Evidence map›Paper›PMID 28522645›Full record

ArticleEuropean journal of endocrinology2017

Real-life GH dosing patterns in children with GHD, TS or born SGA: a report from the NordiNet® International Outcome Study.

Oliver Blankenstein, Marta Snajderova, Jo Blair, Effie Pournara, Birgitte Tønnes Pedersen, Isabelle Oliver Petit

Registry-linked trialOpen access · hybridAbstract readMulticenter Study
In one paragraph

Article in European journal of endocrinology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00960128 (NordiNet® International Outcome Study-Observational Prospective Study on Patients Treated With Norditropin®), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 27% 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.

NCT00960128 completednot on this map

NordiNet® International Outcome Study-Observational Prospective Study on Patients Treated With Norditropin®

TypeobservationalSponsorNovo Nordisk A/SRan2006 to 2016Enrolled21,249ConditionsGrowth Hormone Disorder, Growth Hormone Deficiency in Children, Adult Growth Hormone Deficiency, Genetic DisorderArmssomatropin
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Article
  5. Article
  6. GH Therapy in Non-Growth Hormone-Deficient Children.Children (Basel, Switzerland) · 2024
    Review
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Observational
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

6 authors at 6 institutions in 6 countries.

Oliver BlankensteinCenter for Chronic Sick Children, Institute for Experimental Paediatric Endocrinology, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Marta Snajderova2nd Faculty of Medicine, Charles University and University Hospital Motol, Prague, Czech Republic.
Jo BlairAlder Hey Children's NHS Foundation Trust, Liverpool, UK.
Effie PournaraNovo Nordisk Health Care AG, Zurich, Switzerland.
Birgitte Tønnes PedersenEpidemiology, Novo Nordisk A/S, Søborg, Denmark.
Isabelle Oliver PetitDepartment of Paediatric Endocrinology, Hôpital des Enfants, Toulouse, France.
Alder Hey Children's NHS Foundation Trust · GBCharité - Universitätsmedizin Berlin · DECharles University · CZHôpital des Enfants · FRNovo Nordisk (Denmark) · DKNovo Nordisk (Switzerland) · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe real-life dosing patterns in children with growth hormone deficiency (GHD), born small for gestational age (SGA) or with Turner syndrome (TS) receiving growth hormone (GH) and enrolled in the NordiNet International Outcome Study (IOS; Nbib960128) between 2006 and 2016.

designThis non-interventional, multicentre study included paediatric patients diagnosed with GHD (isolated (IGHD) or multiple pituitary hormone deficiency (MPHD)), born SGA or with TS and treated according to everyday clinical practice from the Czech Republic (IGHD/MPHD/SGA/TS:

methodsGH dosing was compared descriptively across countries and indications. Proportions of patients by GH dose group (low/medium/high) or GH dose change (decrease/increase/no change) during years 1 and 2 were also evaluated across countries and indications.

resultsIn the Czech Republic, GH dosing was generally within recommended levels. In France, average GH doses were higher for patients with IGHD, MPHD and SGA than in other countries. GH doses in TS tended to be at the lower end of the recommended label range, especially in Germany and the UK; the majority of patients were in the low-dose group. A significant inverse association between baseline height standard deviation score and GH dose was shown (

conclusionsGH dosing varies considerably across countries and indications. In particular, almost half of girls with TS received GH doses below practice guidelines and label recommendations.

Indexed as

Infant, Small for Gestational AgeInternationalityResearch ReportAdolescentChildChild, PreschoolCross-Sectional StudiesCzech RepublicDose-Response Relationship, DrugDwarfism, PituitaryFemaleFollow-Up StudiesFranceGermanyGrowth DisordersHuman Growth HormoneHuman Growth Hormone

Identifiers

PMID28522645
PMCPMC5488395
OpenAlexW2614506492

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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.