Effect of changing reference growth charts on the prevalence of short stature

INTRODUCTIONShort stature is a family concern, and is a common reason for consultations in paediatrics. Growth charts are an essential diagnostic tool. The objective of this study is to evaluate the impact of changing reference charts in the diagnosis of short stature in a health area. SUBJECTS AND...

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Veröffentlicht in:Anales de Pediatría 2020-01, Vol.92 (1), p.28-36
Hauptverfasser: Aizpurua Galdeano, Pilar, Mateo Abad, Maider, Alonso Alonso, Ángeles, Juaristi Irureta, Saioa, Carvajal Goikoetxea, Begoña, García Ruiz, Sara, Jaca Miranda, Sorkunde
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Sprache:eng ; spa
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Zusammenfassung:INTRODUCTIONShort stature is a family concern, and is a common reason for consultations in paediatrics. Growth charts are an essential diagnostic tool. The objective of this study is to evaluate the impact of changing reference charts in the diagnosis of short stature in a health area. SUBJECTS AND METHODSA population-based-cross-sectional-descriptive-study was performed in which the height of children of 4, 6, 10 and 13 years-old were compared with the growth charts of the Fundación Orbegozo 2004 Longitudinal and 2011. The prevalence of short stature and the 3rd percentile of the study sample were calculated. RESULTSThere were 12,256 valid records (89% of the population). The prevalence of short stature increased at all ages with the change in the growth charts, with differences of prevalence of 3.6% (95% CI: 2.8 to 4.5) at 4 years; 1.8% (95% CI: 1.3 to 2.3) at 6 years; 2.8% (95% CI: 2.2 to 3.4) at 10 years, and 1.4% (95% CI: 0.8 to 1.9) at 13 years. In absolute numbers, it went from 58 diagnoses of short stature with the 2004 Longitudinal charts (34 boys and 24 girls) to 352 with the 2011 (155 boys and 197 girls). CONCLUSIONSThe change in reference growth charts has increased by 6-fold the number of diagnoses of short stature. The pathological condition found in the cases diagnosed with the 2011 growth charts that had not been diagnosed with the previous charts will allow us to evaluate the suitability of the change.
ISSN:2341-2879
DOI:10.1016/j.anpedi.2019.03.006