Changing practice in growth monitoring

The most recent guidelines concede that velocity estimates are unreliable but nevertheless propose that the height charts of short children should be checked for movement across centile bands. 9 The evidence, however, is that the sensitivity and specificity of these measures in identifying silent di...

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Bibliographic Details
Published inBMJ Vol. 318; no. 7180; pp. 344 - 345
Main Author Voss, Linda D
Format Journal Article
LanguageEnglish
Published England British Medical Journal Publishing Group 06.02.1999
BMJ Publishing Group LTD
Subjects
Age
Body Height
Child
Growth Disorders - diagnosis
Growth hormones
Humans
Mass Screening - methods
Reference Values
Velocity
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Summary:The most recent guidelines concede that velocity estimates are unreliable but nevertheless propose that the height charts of short children should be checked for movement across centile bands. 9 The evidence, however, is that the sensitivity and specificity of these measures in identifying silent disease is inadequate. 10 It remains unclear whether more frequent height checks from infancy, a greater awareness of signs and symptoms other than short stature, or a single measurement of height would best identify growth related disease.
Bibliography:PMID:9933176
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ObjectType-Editorial-2
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ISSN:0959-8138
1468-5833
DOI:10.1136/bmj.318.7180.344