{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,21]],"date-time":"2026-06-21T21:39:40Z","timestamp":1782077980566,"version":"3.54.5"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2022,2,10]],"date-time":"2022-02-10T00:00:00Z","timestamp":1644451200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,6,15]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p\/>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>Pectus excavatum (PE) can cause both physical and psychosocial symptoms and affect patients\u2019 health-related quality of life. Previous international studies have shown that the Nuss procedure increases both self-esteem and body image. The aim of the study was to evaluate the health-related quality of life in patients who have undergone the Nuss procedure for PE.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>The study had a cross-sectional multicentre design. All patients (N = 420) who underwent the Nuss procedure for PE in 3 cardiothoracic departments in Sweden from 2000 to 2019 were invited to answer the RAND-36 and Nuss Questionnaire modified for adults. Genders were compared using the Mann\u2013Whitney U-test. Patients were divided into groups based on age at time of surgery (&amp;lt;20, 20\u201330 or &amp;gt;30 years) and analysed by the Kruskal\u2013Wallis H-test with post-hoc analyses.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>A total of 236 patients returned the questionnaires; 82.2% were males. Men scored significantly better on the modified Nuss Questionnaire total (P = 0.01) and psychosocial (P = 0.02) subscales. Patients who had surgery at &amp;lt;20 years of age had significantly better scores on the same scales (P = 0.007 and 0.006, respectively) compared to patients aged 20\u201330 years at the time of surgery. However, no significant difference was seen in comparison with patients &amp;gt;30 years. Patients who had their bar removed had significantly better values on both scales.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Male gender, young age at surgery and bar removal seem to be associated with better health-related quality of life after the Nuss procedure for PE.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/icvts\/ivac031","type":"journal-article","created":{"date-parts":[[2022,1,28]],"date-time":"2022-01-28T12:10:59Z","timestamp":1643371859000},"source":"Crossref","is-referenced-by-count":10,"title":["Health-related quality of life after Nuss procedure for pectus excavatum: a cross-sectional study"],"prefix":"10.1093","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3743-7826","authenticated-orcid":false,"given":"Louise","family":"Norlander","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, Faculty of Medicine and Health, \u00d6rebro University , \u00d6rebro, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9002-6145","authenticated-orcid":false,"given":"Ann-Sofie","family":"Sundqvist","sequence":"additional","affiliation":[{"name":"University Health Care Research Center, Faculty of Medicine and Health, \u00d6rebro University , \u00d6rebro, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7352-8234","authenticated-orcid":false,"given":"Agneta","family":"Anderz\u00e9n-Carlsson","sequence":"additional","affiliation":[{"name":"University Health Care Research Center, Faculty of Medicine and Health, \u00d6rebro University , \u00d6rebro, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5585-1783","authenticated-orcid":false,"given":"Mats","family":"Dreifaldt","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, \u00d6rebro University Hospital , \u00d6rebro, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jesper","family":"Andreasson","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Sk\u00e5ne University Hospital, Lund University , Lund, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3290-8801","authenticated-orcid":false,"given":"M\u00e5rten","family":"Vidlund","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, \u00d6rebro University Hospital , \u00d6rebro, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,2,10]]},"reference":[{"key":"2022071815370609100_ivac031-B1","volume-title":"Chest Wall Deformities. 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