Growth hormone deficiency epidemiology and demographics: Difference between revisions
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==Overview== | ==Overview== | ||
[[Prevalence]] and [[incidence]] data of growth hormone deficiency vary widely due to the lack of standard diagnostic criteria. Diagnosis of growth hormone deficiency is made during 2 broad age peaks; the first age peak occurs at 5 years, a time when children begin school. The second age peak occurs in girls aged 10-13 years and boys aged 12-16 years. There is no apparent racial difference in the incidence of GHD. Seventy-three percent of patients with idiopathic GHD in were males due to societies that | [[Prevalence]] and [[incidence]] data of growth hormone deficiency vary widely due to the lack of standard diagnostic criteria. Diagnosis of growth hormone deficiency is made during 2 broad age peaks; the first age peak occurs at 5 years, a time when children begin school. The second age peak occurs in girls aged 10-13 years and boys aged 12-16 years. There is no apparent racial difference in the incidence of GHD. Seventy-three percent of patients with idiopathic GHD in were males due to societies that concern more about males short stature than the females. Patients with GHD from organic causes such as [[Tumor|tumors]] and [[Radiation therapy|radiation,]] in which no gender bias should be present, were still 62% male. | ||
==Epidemiology and Demographics== | ==Epidemiology and Demographics== | ||
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* The [[incidence]] of persistent GHD was 12.0%.<ref name="pmid25301482">{{cite journal| author=Smyczyńska J, Stawerska R, Lewiński A, Hilczer M| title=Incidence and predictors of persistent growth hormone deficiency (GHD) in patients with isolated, childhood-onset GHD. | journal=Endokrynol Pol | year= 2014 | volume= 65 | issue= 5 | pages= 334-41 | pmid=25301482 | doi=10.5603/EP.2014.0046 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25301482 }}</ref> | * The [[incidence]] of persistent GHD was 12.0%.<ref name="pmid25301482">{{cite journal| author=Smyczyńska J, Stawerska R, Lewiński A, Hilczer M| title=Incidence and predictors of persistent growth hormone deficiency (GHD) in patients with isolated, childhood-onset GHD. | journal=Endokrynol Pol | year= 2014 | volume= 65 | issue= 5 | pages= 334-41 | pmid=25301482 | doi=10.5603/EP.2014.0046 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25301482 }}</ref> | ||
* There is no significant difference in the [[incidence]] of [[Pituitary gland|pituitary]] | * There is no significant difference in the [[incidence]] of [[Pituitary gland|pituitary hypoplasia]] between the patients with persistent and transient GHD. | ||
=== Gender<ref name="pmid10393494">{{cite journal| author=Finkelstein BS, Singh J, Silvers JB, Marrero U, Neuhauser D, Cuttler L| title=Patient attitudes and preferences regarding treatment: GH therapy for childhood short stature. | journal=Horm Res | year= 1999 | volume= 51 Suppl 1 | issue= | pages= 67-72 | pmid=10393494 | doi=53138 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10393494 }}</ref> | === Gender === | ||
*Seventy-three percent of patients with [[idiopathic]] GHD in were males due to societies that care a lot about males short stature than the females.<ref name="pmid10393494">{{cite journal| author=Finkelstein BS, Singh J, Silvers JB, Marrero U, Neuhauser D, Cuttler L| title=Patient attitudes and preferences regarding treatment: GH therapy for childhood short stature. | journal=Horm Res | year= 1999 | volume= 51 Suppl 1 | issue= | pages= 67-72 | pmid=10393494 | doi=53138 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10393494 }}</ref> | |||
*Patients with GHD from organic causes such as [[tumors]] and [[Radiation therapy|radiation]], in which no gender bias should be present, were still 62% male. | *Patients with GHD from organic causes such as [[tumors]] and [[Radiation therapy|radiation]], in which no gender bias should be present, were still 62% male. | ||
