Pectus carinatum patients report high satisfaction with bracing

In a study of patient experiences and satisfaction with dynamic compression bracing to treat pectus carinatum, researchers found that the bracing was effective in achieving correction in compliant patients and that patients reported high satisfaction with the bracing.

Bracing in pediatric patients with pectus carinatum is effective and improves quality of life. The Calgary Protocol

The O&P EDGE June 28, 2019

The research team from Children’s Mercy Hospital, Kansas City, Missouri, conducted a prospective institutional data review of patients who underwent dynamic compression bracing to treat pectus carinatum from July 2011 to June 2018. Data were analyzed for those who entered the retainer mode after correction, defined by a correction pressure of less than 1 psi, and a telephone survey was conducted regarding the patients’ bracing experience and satisfaction with the outcome on a scale of one to ten.

Of 460 patients, 144 reached the retainer mode. Median time to retainer mode was 5.5 months. There was no statistically significant relationship between initial correction pressure or carinatum height and time to retainer mode. Fifty-seven percent were compliant with brace use, and median time to retainer mode in this subset was significantly shorter than noncompliant patients (3.5 months versus 10 months). Fifty-three percent of the patients responded to the survey 13 months after the last clinic visit.

The main barrier to compliance with wearing the brace was discomfort (37 percent), while the main motivation for compliance was appearance (58 percent). All respondents endorsed bracing as worthwhile, with 94 percent reporting a satisfaction rating of eight or greater for the correction outcome.

The study was published in the Journal of Laparoendoscopic & Advanced Surgical Techniques.

Source The O&P EDGE

References

Outcomes Following Dynamic Compression Bracing for Pectus Carinatum, Dekonenko C, Dorman RM, Pierce A, Orrick BA, Juang D, Aguayo P, Fraser JD, Oyetunji TA, Snyder CL, St Peter SD, Holcomb GW 3rd. J Laparoendosc Adv Surg Tech A. 2019 Jun 26. doi: 10.1089/lap.2019.0171. [Epub ahead of print]