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. 2023 Mar 15;18:56. doi: 10.1186/s13023-023-02652-2

Table 3.

Medical history by limb lengthening subgroup

Medical history* n (%)/events (rate per 100 person-years) Subgroup Overall
Limb lengthening (N = 40) No limb lengthening (N = 146) N = 186
Patient historical years 663.0 1,721.6 2,384.6
Medical and surgical complications**
  ≥ 1 general medical history 35 (87.5%)/170 (25.6) 128 (87.7%)/773 (44.9) 163 (87.6%)/943 (39.5)
 Foramen magnum stenosis 2 (5.0%)/2 (0.3) 50 (34.2%)/56 (3.3) 52 (28.0%)/58 (2.4)
 Gastroesophageal issues 8 (20.0%)/8 (1.2) 24 (16.4%)/48 (2.8) 32 (17.2%)/56 (2.3)
 Genu varum/valgum 3 (7.5%)/3 (0.5) 37 (25.3%)/44 (2.6) 40 (21.5%)/47 (2.0)
 Infections/infestations 4 (10.0%)/8 (1.2) 23 (15.8%)/45 (2.6) 27 (14.5%)/53 (2.2)
 Other ENT issues (excluding otitis media) 24 (60.0%)/58 (8.7) 90 (61.6%)/261 (15.2) 114 (61.3%)/319 (13.4)
 Other orthopaedic problems 22 (55.0%)/44 (6.6) 47 (32.2%)/119 (6.9) 69 (37.1%)/163 (6.8)
 Otitis media 1 (2.5%)/1 (0.2) 11 (7.5%)/16 (0.9) 12 (6.5%)/17 (0.7)
 Pain (any type) 11 (27.5%)/25 (3.8) 34 (23.3%)/66 (3.8) 45 (24.2%)/91 (3.8)
 Spinal cord compression/stenosis 10 (25.0%)/10 (1.5) 37 (25.3%)/49 (2.8) 47 (25.3%)/59 (2.5)
 Spinal deformities (kyphosis/lordosis) 7 (17.5%)/11 (1.7) 45 (30.8%)/69 (4.0) 52 (28.0%)/80 (3.4)
Surgical burdenb
  ≥ 1 surgery/number of surgeries 40 (100%)/223 (33.6) 94 (64.4%)/290 (6.8) 134 (72.0%)/513 (21.5)
 Brainstem decompression 2 (5.0%)/2 (0.3) 24 (16.4%)/24 (1.4) 26 (14.0%)/26 (1.1)
 Limb lengthening 40 (100%)/113 (17.0) 0 40 (21.5%)/113 (4.7)
 Middle ear procedures 6 (15.0%)/8 (1.3) 37 (25.4%)/59 (3.3) 43 (23.1%)/67 (2.8)
 Nerve decompression 1 (2.5%)/1 (0.2) 6 (4.1%)/7 (0.4) 7 (3.8%)/8 (0.3)
 Shunt insertion 2 (5.0%)/2 (0.3) 5 (3.4%)/5 (0.3) 7 (3.8%)/7 (0.3)
 Shunt revision 0 4 (2.7%)/8 (0.5) 4 (2.2%)/8 (0.3)
Spinal correction 2 (5.0%)/4 (0.6) 8 (5.5%)/11 (0.6) 10 (5.4%)/15 (0.6)
 Tonsillectomy/adenoidectomy 10 (25.0%)/13 (2.0) 39 (26.7%)/55 (3.2) 49 (26.3%)/68 (2.9)
 Other 24 (60.0%)/80 (12.1) 58 (39.7%)/121 (7.0) 82 (44.1%)/201 (8.4)
Healthcare professional visits
  ≥ 1 health care professional visit/number of visits 16 (40.0%)/55 (8.3) 97 (66.4%)/460 (26.7) 113 (60.8%)/515 (21.6)
 Cardiologist 0 4 (2.7%)/6 (0.3) 4 (2.2%)/6 (0.3)
 Dentist 1 (2.5%)/1 (0.2) 2 (1.4%)/2 (0.1) 3 (1.6%)/3 (0.1)
 Dermatologist 1 (2.5%)/1 (0.2) 3 (2.1%)/4 (0.2) 4 (2.2%)/5 (0.2)
 Dietician 0 4 (2.7%)/4 (0.2) 4 (2.2%)/4 (0.2)
 ENT physician and/or surgeon 4 (10.0%)/5 (0.8) 24 (16.4%)/40 (2.3) 28 (15.1%)/45 (1.9)
 Emergency Doctor 0 5 (3.4%)/9 (0.5) 5 (2.7%)/9 (0.4)
