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CompletedNCT02337621PEPUpdated Apr 25, 2022

Pain, Exercise and Psychological Well-being in Pectus Excavatum

An observational study in Pectus Excavatum, sponsored by Phoenix Children's Hospital. Completed at 1 site in United States. Open to participants aged 12 Years to 17 Years. Per ClinicalTrials.gov, last updated 2022-04-25.

Sponsored by Phoenix Children's Hospital · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
6
Ages
12 Years to 17 Years
Sex
All
01

Study summary

Recovery following major surgical procedures can be influenced by both physical (optimization of cardiopulmonary function, pain control, activity) and psychological factors. Physical activity recommendations for post-operative patients is difficult, in part because little is known about the short- and long-term benefits of exercise and mobility on post-operative pain and return to normal functioning.

Read the detailed description

Major surgery has a drastic impact on the lives of patients and their families. Often, patients undergoing the Nuss procedure have lingering pain which can complicate recovery. Depending on the nature of the surgery and the severity of disease, this recovery period can be as short as a few days, or it can take several weeks and even months. Few studies have demonstrated the benefit of physical activity and exercise postoperatively on returning to normal function. Additionally, research has suggested that pain and recovery can be influenced by psychological factors.

The investigators will use wireless activity monitors to assess the activity levels of children who undergo major musculoskeletal surgery, specifically the Nuss procedure. The investigators will also evaluate this population for psychological well-being. In this pilot study, the investigators identify goals and objectives which will provide preliminary evidence for physical and psychological recommendations to reduce post-operative pain and improve recovery.

Families will be asked to complete questionnaires at different phases in the surgery (pre-surgery, post bar insertion, post bar removal). Children will be instructed to record any pain they are experiencing as a result of their condition or the surgery at various time points. The activity levels will also be followed over the course of the recovery period.

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Conditions studied

  • Pectus Excavatum

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Keywords

  • sunken chest
  • caved-in chest
  • chest deformity
  • sunken sternum
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In context

Funnel Chest

79 studies on the registry are indexed under Funnel Chest; 10 are open to participants now.

This study's enrollment of 6 is below the median of 68 across 32 observational studies indexed under Funnel Chest.

Browse Funnel Chest studies →

Lead sponsor

Phoenix Children's Hospital is the lead sponsor of 42 studies on the registry; 8 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
12 Years to 17 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Children who are scheduled to undergo surgical correction for pectus excavatum (Nuss procedure)

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Children between the ages of 12-18 years that are scheduled to undergo a surgical procedure for the correction of pectus excavatum

Exclusion criteria

Exclusion Criteria:

  • History of chronic pain disorders
  • History of major mental illness such as psychosis or bipolar disorder
  • Cognitive impairment significantly below average age and/or grade level
  • Non-English speaking parent or child
  • Unable to obtain and keep access to a cellular phone
  • Loss of wireless electronic activity monitor and refusal to replace to remain in the study
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
6 participants (actual)
Patient registry
No

Groups and cohorts

  • pectus excavatum surgical candidates

    Any person who is eligible to undergo the Nuss procedure for surgical correction of pectus excavatum

    Other: No intervention

Interventions

  • OtherNo intervention
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What researchers measure

Primary outcomes

  1. Improvement in pain scores

    pain diary and self report via questionnaires

    Time frame: change from baseline (2 weeks prior to bar insertion) to post bar removal surgery (3 years, 3 months)

  2. Increase in activity level/exercise

    wireless activity monitor and physical therapy notes

    Time frame: change from baseline (2 weeks prior to bar insertion) to post bar removal surgery (3 years, 3 months)

Secondary outcomes

  1. mood

    child self report and parental report via questionnaires

    Time frame: change from baseline (2 weeks prior to bar insertion) to post bar removal surgery (3 years, 3 months)

  2. body image

    child self report and parental report via modified Y-BOCS ; increased scores mean worse body image

    Time frame: change from baseline (2 weeks prior to bar insertion) to post bar removal surgery (3 years, 3 months)

Other outcomes

  1. health related quality of life

    child self report and parental report via PedsQL; increased scores mean better outcomes

    Time frame: change of quality of life from baseline (2 weeks prior to bar insertion) to post bar removal surgery (3 years, 3 months)

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Study locations

1 site
  • Phoenix Children's Hospital
    Phoenix, Arizona 85016, United States
08

