Evidence map›Paper›PMID 35315601›Full record

ArticleJournal of Korean medical science2022

Growth Responses During 3 Years of Growth Hormone Treatment in Children and Adolescents With Growth Hormone Deficiency: Comparison Between Idiopathic, Organic and Isolated Growth Hormone Deficiency, and Multiple Pituitary Hormone Deficiency.

Han Hyuk Lim, Yoo Mi Kim, Gyung Min Lee, Jaehong Yu, Heon-Seok Han, Jeesuk Yu

Registry-linked trialOpen access · goldAbstract readComparative Study
In one paragraph

Article in Journal of Korean medical science, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01604395 (An Open, Multi-center, Prospective and Retrospective Observational Study to Evaluate the Long-term Safety and Effectiveness of Growth Hormone), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 18% 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.

NCT01604395 recruitingnot on this map

An Open, Multi-center, Prospective and Retrospective Observational Study to Evaluate the Long-term Safety and Effectiveness of Growth Hormone (Eutropin Inj. / Eutropin Plus Inj.) Treatment With GHD, TS, CRF, SGA, ISS and PWS in Children

TypeobservationalSponsorLG ChemRan2012 to 2032Enrolled6,000ConditionsGrowth Hormone Deficiency, Turner Syndrome, Chronic Renal Failure, Small for Gestational Age
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

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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 4 institutions in 1 country.

Han Hyuk LimDepartment of Pediatrics, Chungnam National University College of Medicine, Daejeon, Korea.ORCID https://orcid.org/0000-0002-5297-5913
Yoo Mi KimDepartment of Pediatrics, Chungnam National University College of Medicine, Daejeon, Korea.ORCID https://orcid.org/0000-0002-8440-5069
Gyung Min LeeLee Gyung Min Pediatric Clinic, Daejeon, Korea.ORCID https://orcid.org/0000-0003-2209-9542
Jaehong YuJoey Children's Hospital, Daejeon, Korea.ORCID https://orcid.org/0000-0003-1323-508X
Heon-Seok HanDepartment of Pediatrics, Chungbuk National University College of Medicine, Cheongju, Korea.ORCID https://orcid.org/0000-0003-0012-2545
Jeesuk YuDepartment of Pediatrics, Dankook University College of Medicine, Cheonan, Korea. dryujs@dankook.ac.kr.ORCID https://orcid.org/0000-0003-0020-2000
Chungnam National University · KRJoongbu University · KRChungbuk National University · KRKT&G (South Korea) · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe study aimed to compare the growth responses to 3 years of growth hormone (GH) treatment in children and adolescents with GH deficiency (GHD) according to idiopathic, organic, isolated (IGHD), and multiple pituitary hormone deficiency (MPHD).

methodsTotal 163 patients aged 2-18 years (100 males and 63 females; 131 idiopathic and 32 organic GHD; 129 IGHD and 34 MPHD) were included from data obtained from the LG Growth Study. Parameters of growth responses and biochemical results were compared during the 3-year GH treatment.

resultsThe baseline age, bone age (BA), height (Ht) standard deviation score (SDS), weight SDS, mid-parental Ht SDS, predicted adult Ht (PAH) SDS, and insulin like growth factor-1 (IGF-1) SDS were significantly higher in the organic GHD patients than in the idiopathic GHD patients, but peak GH on the GH-stimulation test, baseline GH dose, and mean 3-year-GH dosage were higher in the idiopathic GHD patients than in the organic GHD patients. The prevalence of MPHD was higher in the organic GHD patients than in the idiopathic GHD patients. Idiopathic MPHD subgroup showed the largest increase for the ΔHt SDS and ΔPAH SDS during GH treatment, and organic MPHD subgroup had the smallest mean increase after GH treatment, depending on ΔIGF-1 SDS and ΔIGF binding protein-3 (IGFBP-3) SDS. The growth velocity and the parental-adjusted Ht gain were greater in the idiopathic GHD patients than the organic GHD patients during the 3-year GH treatment, which may have been related to the different GH dose, ΔIGF-1 SDS, and ΔIGFBP-3 SDS between two groups. Multiple linear regression analysis revealed that baseline IGF-1 SDS, BA, and MPH SDS in idiopathic group and baseline HT SDS in organic group are the most predictable parameters for favorable 3-year-GH treatment.

conclusionThe 3-year-GH treatment was effective in both idiopathic and organic GHD patients regardless of the presence of MPHD or underlying causes, but their growth outcomes were not constant with each other. Close monitoring along with appropriate dosage of GH and annual growth responses, not specific at baseline, are more important in children and adolescents with GHD for long-term treatment.

trial registrationClinicalTrials.gov Identifier: NCT01604395.

Indexed as

AdolescentBody HeightChildChild, PreschoolCongenital HypothyroidismDwarfism, PituitaryFemaleHuman Growth HormoneHumansMaleHuman Growth HormoneAdolescentChildCombined Pituitary Hormone DeficiencyGrowth HormoneGrowth Hormone Deficiency

Identifiers

PMID35315601
PMCPMC8938607
OpenAlexW4221003427

What OpenQuestion holds

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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.