{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T23:05:06Z","timestamp":1790118306171,"version":"4.0.1"},"reference-count":32,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr Surg"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Bracing is the preferred treatment for pectus carinatum. However, few studies have compared outcomes of different bracing methods. We tested the hypothesis that the type of brace has no effect on outcomes.<\/jats:p>\n                  <jats:p>A retrospective study of children who underwent bracing during a 10-year period (2011\u20132021) at a multidisciplinary chest wall anomaly center was conducted. The characteristics and outcomes of patients treated with a pressure-guided orthotist-adjusted brace (FMF Dynamic Compression System [DCS]) were compared with those treated with a simpler, less costly, self-adjustable brace (Trulife). Pressure of correction (POC) was used to assess severity. A standardized follow-up protocol was used. Patients who were still in active bracing or had inadequate follow-up were excluded.<\/jats:p>\n                  <jats:p>During the study period, 373 patients started bracing, with 241 (93.7% males) having sufficient data to assess outcomes (170 DCS, 71 Trulife). Bracing succeeded in 217 patients (90%). Of 24 patients who failed, the majority (17) were due to non-compliance. There were no significant differences in POC (DCS 5.27\u2009\u00b1\u20091.59 vs. Trulife 4.99\u2009\u00b1\u20091.62 psi, p\u2009=\u20090.219) or any other characteristics between the groups. Bracing success (DCS 89% vs. Trulife 93%, p\u2009=\u20090.329) and active bracing duration (5.41\u2009\u00b1\u20093.52 vs. 5.37\u2009\u00b1\u20094.28 months, p\u2009=\u20090.944) were similar between the two groups. Loss to follow-up was significantly higher in the Trulife group (40.7% vs. 23.7%). Use of the Trulife brace resulted in a cost savings of CAD 406,000.00.<\/jats:p>\n                  <jats:p>With the limitations of a retrospective study, a self-adjustable brace resulted in a similar success rate and bracing duration, when compared with a pressure-guided orthotist-adjusted brace, and was associated with substantial cost savings.<\/jats:p>\n                  <jats:p>IV.<\/jats:p>","DOI":"10.1055\/a-2887-9645","type":"journal-article","created":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T23:09:31Z","timestamp":1781651371000},"page":"378-384","source":"Crossref","is-referenced-by-count":0,"title":["Dynamic Compression System versus Self-Adjustable Bracing for Pectus Carinatum: Clinical Outcomes and Cost Comparison"],"prefix":"10.1055","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3642-4916","authenticated-orcid":false,"given":"Sherif","family":"Emil","sequence":"additional","affiliation":[{"name":"Shriners Hospitals for Children Canada, Quebec, Canada","place":["Montreal"],"department":["Chest Wall Anomaly Centre"]},{"name":"Faculty of Medicine and Health Sciences, McGill University, Quebec, Canada","place":["Montreal"],"department":["Department of Pediatric Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yseult","family":"Gibert","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Sciences, McGill University, Quebec, Canada","place":["Montreal"],"department":["Department of Pediatric Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daphne","family":"Lew","sequence":"additional","affiliation":[{"name":"Washington University in St Louis, Missouri, United States","place":["St. Louis"],"department":["Center for Biostatistics and Data Science"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Martin","family":"Laberge","sequence":"additional","affiliation":[{"name":"Shriners Hospitals for Children Canada, Quebec, Canada","place":["Montreal"],"department":["Chest Wall Anomaly Centre"]},{"name":"Faculty of Medicine and Health Sciences, McGill University, Quebec, Canada","place":["Montreal"],"department":["Department of Pediatric Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Etienne","family":"St-Louis","sequence":"additional","affiliation":[{"name":"Shriners Hospitals for Children Canada, Quebec, Canada","place":["Montreal"],"department":["Chest Wall Anomaly Centre"]},{"name":"Faculty of Medicine and Health Sciences, McGill University, Quebec, Canada","place":["Montreal"],"department":["Department of Pediatric Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hussein","family":"Wissanji","sequence":"additional","affiliation":[{"name":"Shriners Hospitals for Children Canada, Quebec, Canada","place":["Montreal"],"department":["Chest Wall Anomaly Centre"]},{"name":"Faculty of Medicine and Health Sciences, McGill University, Quebec, Canada","place":["Montreal"],"department":["Department of Pediatric Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Cayer","sequence":"additional","affiliation":[{"name":"Shriners Hospitals for Children Canada, Quebec, Canada","place":["Montreal"],"department":["Chest