Academic performance in children with pectus excavatum: a real-world research with propensity score matching

作者全名："Li, Hongbo; Fan, Shulei; Kong, Xiangpan; Pan, Zhengxia; Wu, Chun; Li, Yonggang; Wang, Gang; Dai, Jiangtao; He, Dawei; Wang, Quan"

作者地址："[Wang, Quan] Chongqing Med Univ, Natl Clin Res Ctr Child Hlth & Disorders, Dept Cardiothorac Surg, Minist Educ,Key Lab Child Dev & Disorders,Children, 136 Zhongshan Second Rd, Chongqing 400014, Peoples R China; [Li, Hongbo; He, Dawei; Wang, Quan] Chongqing Higher Inst Engn Res Ctr Childrens Med B, Chongqing, Peoples R China; [Li, Hongbo; He, Dawei; Wang, Quan] Chongqing Med Univ, Chongqing Key Lab Pediat, Chongqing, Peoples R China; [Li, Hongbo; Kong, Xiangpan; Pan, Zhengxia; Wu, Chun; Li, Yonggang; Wang, Gang; Dai, Jiangtao] Chongqing Med Univ, Natl Clin Res Ctr Child Hlth & Disorders, Dept Cardiothorac Surg, Minist Educ,Key Lab Child Dev & Disorders,China In, Chongqing, Peoples R China; [Fan, Shulei] Chongqing Med Univ, Affiliated Hosp 2, Dept Resp Med, Chongqing, Peoples R China"

通信作者："Wang, Q (通讯作者)，Chongqing Med Univ, Natl Clin Res Ctr Child Hlth & Disorders, Dept Cardiothorac Surg, Minist Educ,Key Lab Child Dev & Disorders,Children, 136 Zhongshan Second Rd, Chongqing 400014, Peoples R China.; Wang, Q (通讯作者)，Chongqing Higher Inst Engn Res Ctr Childrens Med B, Chongqing, Peoples R China.; Wang, Q (通讯作者)，Chongqing Med Univ, Chongqing Key Lab Pediat, Chongqing, Peoples R China."

来源：THERAPEUTIC ADVANCES IN RESPIRATORY DISEASE

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000939473600001

JCR分区：Q2

影响因子：3.3

年份：2023

卷号：17

期号：　

开始页：　

结束页：　

文献类型：Article

关键词：academic performance; Nuss procedure; pectus excavatum

摘要："Background:The optimal timing of surgery for pectus excavatum (PE) is controversial. A large proportion of children will not undergo surgery before puberty. However, untimely surgery may lead to a decline in the children's social adaptation and competitiveness because the children have already developed psychological and physiological impairments due to PE at an early age. The study retrospectively compared the academic performance in PE children undergoing the Nuss procedure versus nonsurgical observation. Methods:This retrospective real-world research study included 480 PE patients with definite surgical indications, in whom it was first recommended that they undergo surgery between the ages of 6 and 12 years old. Academic performance was collected at baseline and 6 years later. A generalized linear regression was calculated to screen the factors affecting the performance. A propensity score matching (PSM) analysis was conducted to reduce the potential for confounding factors between surgical and nonsurgical PE patients. Results:Haller index (HI) and pulmonary function were recognized as factors affecting baseline performance according to the generalized linear regression. For PE children with surgical indications, their academic performance significantly declined after 6 years of nonsurgical observation (52.1% +/- 17.1% versus 58.3% +/- 16.7%, p = 0.042). The academic performance in the surgery group was better than that in the nonsurgery group 6 years after PSM (60.7% +/- 17.7% versus 52.1% +/- 17.1%, p = 0.008). Conclusions:The severity of PE will affect the academic performance of children.For PE children with definite surgical indications between the ages of 6 and 12 years old, surgical intervention rather than nonsurgical observation is more conducive to the development of children's academic performance."

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