 Endocrinologist 0 3 (2.1%)/7 (0.4) 3 (1.6%)/7 (0.3)
 Gastroenterologist 0 3 (2.1%)/5 (0.3) 3 (1.6%)/5 (0.2)
 General practitioner 4 (10.0%)/16 (2.4) 23 (15.8%)/120 (7.0) 27 (14.5%)/136 (5.7)
 Geneticist 0 5 (3.4%)/7 (0.4) 5 (2.7%)/7 (0.3)
 Gynaecologist 0 3 (2.1%)/4 (0.2) 3 (1.6%)/4 (0.2)
 Mental Health 1 (2.5%)/1 (0.2) 3 (2.1%)/3 (0.2) 4 (2.2%)/4 (0.2)
 Neurologist 1 (2.5%)/1 (0.2) 8 (5.5%)/9 (0.5) 9 (4.8%)/10 (0.4)
 Neuropediatric 1 (2.5%)/1 (0.2) 2 (1.4%)/12 (0.7) 3 (1.6%)/13 (0.5)
 Neurosurgeon 0 5 (3.4%)/6 (0.3) 5 (2.7%)/6 (0.3)
 Occupational therapist 1 (2.5%)/1 (0.2) 5 (3.4%)/5 (0.3) 6 (3.2%)/6 (0.3)
 Ophthalmologist 2 (5.0%)/2 (0.3) 7 (4.8%)/7 (0.4) 9 (4.8%)/9 (0.4)
 Orthopaedic 3 (7.5%)/6 (0.9) 21 (14.4%)/30 (1.7) 24 (12.9%)/36 (1.5)
 Paediatrician 1 (2.5%)/1 (0.2) 7 (4.8%)/56 (3.3) 8 (4.3%)/57 (2.4)
 Physiotherapist 7 (17.5%)/10 (1.5) 52 (35.6%)/75 (4.4) 59 (31.7%)/85 (3.6)
 Respiratory physician 2 (5.0%)/3 (0.5) 4 (2.7%)/5 (0.3) 6 (3.2%)/8 (0.3)
 Speech therapist 4 (10.0%)/4 (0.6) 21 (14.4%)/27 (1.6) 25 (13.4%)/31 (1.3)
 Other 2 (5.0%)/2 (0.3) 14 (9.6%)/17 (1.0) 16 (8.6%)/19 (0.8)
Medical or surgical examination
  ≥ 1 medical or surgical examination/number of examinations 40 (100%)/821 (123.8) 145 (99.3%)/2,491(144.7) 185 (99.5%)/3,312 (138.9)
 Audiology 2 (5.0%)/3 (0.5) 37 (25.3%)/82 (4.8) 39 (21.0%)/85 (3.6)
 Cardiovascular 6 (15.0%)/21 (3.2) 36 (24.7%)/75 (4.4) 42 (22.6%)/96 (4.0)
 ENT 12 (30.0%)/31 (4.7) 69 (47.3%)/323 (18.8) 81 (43.5%)/354 (14.8)
 Gastrointestinal 5 (12.5%)/12 (1.8) 13 (8.9%)/30 (1.7) 18 (9.7%)/42 (1.8)
 General surgical 5 (12.5%)/24 (3.6) 7 (4.8%)/17 (1.0) 12 (6.5%)/41 (1.7)
 Neurological 12 (30.0%)/46 (6.9) 61 (41.8%)/257 (14.9) 73 (39.2%)/303 (12.7)
 Orthopaedic 23 (57.5%)/247 (37.3) 78 (53.4%)/366 (21.3) 101 (54.3%)/613 (25.7)
 Radiological 32 (80.0%)/218 (32.9) 98 (67.1%)/519 (30.1) 130 (69.9%)/737 (30.9)
 Respiratory 7 (17.5%)/10 (1.5) 31 (21.1%)/79 (4.6) 38 (20.4%)/89 (3.7)
 Urological 1 (2.5%)/1 (0.2) 10 (6.8%)/19 (1.1) 11 (5.9%)/20 (0.8)
 Other 24 (60.0%)/208 (31.4) 108 (74.0%)/724 (42.1) 132 (71.0%)/932 (39.1)

*Each patient may have had several medical history events. Percentages are based on the overall number of subjects in the Full Analysis Set. Event rates per 100 person-years are calculated as the number of events divided by the total number of patient historical years multiplied by 100. Patient historical years are defined as the time between earliest collected history and enrolment date

**Terms are coded using MedDRA dictionary and subsequently mapped into 1 of 10 predefined categories described in the Health Economic Exploratory Analysis Plan

ENT Ear, nose, throat