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The impact of developing a pectus center for chest wall deformities

Katherine W Gonzalez1, Brian G A Dalton1, Ashwini S Poola1

  • 1Department of Surgery, Children's Mercy Hospital, 2401 Gillham Road, Kansas City, MO, 64108, USA.

Pediatric Surgery International
|June 10, 2016
PubMed

Insights

A dedicated pectus center increased patient volume for chest wall deformities. It also facilitated a significant shift towards nonoperative bracing for carinatum patients, improving management.

Area of Science:

  • Thoracic Surgery
  • Pediatric Surgery
  • Orthopedics

Background:

  • Chest wall deformities require specialized care.
  • Establishing a dedicated center can centralize expertise and resources.
  • Evaluating the impact of such centers is crucial for optimizing patient management.

Purpose of the Study:

  • To assess the impact of a dedicated pectus center on patient volume.
  • To evaluate changes in the management of chest wall deformities after center establishment.
  • To analyze the transition towards nonoperative treatments.

Main Methods:

  • Retrospective review of 699 patients with chest wall anomalies.
  • Comparison of patient data before (July 2009-June 2011) and after (July 2011-June 2013) center opening.
  • Statistical analysis using Chi-square and Mann-Whitney U tests.

Main Results:

  • Patient volume increased by 18.4% (320 to 379 patients).
  • Significant rise in nonoperative bracing for carinatum/mixed defects (19% to 63%).
  • Marked decrease in operative repair for carinatum/mixed defects (15% to 1%).

Conclusions:

  • A dedicated pectus center effectively increased patient volume.
  • The center facilitated a successful transition to nonoperative bracing for carinatum patients.
  • Specialized focus improves local and regional treatment of chest wall deformities.
Abstract

Keywords:
BracingChest wall anomalyPectus

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