{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T22:10:49Z","timestamp":1784067049053,"version":"3.55.0"},"reference-count":40,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2024,4,15]],"date-time":"2024-04-15T00:00:00Z","timestamp":1713139200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Background: Although effective, compressive orthotic bracing (COB) in children with pectus carinatum is still not standardized. This study has aimed to analyze current practices amongst members of the Chest Wall International Group (CWIG). Methods: A web-based questionnaire was mailed to all CWIG members at 208 departments. It included 30 questions regarding diagnostic work-up, age for COB indication, type of COB used, daily wearing time, treatment duration, complications, and recurrence rate. Results: Members from 44 departments have responded (institutional response rate 21.2%). A total of 93% consider COB as the first-line treatment for PC. A conventional COB (CC) is used in 59%, and the dynamic compression system (FMF) in 41%. The overall compliance rate is &gt;80%. A total of 67% of responders consider COB to be indicated in patients &lt;10 years. The actual wearing time is significantly shorter than the physician-recommended time (p &lt; 0.01). FMF patients experience a significantly faster response than CC patients (p &lt; 0.01). No recurrence of PC has been noted in 34%; recurrence rates of 10\u201330% have been noted in 61%. Conclusions: COB is the first-line treatment for PC with a high compliance rate. During puberty, the recurrence rate is high. Treatment standardization and follow-up until the end of puberty are recommended to enhance COB effectiveness.<\/jats:p>","DOI":"10.3390\/children11040470","type":"journal-article","created":{"date-parts":[[2024,4,15]],"date-time":"2024-04-15T11:53:53Z","timestamp":1713182033000},"page":"470","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Bracing of Pectus Carinatum in Children: Current Practices"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2426-7039","authenticated-orcid":false,"given":"Pavol","family":"Omanik","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, National Institute of Children\u2019s Diseases, 83340 Bratislava, Slovakia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergio Bruno","family":"Sesia","sequence":"additional","affiliation":[{"name":"Division of General Thoracic Surgery, Bern University Hospital (Inselspital), 3010 Bern, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katarina","family":"Kozlikova","sequence":"additional","affiliation":[{"name":"Institute of Medical Physics and Biophysics, Comenius University, 81372 Bratislava, Slovakia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veronika","family":"Schmidtova","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, National Institute of Children\u2019s Diseases, 83340 Bratislava, Slovakia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miroslava","family":"Funakova","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, National Institute of Children\u2019s Diseases, 83340 Bratislava, Slovakia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8426-5011","authenticated-orcid":false,"given":"Frank-Martin","family":"Haecker","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Children\u2019s Hospital of Eastern Switzerland, 9000 St. Gallen, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,4,15]]},"reference":[{"key":"ref_1","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":"Cohee","year":"2013","journal-title":"J. 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