The Outcome of the Single Step Questionnaire in Pectus Excavatum Patients is Phase Dependent

Wietse P. Zuidema, Alida F.W. Van Der Steeg, Stefan Van Der Heide, Gerda W. Zijp, Robertine Van Baren, Jan W.A. Oosterhuis, Ernest Van Heurn

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)


Introduction Pectus excavatum (PE) is the most common chest wall deformity. Patients with PE may have cosmetic complaints, restricted physical capabilities, or both and may seek surgical correction. One method to assess satisfaction after surgery is the single step questionnaire (SSQ). Although the developers state that the SSQ produces a stabile score and only needs to be used once, we hypothesized that the score may depend on point in time after surgery. Materials and Methods One hundred and eight patients from a longitudinal cohort of patients undergoing a Nuss bar placement for PE were selected. Mean age was 16.0 years (range: 12-29). SSQ was completed at 6 weeks, 6 months, 1 year, and 2 years postoperatively. Mean and median scores per question and total scores were calculated on each measurement moment. Overall scores were tested using the Friedman test. Results There were significant differences in overall SSQ scores (p < 0.009) throughout the postoperative period, especially between 6 weeks and 6 months (p = 0.006). Scores on general health, exercise capacity, impact on social life, pain during hospital stay, and after discharge changed also significant in the first 2 years after Nuss bar placement. Conclusion There were significant differences in total SSQ score depending on the time of application postoperatively. However, the most clinical relevant difference was between 6 weeks and 6 months. Assessment of the overall satisfaction postoperative with the SSQ questionnaire should not be done with a single measurement but rather at different postoperative time intervals before and after 6 months postoperatively.

Original languageEnglish
Pages (from-to)205-209
Number of pages5
JournalEuropean Journal of Pediatric Surgery
Issue number2
Publication statusPublished - 1 Apr 2020
Externally publishedYes


  • outcome
  • pectus
  • pediatric
  • surgery
  • thoracic


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