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- W2188998848 abstract "ABSTRACTObjective: To establish evidence-based guidelines forgrowth monitoring on a population basis.Study design: Several auxological referral criteria wereformulated and applied to longitudinal growth data fromfour different patient groups, as well as three samplesfrom the general population.Results: Almost 30% of pathology can be detected byheight standard deviation score (HSDS) below 23oratleast two observations of HSDS below 22.5 at a lowfalse-positive rate (,1%) in 0–3-year-old infants. For 3–10-year olds, a rule concerning distance to target heightof .2 SD in combination with HSDS ,22.0 has the bestpredictive value. In combination with a rule on severeshort stature (,22.5 SDS) and a minor contribution froma rule on ‘‘height deflection’’, 85.7% of children withTurner syndrome and 76.5% of children who are shortbecause of various disorders are detected at a false-positive rate of 1.5–2%.Conclusions: The proposed guidelines for growthmonitoring show high sensitivity at an acceptably lowfalse-positive rate in 3–10-year-old children. Distance totarget height is the most important criterion. Below theage of 3 years, the sensitivity is considerably lower. Theresulting algorithm appears to be suitable for industria-lised countries, but requires further testing in otherpopulations.Growth monitoring in infancy and childhood hasbeen part of preventive child health programmesfor more than a century, and short stature orgrowth retardation is regarded as a relatively earlysign of poor health. Despite this longstanding andwide acceptance of growth monitoring, there islittle evidence for its effectiveness and efficiency." @default.
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- W2188998848 date "2008-01-01" @default.
- W2188998848 modified "2023-09-24" @default.
- W2188998848 title "for short stature Developing evidence-based guidelines for referral" @default.
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