The Influence of Pain: Quality of Life after &amp;lt;i&amp;gt;Pectus excavatum&amp;lt;/i&amp;gt; Correction

BackgroundAn early observation after chest wall correction is direct inspection from the PE patient of their “new” thorax. Changes in self-perception may give raise to other psychological adaptations. The aim of this study was to evaluate the early changes in the fields of self-esteem, body image and QoL.MethodsProspective observational longitudinal multicenter cohort study. Self-esteem, emotional limitations and general health were assessed using the Child Health Questionnaire (CHQ) in patients under 18 and the World Health Organization Quality of Life Questionnaire-bref (WHOQOL-bref) was used for body image, psychological domain and overall QoL in patients over 16 years of age. Measurements were taken before surgery (T1) and 6 weeks (T2), and 6 months thereafter (T3).ResultsScores on post-operative self-esteem were significantly higher compared with scores pre-operatively (p < 0.007). Also body image, psychological domain and emotional limitations showed significant improvement, respectively p < 0.001, p < 0.001, and p < 0.016. Significant improvement in the first three components was mainly achieved in the first 6 weeks post-operative. In emotional limitation, however, the largest change was between 6 weeks and 6 months. Overall quality of life in the WHOQOL-bref and general health domain in the CHQ showed no significant improvement in relation to the pre-operative scores.ConclusionPost-operative PE patients after Nuss procedure showed an improved body image, increased self-esteem and increased psychological resilience in the first 6 months, with the most marked change in the first 6 weeks. Also emotional limitations changed significantly over time. The changes were not large enough to influence general QoL or general health significantly.

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“…In a previous paper, we investigated the first small group of this study population on the association between pain and QoL [ 13 ].…”

Section: Methodsmentioning

confidence: 99%

Early Consequences of Pectus Excavatum Surgery on Self‐Esteem and General Quality of Life

et al. 2018

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“…However, when the pain diminished, the influence of pain on the overall score changes implying that time of assessment can cause differences in total scores due to differences in pain scores. 9 Furthermore, healthy school children show differences in HRQoL over time which seems merely influenced by age and sex. 10 One may expect that the answers to the SSQ questions regarding pain, but also self-esteem, will also be influenced by gender, age, physical, and psychological well-being, and differ in time independently of surgery.…”

Section: Commentmentioning

confidence: 99%

The Outcome of the Single Step Questionnaire in Pectus Excavatum Patients is Phase Dependent

et al. 2019

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Introduction Pectus excavatum (PE) is the most common chest wall deformity. Patients with PE may have cosmetic complaints, restricted physical capabilities, or both and may seek surgical correction. One method to assess satisfaction after surgery is the single step questionnaire (SSQ). Although the developers state that the SSQ produces a stabile score and only needs to be used once, we hypothesized that the score may depend on point in time after surgery. Materials and Methods One hundred and eight patients from a longitudinal cohort of patients undergoing a Nuss bar placement for PE were selected. Mean age was 16.0 years (range: 12–29). SSQ was completed at 6 weeks, 6 months, 1 year, and 2 years postoperatively. Mean and median scores per question and total scores were calculated on each measurement moment. Overall scores were tested using the Friedman test. Results There were significant differences in overall SSQ scores (p < 0.009) throughout the postoperative period, especially between 6 weeks and 6 months (p = 0.006). Scores on general health, exercise capacity, impact on social life, pain during hospital stay, and after discharge changed also significant in the first 2 years after Nuss bar placement. Conclusion There were significant differences in total SSQ score depending on the time of application postoperatively. However, the most clinical relevant difference was between 6 weeks and 6 months. Assessment of the overall satisfaction postoperative with the SSQ questionnaire should not be done with a single measurement but rather at different postoperative time intervals before and after 6 months postoperatively.

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“…In the literature, most studies only focus on pain management in the first days after surgery (5). In these studies, pain was a significant problem for many patients, possibly impacting on satisfaction with the results (6). It may thus be worthwhile to influence pain and pain sensation in these patients in order to improve the satisfaction with the results of surgery.…”

Section: Introductionmentioning

confidence: 99%

Correlation of Preoperative State Anxiety and Pain Six Weeks After Surgical Correction of Pectus Excavatum

et al. 2020

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Background: Pain is a major concern in the early postoperative phase after correction of pectus excavatum. Most studies only focus on pain management in the first days after surgery and describe methods to alleviate the pain immediately postoperatively. The severity of postoperative pain may be influenced by anxiety. So far, few studies have looked into the relationship between anxiety and postoperative pain after pectus excavatum correction. Objectives: This study aimed to investigate the correlation between preoperative anxiety and late postoperative pain scores. Methods: This was a prospective cohort study. Anxiety was assessed with the State and Trait Anxiety Inventory questionnaire. Visual analogue scale (VAS) for pain scores assessed the pain at rest and activity. Anxiety was measured before surgery and pain scores six weeks after surgery. A hierarchical linear regression analysis was performed to investigate the correlation between baseline anxiety and pain measurements six weeks after surgery. Results: In this study, 136 patients were included. State anxiety was not associated with postoperative pain (mean of pain on activity and in rest), only with pain on activity after six weeks. Age and sex were not effect modifiers in any of the models. Relevant confounding factors, although not significant, consisted of trait, sex, minor complications, epidural duration, major complications, and the number of stabilizer plates. The explained variance of state anxiety on VAS for pain scores was minimum after 6 weeks. Conclusions: Preoperative anxiety does not appear to influence postoperative pain after PE correction.

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The Influence of Pain: Quality of Life after <i>Pectus excavatum</i> Correction

Cited by 4 publications

References 21 publications

Early Consequences of Pectus Excavatum Surgery on Self‐Esteem and General Quality of Life

Early Consequences of Pectus Excavatum Surgery on Self‐Esteem and General Quality of Life

The Outcome of the Single Step Questionnaire in Pectus Excavatum Patients is Phase Dependent

Correlation of Preoperative State Anxiety and Pain Six Weeks After Surgical Correction of Pectus Excavatum

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