Evidence map›Paper›PMID 35083638›Full record

SynthesisEndocrine2022

A meta-analysis of combination therapy with gonadotrophin-releasing hormone agonist and growth hormone for children with idiopathic short stature and normal timed puberty.

Bo Zhou, Shufang Liu, Jianhong Wang, Ting Zhang, Yuan Yuan, Wenquan Niu, Zhixin Zhang, Lin Wang

Abstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Endocrine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 3 pooled it
0.8field-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.

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

5 citing papers in PubMed, 3 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. [Pharmacological therapies for height improvement in pubertal children with short stature].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2024
    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

8 authors at 4 institutions in 1 country.

Bo ZhouDepartment of Child Health Care, Children's Hospital, Capital Institute of Pediatrics, Beijing, China.
Shufang LiuDepartment of Pediatrics, China-Japan Friendship Hospital, Beijing, China.
Jianhong WangDepartment of Child Health Care, Children's Hospital, Capital Institute of Pediatrics, Beijing, China.
Ting ZhangLaboratory of Child Development and Nutriomics, Capital Institute of Pediatrics, Beijing, China.
Yuan YuanDepartment of Integrated Traditional and Western Medicine, Yantai YuHuangDing Hospital, Shandong, China.
Wenquan NiuInstitute of Clinical Medical Sciences, China-Japan Friendship Hospital, Beijing, China. niuwenquan_shcn@163.com.
Zhixin ZhangInternational Medical Services, China-Japan Friendship Hospital, Beijing, China. zhangzhixin032@163.com.
Lin WangDepartment of Child Health Care, Children's Hospital, Capital Institute of Pediatrics, Beijing, China. carolin_wang@bjmu.edu.cn.ORCID http://orcid.org/0000-0001-5536-781X
China-Japan Friendship Hospital · CNCapital Institute of Pediatrics · CNChildren's Hospital of Capital Institute of Pediatrics · CNYuhuangding Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this meta-analysis is to evaluate whether the combination therapy with gonadotrophin-releasing hormone agonist (GnRHa) and recombinant human growth hormone (rhGH) are effective in the treatment of children with idiopathic short stature (ISS) and normal timed puberty by interrogating data from clinical controlled trials.

methodsLiterature retrieval, trail selection, data abstraction and quality assessment were completed independently by two authors. STATA software (version 14.1) was used for data analyses.

resultsThis meta-analysis was conducted based on 8 (4 randomized and 4 non-randomized) controlled trials. A total of 245 ISS children with normal timed puberty were financially analyzed. Overall, combination therapy with GnRHa and rhGH can slightly increase final height by 3.70 and 3.43 cm compared with GH treatment alone and no treatment, final height standard deviation score (FHSDS) by 0.10 and 0.22, final height minus predicted adult height (FH-PAH) by 1.5 and 5.32 cm, final height minus predicted adult height (FH-TH) by 7.70 and 4.32 cm, respectively. Subgroup and meta-regression analyses revealed that study type, sample size, GnRHa duration, and percentage of boys were potential sources of between-trial heterogeneity. There was a low probability of publication bias for above comparisons, as indicated by Egger's tests.

conclusionsOur meta-analytical findings indicate that the combination therapy with GnRHa and rhGH can slightly increase the final height of ISS children with normal timed puberty, and the effect was not more obvious than GH alone. We do not recommend the combination therapy as a routine treatment for ISS. TRIAL REGISTRATION NUMBER: CRD42019133438.

Indexed as

Human Growth HormoneAdultBody HeightChildGonadotropin-Releasing HormoneGrowth DisordersGrowth HormoneHumansMalePubertyGonadotropin-Releasing HormoneGrowth HormoneHuman Growth HormoneChildrenGonadotrophin-releasing hormone agonistsIdiopathic short statureMeta-analysis.Normal timed puberty

Identifiers

PMID35083638
OpenAlexW4210681042

What OpenQuestion holds

Textmetadata
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.