Quality of life, psychological states, and personality traits in patients with pectus excavatumCentral MessagePerspective
Kohei Matsuda, MD,
Daisuke Fujisawa, MD,
Kyohei Masai, MD,
Naoki Miyazaki,
Shigeki Suzuki, MD,
Yu Okubo, MD,
Kaoru Kaseda, MD,
Keisuke Asakura, MD,
Tomoyuki Hishida, MD,
Hisao Asamura, MD
Affiliations
Kohei Matsuda, MD
Division of Thoracic Surgery, Department of Surgery, Keio University School of Medicine, Tokyo, Japan; Department of General Thoracic Surgery, Sagamihara Kyodo Hospital, Kanagawa, Japan; Address for reprints: Kyohei Masai, MD, Division of Thoracic Surgery, Department of Surgery, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
Daisuke Fujisawa, MD
Department of Neuropsychiatry, Keio University School of Medicine, Tokyo, Japan
Kyohei Masai, MD
Division of Thoracic Surgery, Department of Surgery, Keio University School of Medicine, Tokyo, Japan
Naoki Miyazaki
Biostatistics Unit, Clinical and Translational Research Center, Keio University Hospital, Tokyo, Japan
Shigeki Suzuki, MD
Division of Thoracic Surgery, Department of Surgery, Keio University School of Medicine, Tokyo, Japan; Department of General Thoracic Surgery, Sagamihara Kyodo Hospital, Kanagawa, Japan
Yu Okubo, MD
Division of Thoracic Surgery, Department of Surgery, Keio University School of Medicine, Tokyo, Japan
Kaoru Kaseda, MD
Division of Thoracic Surgery, Department of Surgery, Keio University School of Medicine, Tokyo, Japan
Keisuke Asakura, MD
Division of Thoracic Surgery, Department of Surgery, Keio University School of Medicine, Tokyo, Japan
Tomoyuki Hishida, MD
Division of Thoracic Surgery, Department of Surgery, Keio University School of Medicine, Tokyo, Japan
Hisao Asamura, MD
Division of Thoracic Surgery, Department of Surgery, Keio University School of Medicine, Tokyo, Japan
Objective: The quality of life (QOL) and psychological states of patients with pectus excavatum (PE) have yet to be well understood. This study aimed to evaluate the health-related QOL (HRQOL), psychological states, and personality traits of patients with PE, alongside the associations of these factors with the severity of PE. Methods: A cross-sectional evaluation was prospectively performed in patients scheduled to undergo PE repair surgery between July 2019 and April 2021. The primary outcome was the patients’ HRQOL, and the secondary outcomes were depression, social anxiety, self-efficacy, and personality traits. Results: In total, 129 patients were subjected to analyses. Patients' HRQOL had a lower role component summary score (mean ± standard deviation: 41.8 ± 12.8, P < .001) than the general population controls. Patients' HRQOL had a significantly better physical component summary (54.0 ± 10.4, P < .001) and mental component summary (53.3 ± 8.8, P < .001) than that of the general population. Fourteen patients' (10.9%) and 56 patients' (43.4%) scores indicated the presence of depression and social anxiety disorder, respectively. Patients’ self-efficacy (46.1 ± 11.4, P, .001) and level of extraversion (46.5 ± 11.8, P < .001) were lower than those of the general population. No significant correlation was found between the severity of PE and these scores. Conclusions: Our study revealed that patients with PE had decreased social-role QOL, depressive tendencies, increased social anxiety, lower self-efficacy, and introversion. No correlation between the severity of PE and the patients’ psychological outcomes leads us to conclude that surgical implications of PE should not be decided solely by a physical index.
