Consensus 'diagnosis of short stature in children.' National Organization for Quality Assurance in Hospitals
Each year about 2500 children in the Netherlands are referred to a specialist because of short stature. Aim of the consensus meeting: 'Diagnosis of short stature in childhood' by general practitioners, pediatricians and pediatric endocrinologists was to promote early diagnosis and treatment of aberrant growth but also to prevent unnecessary referral and interventions. For optimal treatment of growth disorders early diagnosis is of the utmost importance. Short stature is best detected by the use of standard deviation scores (SDS) instead of percentile lines. As cut-off point for referral SDS < -1.3 (< P10) was chosen in order to identify risk groups that need further evaluation. Based on international consensus a diagnostic classification of short stature is possible, distinguishing normal variants and (or) idiopathic short stature from primary and secondary growth disorders. Using target length, the growth curve in the SDS diagram, the actual age and puberty signs, the general practitioner can use a flow chart to determine whether there is a growth problem and whether this needs treatment in primary or secondary health care. Measuring skeletal age has no additional value. Attention should also be given to psychosocial problems as the cause or the effect of short stature.
| Errataetall: |
CommentIn: Ned Tijdschr Geneeskd. 1999 Jul 24;143(30):1585-6. - PMID 10443285 |
|---|---|
| Medienart: |
Artikel |
| Erscheinungsjahr: |
1998 |
|---|---|
| Erschienen: |
1998 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:142 |
|---|---|
| Enthalten in: |
Nederlands tijdschrift voor geneeskunde - 142(1998), 46 vom: 14. Nov., Seite 2519-25 |
| Sprache: |
Niederländisch |
|---|
| Weiterer Titel: |
Consensus 'diagnostiek kleine lichaamslengte bij kinderen' |
|---|
| Beteiligte Personen: |
de Muinck Keizer-Schrama, S M [VerfasserIn] |
|---|
| Themen: |
Consensus Development Conference |
|---|
| Anmerkungen: |
Date Completed 18.03.1999 Date Revised 15.11.2006 published: Print CommentIn: Ned Tijdschr Geneeskd. 1999 Jul 24;143(30):1585-6. - PMID 10443285 Citation Status MEDLINE |
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| Förderinstitution / Projekttitel: |
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NLM099631016 |
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| 245 | 1 | 0 | |a Consensus 'diagnosis of short stature in children.' National Organization for Quality Assurance in Hospitals |
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| 500 | |a CommentIn: Ned Tijdschr Geneeskd. 1999 Jul 24;143(30):1585-6. - PMID 10443285 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Each year about 2500 children in the Netherlands are referred to a specialist because of short stature. Aim of the consensus meeting: 'Diagnosis of short stature in childhood' by general practitioners, pediatricians and pediatric endocrinologists was to promote early diagnosis and treatment of aberrant growth but also to prevent unnecessary referral and interventions. For optimal treatment of growth disorders early diagnosis is of the utmost importance. Short stature is best detected by the use of standard deviation scores (SDS) instead of percentile lines. As cut-off point for referral SDS < -1.3 (< P10) was chosen in order to identify risk groups that need further evaluation. Based on international consensus a diagnostic classification of short stature is possible, distinguishing normal variants and (or) idiopathic short stature from primary and secondary growth disorders. Using target length, the growth curve in the SDS diagram, the actual age and puberty signs, the general practitioner can use a flow chart to determine whether there is a growth problem and whether this needs treatment in primary or secondary health care. Measuring skeletal age has no additional value. Attention should also be given to psychosocial problems as the cause or the effect of short stature | ||
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| 650 | 4 | |a English Abstract | |
| 650 | 4 | |a Guideline | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Practice Guideline | |
| 650 | 4 | |a Review | |
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