A national survey on the diagnosis and treatment of paediatric growth hormone deficiency

Hdl Handle:
http://hdl.handle.net/10147/605691
Title:
A national survey on the diagnosis and treatment of paediatric growth hormone deficiency
Authors:
Hawkes, CP; O’Connell, SM
Publisher:
Irish Medical Journal
Journal:
Irish Medical Journal
Issue Date:
Feb-2016
URI:
http://hdl.handle.net/10147/605691
Item Type:
Article
Language:
en
Description:
Many countries have established regulations regarding growth hormone (GH) treatment in children, to standardise care and control cost. In this study, we describe current practice in Ireland surrounding child measurement and the approach to diagnosis of GH deficiency. A questionnaire was sent to 139 paediatricians in Ireland and 35 (9 paediatric endocrinologists) responded. Only 13 (37.1%) use the recommended 2-person technique for measuring children under 2. Amongst GH prescribers, there were a variety of GH Stimulation Tests used, sex steroid priming was used by 8 (80%) and the general cut-off for a passed test was consistent (7 ng/ml). Brand rotation (n=5, 50%) and cost (n=3, 30%) were the most common criteria for deciding the formulation of GH prescribed. We recommend that departments review their child measurement technique and equipment. We also advise the establishment of national guidelines for the use of GH, and a prospective registry for GH treated children.
Keywords:
CHILD HEALTH; CHILD DEVELOPMENT

Full metadata record

DC FieldValue Language
dc.contributor.authorHawkes, CPen
dc.contributor.authorO’Connell, SMen
dc.date.accessioned2016-04-18T11:53:37Zen
dc.date.available2016-04-18T11:53:37Zen
dc.date.issued2016-02en
dc.identifier.urihttp://hdl.handle.net/10147/605691en
dc.descriptionMany countries have established regulations regarding growth hormone (GH) treatment in children, to standardise care and control cost. In this study, we describe current practice in Ireland surrounding child measurement and the approach to diagnosis of GH deficiency. A questionnaire was sent to 139 paediatricians in Ireland and 35 (9 paediatric endocrinologists) responded. Only 13 (37.1%) use the recommended 2-person technique for measuring children under 2. Amongst GH prescribers, there were a variety of GH Stimulation Tests used, sex steroid priming was used by 8 (80%) and the general cut-off for a passed test was consistent (7 ng/ml). Brand rotation (n=5, 50%) and cost (n=3, 30%) were the most common criteria for deciding the formulation of GH prescribed. We recommend that departments review their child measurement technique and equipment. We also advise the establishment of national guidelines for the use of GH, and a prospective registry for GH treated children.en
dc.language.isoenen
dc.publisherIrish Medical Journalen
dc.subjectCHILD HEALTHen
dc.subjectCHILD DEVELOPMENTen
dc.titleA national survey on the diagnosis and treatment of paediatric growth hormone deficiencyen
dc.typeArticleen
dc.identifier.journalIrish Medical Journalen
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