% white, admitted to surgical services at a children’s hospital enrolled in the study. Parent participants reported on sociodemographics, child HRQOL and pain characteristics at baseline and 1 month post-discharge. While the majority of children recovered to baseline by 1-month post-hospital discharge, 23% of children had a significant declination in HRQOL. Multivariate logistic regression analyses found that increasing child age (OR=2.1 for age 13–18), and presence of moderate-severe postsurgical pain at 1-month (OR=5.7) were significantly associated with deterioration in HRQOL from baseline to 1-month follow-up (p’s<0.05). While HRQOL returns to baseline for most children, a sizeable proportion have significant deterioration in HRQOL, which is associated with continued postsurgical pain at 1-month after hospital discharge from surgery.

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Section: Introductionmentioning

confidence: 99%

Pain and Health-Related Quality of Life After Pediatric Inpatient Surgery

Rabbitts

Palermo

Zhou

et al. 2015

The Journal of Pain

View full text Add to dashboard Cite

show abstract

“…In 2010, the first study using a control group found a higher QoL in the intervention group compared to healthy controls in the same age, especially in 5 sub-categories: self-esteem, behavior, emotional role, mental health, and family activities. 5 There was a significant correlation between scores of the children and their parents.…”

Section: Articles Related To Pectus Excavatummentioning

confidence: 91%

“…Since then, interest in patients' quality of life (QoL) has also increased, evident by the studies that have emerged in the last 2 decades. [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] It is important to bear in mind that QoL is a "concept" which comprises general feelings of satisfaction, well-being (physical and emotional), social belonging, and empowerment. 20 Hence, various questionnaires were developed throughout the years in order to assess QoL in pectus patients, such as the Pectus Excavatum Evaluation Questionnaire (PEEQ).…”

Section: Introductionmentioning

confidence: 99%

Analysis of Psychological Assessments Affecting Patients Undergoing Treatment for Chest Wall Deformities

Alqadi

Saxena

2021

The American Surgeon™

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Aim This study aimed to review the literature with regard to the psychological aspects in patients with pectus excavatum (PE) and pectus carinatum (PC). Methods The literature was reviewed by analyzing articles on PubMed using the search terms “psychology” and “pectus.” Results The literature search revealed 22 articles that offered a total of 2214 patients for analysis. Regarding chest wall deformities (CWD), there were 15 articles referring to PE, 4 articles on PC, and 3 pertaining to both PE and PC. Authors used various types of questionnaires and 14 studies which also included a parent questionnaire. There are 14 reports which analyzed both the preoperative and postoperative psychological status and 4 reports in which a control group was used. Treatment of CWD was shown to have consistently positive results. There is no consensus regarding the correlation between severity of CWD and psychological issues. Only 2 studies found no statistically significant results after treatment. Conclusions The literature reveals a great concern for psychosocial issues in CWD patients. Most articles describe improvement in overall quality of life (QOL) after surgery. An increase in social and physical function, body image, and self-esteem was observed in CWD patients, which is supported by parent responses.

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“…The scales in the CHQ–CF87 have demonstrated adequate psychometric properties in a number of samples of young people with physical and psychological diagnoses 26 . The CHQ–CF87 is commonly used 27–30 , and has been shown to be valid via their significant associations with other important quality of life domains 31–35 , as well as their responsivity to treatment 36,37 . Although the CHQ-87 provides a very broad assessment of multiple important domains of physical and psychological function, we determined that one of the scales – Change in Health – was not an appropriate criterion measure in the current analyses, because it assesses perceived change over the past year.…”

Section: Methodsmentioning

confidence: 99%

Pain Beliefs and Quality of Life in Young People With Disabilities and Bothersome Pain

Miró

Solé

Gertz

et al. 2017

The Clinical Journal of Pain

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Objectives Pain beliefs have been hypothesized to play an important role in pediatric pain. However, research examining the associations between pain-related beliefs and measures of function in youths with disabilities is limited. Methods Eighty-four youths (mean age = 14.26 years; SD = 3.27) with physical disabilities who indicated they also had bothersome pain were interviewed and asked to rate their average pain intensity in the past week, and to complete measures of pain-related beliefs and health-related quality of life. Results A number of pain beliefs were associated with different physical and psychosocial function domains, although different beliefs appeared to play different roles, depending on the function domain examined. Across all of the health-related quality of life domains studied, a belief that pain is influenced by one’s emotions was associated with lower levels of function. No differences were found in pain beliefs related to age. In addition, a small difference in pain beliefs was found for sex; specifically girls were more likely than boys to endorse the belief that pain is influenced by emotions. Discussion The findings provide new information regarding the role that pain beliefs have in predicting function, and have important clinical implications regarding how youth with physical disabilities and pain might be most effectively treated.

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Health-Related Quality of Life in Children and Adolescents Undergoing Surgery for Pectus Excavatum

Abstract: HRQol was significantly better in the Intervention Group compared to healthy controls at the same age. In five subscales Self-Esteem, Behavior, Emotional Role, Mental Health and Family Activities, the PE group had a better HRQoL.

Cited by 55 publications

References 18 publications

Pain and Health-Related Quality of Life After Pediatric Inpatient Surgery

Pain and Health-Related Quality of Life After Pediatric Inpatient Surgery

Analysis of Psychological Assessments Affecting Patients Undergoing Treatment for Chest Wall Deformities

Pain Beliefs and Quality of Life in Young People With Disabilities and Bothersome Pain

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