Authors:	Kostic, Marko Sretenović, Aleksandar Radulović, Danka Milačić Vidaković, Ivona Savić, Milan Popović, Marko Bostanci, Korkut Stamenovic, Davor
Title:	Influence of psychosocial characteristics of patients and opinions of their relatives on indication for surgical treatment of pectus excavatum
Online publication date:	3-Jan-2024
Year of first publication:	2023
Language:	english
Abstract:	Background To assess the subjective experience of patients and their parents or relatives about the existing pectus excavatum deformity and to contribute to the definition of indications for surgical treatment of this deformity. Methods The initial sample of psychosocial characteristics consisted of self-assessments and observations of patients (and parents) regarding their health, self-image, health care, possible environmental response to their physical appearance, expectations regarding treatment. A modified version of the original Nuss questionnaire on quality of life was used in the psychological part of the examination. Results The study included a sample of 58 patients aged 10 to 30 years, and a sample of 58 family members of the patient (parents, relatives). The experience of poor emotional status, withdrawals, and bad self-image in patients older than 15 years than younger were significant. The tendency for female patients to have a worse experience is pronounced and significant. The largest percentage of parents have an ‘indecisive’ or ‘weakly expressed’ attitude towards surgery. Parents at a significantly higher rate show greater concern for female children. Conclusion A systematic evaluation of the psychosocial perception of patients and their relatives (who will consent for the operation) may be a useful diagnostic assessment before correcting an anterior chest wall malformation.
DDC:	610 Medizin 610 Medical sciences
Institution:	Johannes Gutenberg-Universität Mainz
Department:	FB 04 Medizin
Place:	Mainz
ROR:	https://ror.org/023b0x485
DOI:	http://doi.org/10.25358/openscience-9904
Version:	Published version
Publication type:	Zeitschriftenaufsatz
License:	CC BY
Information on rights of use:	https://creativecommons.org/licenses/by/4.0/
Journal:	ANZ journal of surgery 93 12
Pages or article number:	2974 2980
Publisher:	Blackwell Science Asia on behalf of the Royal Australasian College of Surgeons
Publisher place:	Carlton, Vic.
Issue date:	2023
ISSN:	1445-2197
Publisher DOI:	10.1111/ans.18746
Appears in collections:	DFG-491381577-H