Evidence map›Paper›PMID 31197263›Full record

GuidelineNature reviews. Nephrology2019

Clinical practice recommendations for growth hormone treatment in children with chronic kidney disease.

Jens Drube, Mandy Wan, Marjolein Bonthuis, Elke Wühl, Justine Bacchetta, Fernando Santos, Ryszard Grenda, Alberto Edefonti, Jerome Harambat, Rukshana Shroff and 3 more

Abstract readPractice GuidelineReview
In one paragraph

Guideline in Nature reviews. Nephrology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 84 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed, 4 pooled it
–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

84 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Guideline
  5. Trial
  6. Review
  7. Review
  8. Review
  9. Linear growth in pediatric kidney transplant recipients.Pediatric nephrology (Berlin, Germany) · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
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  17. Kidney and vascular involvement in Alagille syndrome.Pediatric nephrology (Berlin, Germany) · 2025
    Review
  18. Review
  19. Review
  20. Review

24 more citing papers are in PubMed but not listed here.

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

13 authors.

Jens DrubeDepartment of Pediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School Children's Hospital, Hannover, Germany.
Mandy WanRenal Unit, Great Ormond Street Hospital for Children, London, UK.
Marjolein BonthuisESPN/ERA-EDTA Registry, Department of Medical Informatics, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands.
Elke WühlDepartment of Pediatrics I, University Children's Hospital, Heidelberg, Germany.
Justine BacchettaDepartment of Pediatric Nephrology, Rheumatology and Dermatology, University Children's Hospital, Lyon, France.
Fernando SantosDepartment of Pediatrics, Hospital Universitario Central de Asturias (HUCA), Health Service of the Principality of Asturias, SESPA, Oviedo, Spain.
Ryszard GrendaDepartment of Nephrology, Kidney Transplantation and Arterial Hypertension, The Children's Memorial Health Institute, Warsaw, Poland.
Alberto EdefontiFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Jerome HarambatESPN/ERA-EDTA Registry, Department of Medical Informatics, Academic Medical Center, University of Amsterdam, Amsterdam, Netherlands.
Rukshana ShroffRenal Unit, Great Ormond Street Hospital for Children, London, UK.
Burkhard TönshoffDepartment of Pediatrics I, University Children's Hospital, Heidelberg, Germany.
Dieter HaffnerDepartment of Pediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School Children's Hospital, Hannover, Germany. haffner.dieter@mh-hannover.de.ORCID http://orcid.org/0000-0002-9601-7813
European Society for Paediatric Nephrology Chronic Kidney Disease Mineral and Bone Disorders, Dialysis, and Transplantation Working Groups

Funding

Department of Health ICA-CDRF-2016-02-057
6 · The paper itself

Abstract

Achieving normal growth is one of the most challenging problems in the management of children with chronic kidney disease (CKD). Treatment with recombinant human growth hormone (GH) promotes longitudinal growth and likely enables children with CKD and short stature to reach normal adult height. Here, members of the European Society for Paediatric Nephrology (ESPN) CKD-Mineral and Bone Disorder (MBD), Dialysis and Transplantation working groups present clinical practice recommendations for the use of GH in children with CKD on dialysis and after renal transplantation. These recommendations have been developed with input from an external advisory group of paediatric endocrinologists, paediatric nephrologists and patient representatives. We recommend that children with stage 3-5 CKD or on dialysis should be candidates for GH therapy if they have persistent growth failure, defined as a height below the third percentile for age and sex and a height velocity below the twenty-fifth percentile, once other potentially treatable risk factors for growth failure have been adequately addressed and provided the child has growth potential. In children who have received a kidney transplant and fulfil the above growth criteria, we recommend initiation of GH therapy 1 year after transplantation if spontaneous catch-up growth does not occur and steroid-free immunosuppression is not a feasible option. GH should be given at dosages of 0.045-0.05 mg/kg per day by daily subcutaneous injections until the patient has reached their final height or until renal transplantation. In addition to providing treatment recommendations, a cost-effectiveness analysis is provided that might help guide decision-making.

Indexed as

ChildChild, PreschoolGrowth DisordersHuman Growth HormoneHumansKidney TransplantationRenal DialysisRenal Insufficiency, ChronicHuman Growth Hormone

Identifiers

PMID31197263
PMCPMC7136166

What OpenQuestion holds

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Registered trials

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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.