{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T07:20:26Z","timestamp":1784704826702,"version":"3.55.0"},"reference-count":26,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2019,10,1]],"date-time":"2019-10-01T00:00:00Z","timestamp":1569888000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2019,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Children with pectus carinatum (PC) are particularly vulnerable to psychosocial effects of poor body image, even though they may not experience physical symptoms. Nonoperative treatment with orthotic bracing is effective in PC correction. We describe our experience with dynamic compression bracing (DCB) for PC patients and their satisfaction with bracing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>Prospective institutional data of patients undergoing DCB from July 2011 to June 2018 were reviewed and analyzed for those who entered the retainer mode after correction, defined by a correction pressure of &lt;1\u2009psi. A telephone survey was conducted regarding their bracing experience and satisfaction with the outcome on a scale of 1\u201310.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Of 460 PC 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 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.08 and\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.10, respectively). 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,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u2009.001). Fifty-three percent responded to the survey 13 months [interquartile ratios 3, 33] after the last clinic visit. The main barrier to compliance with wearing the brace was discomfort (37%), while the main motivation for compliance was appearance (58%). All endorsed bracing as worthwhile, with 94% reporting a satisfaction rating of 8 or greater for the correction outcome.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>DCB is effective in achieving correction of PC in compliant patients. Regardless of time to retainer mode, patients reported high satisfaction with bracing.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2019.0171","type":"journal-article","created":{"date-parts":[[2019,6,26]],"date-time":"2019-06-26T10:44:22Z","timestamp":1561545862000},"page":"1223-1227","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":22,"title":["Outcomes Following Dynamic Compression Bracing for Pectus Carinatum"],"prefix":"10.1177","volume":"29","author":[{"given":"Charlene","family":"Dekonenko","sequence":"first","affiliation":[{"name":"Department of Surgery, Children's Mercy Hospital, Kansas City, Missouri."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert M.","family":"Dorman","sequence":"additional","affiliation":[{"name":"Department of Surgery, Children's Mercy Hospital, Kansas City, Missouri."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Pierce","sequence":"additional","affiliation":[{"name":"Department of Surgery, Children's Mercy Hospital, Kansas City, Missouri."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beth A.","family":"Orrick","sequence":"additional","affiliation":[{"name":"Department of Surgery, Children's Mercy Hospital, Kansas City, Missouri."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Juang","sequence":"additional","affiliation":[{"name":"Department of Surgery, Children's Mercy Hospital, Kansas City, Missouri."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pablo","family":"Aguayo","sequence":"additional","affiliation":[{"name":"Department of Surgery, Children's Mercy Hospital, Kansas City, Missouri."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason D.","family":"Fraser","sequence":"additional","affiliation":[{"name":"Department of Surgery, Children's Mercy Hospital, Kansas City, Missouri."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tolulope A.","family":"Oyetunji","sequence":"additional","affiliation":[{"name":"Department of Surgery, Children's Mercy Hospital, Kansas City, Missouri."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles L.","family":"Snyder","sequence":"additional","affiliation":[{"name":"Department of Surgery, Children's Mercy Hospital, Kansas City, Missouri."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shawn D.","family":"St. Peter","sequence":"additional","affiliation":[{"name":"Department of Surgery, Children's Mercy Hospital, Kansas City, Missouri."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"III","given":"George W.","family":"Holcomb","sequence":"additional","affiliation":[{"name":"Department of Surgery, Children's Mercy Hospital, Kansas City, Missouri."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,10,14]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.semtcvs.2009.03.001"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2004.02.016"},{"key":"e_1_3_3_4_2","first-page":"1138","article-title":"Pectus excavatum and pectus carinatum patients suffer from lower quality of life and impaired body image: A control group comparison of psychological characteristics prior to surgical correction","volume":"40","author":"Steinmann C","year":"2011","unstructured":"Steinmann C, , Krille S, , Mueller A, et al. Pectus excavatum and pectus carinatum patients suffer from lower quality of life and impaired body image: A control group comparison of psychological characteristics prior to surgical correction. 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