*Cuttler et al published results of a survey of pediatric endocrinologists that growth hormone treatment was 1.3 times more common in boys than in girls.<ref name="pmid21229093">{{cite journal| author=Schnell FN, Bannard JR| title=Short Stature in Childhood and Adolescence: Part 1: Medical management. | journal=Can Fam Physician | year= 1991 | volume= 37 | issue= | pages= 2206-13 | pmid=21229093 | doi= | pmc=2145710 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21229093 }}</ref> | *Cuttler et al published results of a survey of pediatric endocrinologists that [[growth hormone]] treatment was 1.3 times more common in boys than in girls.<ref name="pmid21229093">{{cite journal| author=Schnell FN, Bannard JR| title=Short Stature in Childhood and Adolescence: Part 1: Medical management. | journal=Can Fam Physician | year= 1991 | volume= 37 | issue= | pages= 2206-13 | pmid=21229093 | doi= | pmc=2145710 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21229093 }}</ref> | ||
==== Age ==== | ==== Age ==== | ||
*Diagnosis of growth hormone deficiency is made during 2 broad age peaks; the first age peak occurs at 5 years, a time when children begin school. The second age peak occurs in girls aged 10-13 years and boys aged 12-16 years. | *Diagnosis of growth hormone deficiency is made during 2 broad age peaks; the first age peak occurs at 5 years, a time when children begin school. | ||
*The second age peak occurs in girls aged 10-13 years and boys aged 12-16 years. | |||
*While congenital GHD and most cases of idiopathic GHD are thought to be present from birth, diagnosis is often delayed until the patient’s short stature is noticed in relation to their peers. | *While congenital GHD and most cases of idiopathic GHD are thought to be present from birth, diagnosis is often delayed until the patient’s short stature is noticed in relation to their peers. | ||
Revision as of 17:47, 27 September 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohammed Abdelwahed M.D[2]
Overview
Prevalence and incidence data of growth hormone deficiency vary widely due to the lack of standard diagnostic criteria. Diagnosis of growth hormone deficiency is made during 2 broad age peaks; the first age peak occurs at 5 years, a time when children begin school. The second age peak occurs in girls aged 10-13 years and boys aged 12-16 years. There is no apparent racial difference in the incidence of GHD. Seventy-three percent of patients with idiopathic GHD in were males due to societies that concern more about males short stature than the females. Patients with GHD from organic causes such as tumors and radiation, in which no gender bias should be present, were still 62% male.
Epidemiology and Demographics
Incidence[1]
- Prevalence and incidence data vary widely due to the lack of standard diagnostic criteria.
- The incidence of persistent GHD was 12.0%.[2]
- There is no significant difference in the incidence of pituitary hypoplasia between the patients with persistent and transient GHD.
Gender
- Seventy-three percent of patients with idiopathic GHD in were males due to societies that care a lot about males short stature than the females.[3]
- Patients with GHD from organic causes such as tumors and radiation, in which no gender bias should be present, were still 62% male.
- Cuttler et al published results of a survey of pediatric endocrinologists that growth hormone treatment was 1.3 times more common in boys than in girls.[4]
Age
- Diagnosis of growth hormone deficiency is made during 2 broad age peaks; the first age peak occurs at 5 years, a time when children begin school.
- The second age peak occurs in girls aged 10-13 years and boys aged 12-16 years.
- While congenital GHD and most cases of idiopathic GHD are thought to be present from birth, diagnosis is often delayed until the patient’s short stature is noticed in relation to their peers.
Race
- There is no apparent racial difference in the incidence of GHD.
References
- ↑ Erfurth EM (2005). "Epidemiology of adult growth hormone deficiency. Prevalence, incidence, mortality and morbidity". Front Horm Res. 33: 21–32. doi:10.1159/000088397. PMID 16166753.
- ↑ Smyczyńska J, Stawerska R, Lewiński A, Hilczer M (2014). "Incidence and predictors of persistent growth hormone deficiency (GHD) in patients with isolated, childhood-onset GHD". Endokrynol Pol. 65 (5): 334–41. doi:10.5603/EP.2014.0046. PMID 25301482.
- ↑ Finkelstein BS, Singh J, Silvers JB, Marrero U, Neuhauser D, Cuttler L (1999). "Patient attitudes and preferences regarding treatment: GH therapy for childhood short stature". Horm Res. 51 Suppl 1: 67–72. doi:53138 Check
|doi=value (help). PMID 10393494. - ↑ Schnell FN, Bannard JR (1991). "Short Stature in Childhood and Adolescence: Part 1: Medical management". Can Fam Physician. 37: 2206–13. PMC 2145710. PMID 21229093.