Evidence map›Paper›PMID 26448482›Full record

ArticleHormone research in paediatrics2015

Parental Concerns Influencing Decisions to Seek Medical Care for a Child's Short Stature.

Adda Grimberg, Pamela Cousounis, Andrew J Cucchiara, Terri H Lipman, Kenneth R Ginsburg

Abstract 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 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
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

22 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Correlates of youth involvement in decision making about growth hormone treatment.Families, systems & health : the journal of collaborative family healthcare · 2025
    Article
  5. Article
  6. Article
  7. Growth Hormone Treatment for Non-GHD Disorders: Excitement Tempered by Biology.The Journal of clinical endocrinology and metabolism · 2024
    Review
  8. Youth and Parent Perceptions of Youth Decision-Making Roles Regarding Evaluation for Short Stature.Children's health care : journal of the Association for the Care of Children's Health · 2024
    Article
  9. Article
  10. Views on Short Stature of Female vs Male Endocrine Pediatric Patients Undergoing Provocative Growth Hormone Testing and Their Parents.Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists · 2023
    Article
  11. Article
  12. Inequalities in the assessment of childhood short stature.The British journal of general practice : the journal of the Royal College of General Practitioners · 2023
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  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

5 authors.

Adda GrimbergDivision of Pediatric Endocrinology and Diabetes, The Children's Hospital of Philadelphia, Philadelphia, Pa., USA.
Pamela Cousounis
Andrew J Cucchiara
Terri H Lipman
Kenneth R Ginsburg

Funding

Institutional Clinical and Translational Science AwardUL1TR000003 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2012 to 2015
$38.9M
Overcoming Disparities in Growth EvaluationsR01HD057037 · NICHD · CHILDREN'S HOSP OF PHILADELPHIA · PI GRIMBERG, ADDA · 2009 to 2012
$2.1M
NCATS NIH HHS UL1 TR000003NICHD NIH HHS R01 HD057037
6 · The paper itself

Abstract

aimsTo examine parental concerns about child growth and factors that drive parents' decisions whether to intervene medically with their child's height.

methodsParents of 9- to 14-year-old pediatric primary care patients of various heights, oversampled for those with short stature, participated in exploratory focus groups and nominal group technique sessions. Growth concerns expressed by the groups were incorporated into a survey, completed by 1,820 parents, and rated for their degree of impact on medical decision-making. Ordinal logistic regression modeled concern scores against parent traits. Explanatory focus groups clarified the survey results.

resultsResearch team consensus and factor analysis organized the 22 distinct concerns expressed by the parent groups into 7 categories. Categories rated as having the greatest influence on parental decision-making involved: treatment efficacy and side effects, child health and psychosocial function. Level of concern was highly associated with parental education and parenting style.

conclusionPsychosocial issues are influential, but parental decision-making is most impacted by concerns about treatment and child health. By discussing the real risks and benefits of hormone treatment and addressing parents' perceptions of what is needed for physical and psychosocial health, clinicians can be highly effective educators to assure that treatment is used only as medically indicated.

Indexed as

ParentsAdolescentBody HeightChildCultureEducational StatusFemaleGrowth DisordersHealth Care SurveysHealth StatusHumansMaleParentingPrimary Health CareRisk AssessmentSocial Behavior

Identifiers

PMID26448482
PMCPMC5576168

What OpenQuestion holds

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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.