Evidence map›Paper›PMID 26227295›Full record

ArticleHormone research in paediatrics2015

Description of the SAGhE Cohort: A Large European Study of Mortality and Cancer Incidence Risks after Childhood Treatment with Recombinant Growth Hormone.

Anthony J Swerdlow, Rosie Cooke, Kerstin Albertsson-Wikland, Birgit Borgström, Gary Butler, Stefano Cianfarani, Peter Clayton, Joël Coste, Annalisa Deodati, Emmanuel Ecosse and 15 more

Open access · hybridAbstract read
In one paragraph

Article in Hormone research in paediatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Article
  4. Article
  5. Bioactive IGF-I Concentrations in Children on GH Therapy.The Journal of clinical endocrinology and metabolism · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Long-Term Efficacy and Safety of Recombinant Human Growth Hormone in Children Born Small for Gestational Age.Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme · 2023
    Article
  10. First Clinical Study on Long-Acting Growth Hormone Therapy in Children with Turner Sydrome.Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme · 2022
    Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Health behaviour of women with Turner Syndrome.Acta paediatrica (Oslo, Norway : 1992) · 2021
    Article
  16. Review
  17. Review
  18. Review
  19. Long-Acting Growth Hormone Preparations - Current Status and Future Considerations.The Journal of clinical endocrinology and metabolism · 2020
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

25 authors at 15 institutions in 13 countries.

Anthony J SwerdlowDivision of Genetics and Epidemiology, Institute of Cancer Research, London, UK.
Rosie Cooke
Kerstin Albertsson-Wikland
Birgit Borgström
Gary Butler
Stefano Cianfarani
Peter Clayton
Joël Coste
Annalisa Deodati
Emmanuel Ecosse
Ruth Gausche
Claudio Giacomozzi
Wieland Kiess
Anita C S Hokken-Koelega
Claudia E Kuehni
Fabienne Landier
Marc Maes
Primus-E Mullis
Roland Pfaffle
Lars Sävendahl
Grit Sommer
Muriel Thomas
Sally Tollerfield
Gladys R J Zandwijken
Jean-Claude Carel
Karolinska Institutet · SEUniversity Hospital Leipzig · DEBambino Gesù Children's Hospital · ITDélégation Paris 7 · FRErasmus MC · NLInstitute of Cancer Research · GBUniversité Paris Cité · FRUniversity of Bern · CHCliniques Universitaires Saint-Luc · BEInstitute of Child Health · INManchester Academic Health Science Centre · GBUniversitair Ziekenhuis Brussel · BEUniversity College Hospital · GBUniversity Hospital of Bern · CHUniversity of Gothenburg · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe long-term safety of growth hormone treatment is uncertain. Raised risks of death and certain cancers have been reported inconsistently, based on limited data or short-term follow-up by pharmaceutical companies. PATIENTS AND

methodsThe SAGhE (Safety and Appropriateness of Growth Hormone Treatments in Europe) study assembled cohorts of patients treated in childhood with recombinant human growth hormone (r-hGH) in 8 European countries since the first use of this treatment in 1984 and followed them for cause-specific mortality and cancer incidence. Expected rates were obtained from national and local general population data. The cohort consisted of 24,232 patients, most commonly treated for isolated growth failure (53%), Turner syndrome (13%) and growth hormone deficiency linked to neoplasia (12%). This paper describes in detail the study design, methods and data collection and discusses the strengths, biases and weaknesses consequent on this.

conclusionThe SAGhE cohort is the largest and longest follow-up cohort study of growth hormone-treated patients with follow-up and analysis independent of industry. It forms a major resource for investigating cancer and mortality risks in r-hGH patients. The interpretation of SAGhE results, however, will need to take account of the methods of cohort assembly and follow-up in each country.

Indexed as

AdolescentCause of DeathChildChild, PreschoolCohort StudiesEuropeFemaleFollow-Up StudiesGrowth DisordersHuman Growth HormoneHumansIncidenceInfantInfant, NewbornMaleNeoplasmsHuman Growth HormoneRecombinant Proteins

Identifiers

PMID26227295
PMCPMC4611066
OpenAlexW1508595296

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.