PMID: 8591546Jan 1, 1995Paper

CALIPER: individualized-growth curves for the monitoring of children's growth

Medinfo
M M KuilboerJ M Wit

Abstract

Monitoring children's growth is a fundamental part of pediatric care. Deviation from the expected growth pattern can be an important sign of disease and often results in parental anxiety. Most preprinted growth curves are based on cross-sectional data derived from population-based studies of normal children. Since the age of the pubertal growth spurt varies substantially among the normal curves, these curves don't adequately reflect the expected growth pattern of an individual child. In addition, any preprinted growth curve based on the general population becomes less useful when the maturation of a child and the heights of it's parents differ substantially from the average. Established methods exist to adjust the general reference-growth curves for parental height. However, these methods generally are too time consuming to be used in clinic. Only heuristic methods are known to us to adjust the general-reference curves for maturation. We have developed the decision-support system CALIPER, that enables and standardizes the generation of individualized reference-growth curves. CALIPER consists of a graphical interface for data entry, a progress-report generator, and a module for the interactive, dynamic display of general-referen...Continue Reading

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