Wall Anomaly Centre"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piotr","family":"Duma","sequence":"additional","affiliation":[{"name":"Shriners Hospitals for Children Canada, Quebec, Canada","place":["Montreal"],"department":["Chest Wall Anomaly Centre"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jade","family":"Goyette","sequence":"additional","affiliation":[{"name":"Shriners Hospitals for Children Canada, Quebec, Canada","place":["Montreal"],"department":["Chest Wall Anomaly Centre"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marianne","family":"Toledo","sequence":"additional","affiliation":[{"name":"Shriners Hospitals for Children Canada, Quebec, Canada","place":["Montreal"],"department":["Chest Wall Anomaly Centre"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,6,16]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1053\/j.semtcvs.2009.03.001","article-title":"Anatomical, histologic, and genetic characteristics of congenital chest wall deformities","volume":"21","author":"A A Fokin","year":"2009","journal-title":"Semin Thorac Cardiovasc Surg"},{"key":"ref2","volume-title":"Chapter 6: Chest wall anomalies","author":"S Emil","year":"2020"},{"issue":"07","key":"ref3","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1007\/s00383-016-3904-3","article-title":"The impact of developing a pectus center for chest wall deformities","volume":"32","author":"K W Gonzalez","year":"2016","journal-title":"Pediatr Surg Int"},{"issue":"02","key":"ref4","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1016\/j.bodyim.2012.01.005","article-title":"Self- and social perception of physical appearance in chest wall deformity","volume":"9","author":"S Krille","year":"2012","journal-title":"Body Image"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1093\/ejcts\/ezaa335","article-title":"Impact of surgical treatment of pectus carinatum on cardiopulmonary function: A prospective study","volume":"59","author":"B Del Frari","year":"2021","journal-title":"Eur J Cardiothorac Surg"},{"issue":"09","key":"ref6","doi-asserted-by":"crossref","first-page":"1472","DOI":"10.1016\/j.jpedsurg.2014.11.048","article-title":"Surgical correction of pectus carinatum improves perceived body image, mental health and self-esteem","volume":"50","author":"M V Knudsen","year":"2015","journal-title":"J Pediatr 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treatment of pectus carinatum in compliant patients","volume":"25","author":"S Loff","year":"2015","journal-title":"Eur J Pediatr Surg"},{"issue":"06","key":"ref18","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1055\/s-0035-1570758","article-title":"Dynamic compression system: an effective nonoperative treatment for pectus carinatum: A single center experience in Basel, Switzerland","volume":"26","author":"S B Sesia","year":"2016","journal-title":"Eur J Pediatr Surg"},{"issue":"01","key":"ref19","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1016\/j.jpedsurg.2016.10.032","article-title":"Success and duration of dynamic bracing for pectus carinatum: A four-year prospective study","volume":"52","author":"S Emil","year":"2017","journal-title":"J Pediatr Surg"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"57","DOI":"10.21037\/jovs.2016.02.20","article-title":"Non-surgical treatment of pectus carinatum with the FMF\u00ae Dynamic Compressor 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A summary of 767 pectus carinatum cases for 9 years","volume":"2021","author":"Z Shang","year":"2021","journal-title":"BioMed Res Int"},{"issue":"02","key":"ref31","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1016\/j.jpedsurg.2012.11.008","article-title":"Staged management of pectus carinatum","volume":"48","author":"A S Cohee","year":"2013","journal-title":"J Pediatr Surg"},{"issue":"01","key":"ref32","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1093\/ejcts\/ezae166","article-title":"The pectus care guidelines: best practice consensus guidelines from the joint specialist societies SCTS\/MF\/CWIG\/BOA\/BAPS for the treatment of patients with pectus abnormalities","volume":"66","author":"J Dunning","year":"2024","journal-title":"Eur J Cardiothorac Surg"}],"container-title":["European Journal of Pediatric Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2887-9645.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T22:31:23Z","timestamp":1790116283000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2887-9645"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,16]]},"references-count":32,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2026,9,22]]},"published-print":{"date-parts":[[2026,10]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2887-9645","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0939-7248","1439-359X"],"issn-type":[{"value":"0939-7248","type":"print"},{"value":"1439-359X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,16]]}}}