Pectus carinatum is a chest wall condition characterized by abnormal protrusion of the sternum and costal cartilages outward. Surgery had been the gold standard for treatment for a long time, but a non-operative approach to treatment with the use of a compression brace has proven to be highly successful and is now the treatment of choice for patients with pectus carinatum. The COVID-19 pandemic resulted in the cancellation of bracing clinics for pectus carinatum patients, resulting in delayed treatment. A review of literature demonstrated the importance of patient compliance and routine follow up as well as the benefits of telemedicine for both the patients and the providers, including convenience and decreased exposure to communicable diseases. The aim of this study is to develop an alternative to in person clinic visits that can be used especially during times of unexpected events or disasters that would prevent patients from being seen in the office. This pilot study focused on the development and implementation of a telemedicine program for pectus carinatum patients undergoing treatment with a compression brace. An educational handout, a script for a demonstration video, and a sample tool kit for patients were developed to help guide and launce a telemedicine program for pectus carinatum patients. Thirteen patients participated in telemedicine appointments and feedback from patients and providers was obtained through anonymous surveys. Overall, patients and providers reported that they were highly satisfied with the telemedicine program, especially as an alternative solution when they were unable to have an in person appointment. It was found that a telemedicine program would decrease interruptions and delay in care by offering patients an option to continue care virtually.
Brausch, Kristin, "Treatment of Pectus Carinatum via Telemedicine" (2020). Master of Science in Nursing Scholarly Project. 13.