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

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 deve...

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Autores principales: Li, Hongbo, Fan, Shulei, Kong, Xiangpan, Pan, Zhengxia, Wu, Chun, Li, Yonggang, Wang, Gang, Dai, Jiangtao, He, Dawei, Wang, Quan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9972046/
https://www.ncbi.nlm.nih.gov/pubmed/36846947
http://dx.doi.org/10.1177/17534666231155779
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author Li, Hongbo
Fan, Shulei
Kong, Xiangpan
Pan, Zhengxia
Wu, Chun
Li, Yonggang
Wang, Gang
Dai, Jiangtao
He, Dawei
Wang, Quan
author_facet Li, Hongbo
Fan, Shulei
Kong, Xiangpan
Pan, Zhengxia
Wu, Chun
Li, Yonggang
Wang, Gang
Dai, Jiangtao
He, Dawei
Wang, Quan
author_sort Li, Hongbo
collection PubMed
description 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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spelling pubmed-99720462023-03-01 Academic performance in children with pectus excavatum: a real-world research with propensity score matching Li, Hongbo Fan, Shulei Kong, Xiangpan Pan, Zhengxia Wu, Chun Li, Yonggang Wang, Gang Dai, Jiangtao He, Dawei Wang, Quan Ther Adv Respir Dis Respiratory diseases and their psychological impacts 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. SAGE Publications 2023-02-27 /pmc/articles/PMC9972046/ /pubmed/36846947 http://dx.doi.org/10.1177/17534666231155779 Text en © The Author(s), 2023 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Respiratory diseases and their psychological impacts
Li, Hongbo
Fan, Shulei
Kong, Xiangpan
Pan, Zhengxia
Wu, Chun
Li, Yonggang
Wang, Gang
Dai, Jiangtao
He, Dawei
Wang, Quan
Academic performance in children with pectus excavatum: a real-world research with propensity score matching
title Academic performance in children with pectus excavatum: a real-world research with propensity score matching
title_full Academic performance in children with pectus excavatum: a real-world research with propensity score matching
title_fullStr Academic performance in children with pectus excavatum: a real-world research with propensity score matching
title_full_unstemmed Academic performance in children with pectus excavatum: a real-world research with propensity score matching
title_short Academic performance in children with pectus excavatum: a real-world research with propensity score matching
title_sort academic performance in children with pectus excavatum: a real-world research with propensity score matching
topic Respiratory diseases and their psychological impacts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9972046/
https://www.ncbi.nlm.nih.gov/pubmed/36846947
http://dx.doi.org/10.1177/17534666231155779
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