{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T15:01:15Z","timestamp":1790434875464,"version":"4.1.0"},"reference-count":10,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2013,2,25]],"date-time":"2013-02-25T00:00:00Z","timestamp":1361750400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ISRN Family Medicine"],"published-print":{"date-parts":[[2013,2,25]]},"abstract":"<jats:p><jats:italic>Objectives<\/jats:italic>. Doctors all over the world consider a pectus excavatum usually as an incidental finding. There is some evidence suggesting that a pectus excavatum may cause symptoms in the elderly. It is not known how often a pectus excavatum occurs and how strong the relation is with symptoms. <jats:italic>Methods<\/jats:italic>. In hospitals and general practice data, we searched for evidence of a connection between cardiac symptoms and the presence of a pectus excavatum in a retrospective survey among patients in whom a pectus excavatum was found in a chest X-ray. In radiology reports, we searched for \u201cpectus excavat*\u201d in almost 160000 chest X-rays. The identified X-rays were reviewed by 2 radiologists. Reported symptoms were combined to a severity sum score and the relation with pectus excavatum was assessed through logistic regression. <jats:italic>Results<\/jats:italic>. Pectus excavatum was found in 1 to 2 per 1000 chest X-rays. In 32% of patients (<mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mrow><mml:mi>N<\/mml:mi><mml:mo>=<\/mml:mo><mml:mn>117<\/mml:mn><\/mml:mrow><\/mml:math>), we found symptoms that might reflect the presence of symptomatic pectus excavatum. We found a significant relation between the SPES sum score and the radiological level of pectus excavatum. <jats:italic>Conclusions<\/jats:italic>. A pectus excavatum found when examining the patient should not be neglected and should be considered as a possible explanation for symptoms like dyspnoea, fatigue, or palpitations.<\/jats:p>","DOI":"10.5402\/2013\/373059","type":"journal-article","created":{"date-parts":[[2013,2,25]],"date-time":"2013-02-25T21:01:53Z","timestamp":1361826113000},"page":"1-6","source":"Crossref","is-referenced-by-count":1,"title":["Symptomatic Pectus Excavatum in Seniors: An Exploratory Study on Clinical Presentation and Incidence in Daily Practice"],"prefix":"10.5402","volume":"2013","author":[{"given":"Ron A. G.","family":"Winkens","sequence":"first","affiliation":[{"name":"Department of Integrated Care, Maastricht University Medical Centre, P.O. Box 5800, 6202 AZ Maastricht, The Netherlands"},{"name":"Department of General Practice, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank I.","family":"Guldemond","sequence":"additional","affiliation":[{"name":"Department of General Practice, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul F. H. M.","family":"Hoppener","sequence":"additional","affiliation":[{"name":"Department of General Practice, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans A.","family":"Kragten","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Atrium Medical Centre, P.O. Box 4446, 6401 CX Heerlen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Andre","family":"Knottnerus","sequence":"additional","affiliation":[{"name":"Department of General Practice, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"98","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1016\/j.admecli.2004.06.002"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2007.03.077"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2005.12.012"},{"key":"5","first-page":"337","volume":"152","year":"2008","journal-title":"Nederlands Tijdschrift voor Geneeskunde"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2010.02.090234"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2004.03.011"},{"key":"8","year":"1987"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1378\/chest.130.2.506"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1136\/bcr.10.2009.2329"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2006.07.004"}],"container-title":["ISRN Family Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/archive\/2013\/373059.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/archive\/2013\/373059.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/archive\/2013\/373059.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,10]],"date-time":"2020-12-10T09:53:55Z","timestamp":1607594035000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/isrn\/2013\/373059\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,2,25]]},"references-count":10,"alternative-id":["373059","373059"],"URL":"https:\/\/doi.org\/10.5402\/2013\/373059","relation":{},"ISSN":["2314-4769"],"issn-type":[{"value":"2314-4769","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,2,25]]}}}