Growth monitoring as an early detection tool: a systematic review

The Lancet. Diabetes & Endocrinology
Pauline ScherdelMartin Chalumeau

Abstract

Growth monitoring of apparently healthy children aims at early detection of serious underlying disorders. However, existing growth-monitoring practices are mainly based on suboptimal methods, which can result in delayed diagnosis of severe diseases and inappropriate referrals. We did a systematic review to address two key and interconnected questions underlying growth monitoring: which conditions should be targeted, and how should abnormal growth be defined? We systematically searched for studies reporting algorithms for growth monitoring in children and studies comparing the performance of new WHO growth charts with that of other growth charts. Among 1556 identified citations, 69 met the inclusion criteria. Six target conditions have mainly been studied: Turner syndrome, coeliac disease, cystic fibrosis, growth hormone deficiency, renal tubular acidosis, and small for gestational age with no catch-up after 2 or 3 years. Seven algorithms to define abnormal growth have been proposed in the past 20 years, but their level of validation is low, and their overall sensitivities and specificities vary substantially; however, the Grote and Saari clinical decision rules seem the most promising. Two studies reported that WHO growth chart...Continue Reading

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Citations

Aug 24, 2018·The Journal of Clinical Endocrinology and Metabolism·Pauline ScherdelBarbara Heude
Apr 25, 2019·Pediatric Hematology and Oncology·Clarissa Campolina De Sá MattosinhoNathália Grigorovski
Mar 22, 2019·The Journal of Clinical Endocrinology and Metabolism·Martin ChalumeauBarbara Heude
Aug 18, 2017·Paediatric and Perinatal Epidemiology·Barbara HeudeMartin Chalumeau
Nov 18, 2018·Nature Reviews. Endocrinology·Louise A Baur, Sarah P Garnett
Feb 27, 2020·Journal of Pediatric Gastroenterology and Nutrition·Dimitrios PoulimeneasTonia Vassilakou
Mar 20, 2019·American Journal of Medical Genetics. Part a·Mariana Del PinoPaula Adamo
Sep 10, 2020·Journal of Eating Disorders·Morgane MarionElise Launay
Jan 30, 2018·Frontiers in Endocrinology·Mohamad MaghnieTilman R Rohrer
Feb 6, 2020·Journal of Medical Internet Research·Joseph H ChouRachana Singh
Oct 6, 2020·Nursing Children and Young People·Kate Davies
Nov 28, 2020·The Journal of Clinical Endocrinology and Metabolism·Antti SaariUlla Sankilampi
Apr 10, 2021·The Journal of Pediatrics·Claire GuivarchMartin Chalumeau
Apr 26, 2021·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Mathilde GrapinFrank Bienaimé
Mar 30, 2020·Paediatrics & Child Health·Yasmeen Mansoor, Ilona Hale
May 18, 2021·BioMed Research International·Qianqian ZhaoBo Ban
May 21, 2021·Journal of Medical Internet Research·Paul DimitriEkaterina Koledova
Aug 5, 2021·SSM - Population Health·Austin Sandler
Jul 14, 2021·Paediatric and Perinatal Epidemiology·Marion TaineBarbara Heude

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