{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T20:53:12Z","timestamp":1768078392725,"version":"3.49.0"},"reference-count":11,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2023,12,3]],"date-time":"2023-12-03T00:00:00Z","timestamp":1701561600000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The initial sample of psychosocial characteristics consisted of self\u2010assessments and observations of patients (and parents) regarding their health, self\u2010image, 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study included a sample of 58 patients aged 10 to 30\u2009years, and a sample of 58 family members of the patient (parents, relatives). The experience of poor emotional status, withdrawals, and bad self\u2010image in patients older than 15\u2009years 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 \u2018indecisive\u2019 or \u2018weakly expressed\u2019 attitude towards surgery. Parents at a significantly higher rate show greater concern for female children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.18746","type":"journal-article","created":{"date-parts":[[2023,12,4]],"date-time":"2023-12-04T05:06:19Z","timestamp":1701666379000},"page":"2974-2980","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Influence of psychosocial characteristics of patients and opinions of their relatives on indication for surgical treatment of pectus excavatum"],"prefix":"10.1111","volume":"93","author":[{"given":"Marko","family":"Kostic","sequence":"first","affiliation":[{"name":"Clinic for Thoracic Surgery University Clinical Centre of Serbia  Belgrade Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aleksandar","family":"Sretenovi\u0107","sequence":"additional","affiliation":[{"name":"Department for Pediatric Surgery University Children's Hospital  Belgrade Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danka","family":"Radulovi\u0107","sequence":"additional","affiliation":[{"name":"Faculty of Special Education and Rehabilitation University of Belgrade  Belgrade Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivona","family":"Mila\u010di\u0107 Vidakovi\u0107","sequence":"additional","affiliation":[{"name":"Faculty of Special Education and Rehabilitation University of Belgrade  Belgrade Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Milan","family":"Savi\u0107","sequence":"additional","affiliation":[{"name":"Clinic for Thoracic Surgery University Clinical Centre of Serbia  Belgrade Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marko","family":"Popovi\u0107","sequence":"additional","affiliation":[{"name":"Clinic for Thoracic Surgery University Clinical Centre of Serbia  Belgrade Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1904-4404","authenticated-orcid":false,"given":"Korkut","family":"Bostanci","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Marmara University School of Medicine  Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3302-3471","authenticated-orcid":false,"given":"Davor","family":"Stamenovic","sequence":"additional","affiliation":[{"name":"Clinic for Thoracic Surgery, Center for Thoracic Diseases, University Medical Center Mainz Johannes Gutenberg University  Mainz Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,12,3]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2005.09.018"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2007-2723"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(03)00123-4"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s003830000575"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-003-2575-6"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1207\/s15374424jccp3504_5"},{"key":"e_1_2_9_8_1","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","journal-title":"Eur. 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