References and documents

Publications

  • Fonkalsrud EW. Current management of pectus excavatum. World J Surg. 2003 May;27(5):502-8. doi: 10.1007/s00268-003-7025-5. Epub 2003 Apr 28. PubMed 12715210 ↗
  • Jaroszewski D, Notrica D, McMahon L, Steidley DE, Deschamps C. Current management of pectus excavatum: a review and update of therapy and treatment recommendations. J Am Board Fam Med. 2010 Mar-Apr;23(2):230-9. doi: 10.3122/jabfm.2010.02.090234. PubMed 20207934 ↗
  • Maagaard M, Tang M, Ringgaard S, Nielsen HH, Frokiaer J, Haubuf M, Pilegaard HK, Hjortdal VE. Normalized cardiopulmonary exercise function in patients with pectus excavatum three years after operation. Ann Thorac Surg. 2013 Jul;96(1):272-8. doi: 10.1016/j.athoracsur.2013.03.034. Epub 2013 May 14. PubMed 23684487 ↗
  • Tang M, Nielsen HH, Lesbo M, Frokiaer J, Maagaard M, Pilegaard HK, Hjortdal VE. Improved cardiopulmonary exercise function after modified Nuss operation for pectus excavatum. Eur J Cardiothorac Surg. 2012 May;41(5):1063-7. doi: 10.1093/ejcts/ezr170. Epub 2011 Dec 21. PubMed 22219453 ↗
  • Kelly RE Jr, Mellins RB, Shamberger RC, Mitchell KK, Lawson ML, Oldham KT, Azizkhan RG, Hebra AV, Nuss D, Goretsky MJ, Sharp RJ, Holcomb GW 3rd, Shim WK, Megison SM, Moss RL, Fecteau AH, Colombani PM, Cooper D, Bagley T, Quinn A, Moskowitz AB, Paulson JF. Multicenter study of pectus excavatum, final report: complications, static/exercise pulmonary function, and anatomic outcomes. J Am Coll Surg. 2013 Dec;217(6):1080-9. doi: 10.1016/j.jamcollsurg.2013.06.019. PubMed 24246622 ↗
  • Nuss D, Kelly RE Jr, Croitoru DP, Katz ME. A 10-year review of a minimally invasive technique for the correction of pectus excavatum. J Pediatr Surg. 1998 Apr;33(4):545-52. doi: 10.1016/s0022-3468(98)90314-1. PubMed 9574749 ↗
  • Khan RS, Skapinakis P, Ahmed K, Stefanou DC, Ashrafian H, Darzi A, Athanasiou T. The association between preoperative pain catastrophizing and postoperative pain intensity in cardiac surgery patients. Pain Med. 2012 Jun;13(6):820-7. doi: 10.1111/j.1526-4637.2012.01386.x. Epub 2012 May 8. PubMed 22568812 ↗
  • Kelly RE Jr, Cash TF, Shamberger RC, Mitchell KK, Mellins RB, Lawson ML, Oldham K, Azizkhan RG, Hebra AV, Nuss D, Goretsky MJ, Sharp RJ, Holcomb GW 3rd, Shim WK, Megison SM, Moss RL, Fecteau AH, Colombani PM, Bagley T, Quinn A, Moskowitz AB. Surgical repair of pectus excavatum markedly improves body image and perceived ability for physical activity: multicenter study. Pediatrics. 2008 Dec;122(6):1218-22. doi: 10.1542/peds.2007-2723. PubMed 19047237 ↗

Individual participant data

Plan to share: Undecided

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from May 2015 to primary completion in Dec 2020, 67 months.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 10, 2014
First posted
Jan 13, 2015
StartActual
May 2015
Primary completionActual
Dec 2020
CompletionActual
Sep 2021
Last update
Apr 25, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 25, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02337621
Lead sponsor
Phoenix Children's Hospital
Responsible party
Lisa McMahon, MD (Attending, Phoenix Children's Hospital) — Principal investigator
First posted
Jan 13, 2015
Start date
May 2015
Primary completion
Dec 2020
Completion
Sep 2021
Last update
Apr 25, 2022

Study contacts

Lisa McMahon, MD
principal investigator · Phoenix Children's Hospital

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2022. You cannot join it, but the record below documents what was studied.

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