Evidence map›Paper›PMID 36469726›Full record

ArticleThe Journal of clinical endocrinology and metabolism2023

Early Growth Hormone Initiation Leads to Favorable Long-Term Growth Outcomes in Children Born Small for Gestational Age.

Anders Juul, Philippe Backeljauw, Marco Cappa, Alberto Pietropoli, Nicky Kelepouris, Agnès Linglart, Roland Pfäffle, Mitchell Geffner

2 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.0field-weighted citation impact, top 9% 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
NCT01009905 completednot on this map

Registry of Patients Being Treated With Norditropin®, Recombinant Human Growth Hormone

TypeobservationalSponsorNovo Nordisk A/SRan2002 to 2016Enrolled22,960ConditionsGrowth Hormone Disorder, Pituitary Dwarfism, HypopituitarismArmssomatropin
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. [Attaching great importance to the scientific assessment of short stature in children].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 8 institutions in 6 countries.

Anders JuulDepartment of Growth and Reproduction, Copenhagen University Hospital - Rigshospitalet, 2100 Copenhagen, Denmark.ORCID 0000-0002-0534-4350
Philippe BackeljauwCincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH 45229, USA.ORCID 0000-0003-2398-9520
Marco CappaUnit of Endocrinology, Bambino Gesù Children's Hospital, IRCCS, 00165 Roma, Italy.ORCID 0000-0001-5647-7519
Alberto PietropoliNovo Nordisk Health Care AG, Global Medical Affairs Biopharm, 8058 Zurich, Switzerland.ORCID 0000-0003-0353-4334
Nicky KelepourisNovo Nordisk Inc., Clinical, Medical and Regulatory Biopharm-RED, Plainsboro, NJ 08536, USA.ORCID 0000-0003-2445-2338
Agnès LinglartAP-HP, Paris Saclay University, INSERM, Physiologie et Physiopathologie Endocriniennes, Endocrinology and Diabetology for Children, Bicêtre Paris Saclay Hospital, 94270 Le Kremlin-Bicetre, France.ORCID 0000-0003-3455-002X
Roland PfäffleUniversity of Leipzig, Medical Faculty, University Hospital for Children and Adolescents, Center for Pediatric Research, Liebigstr.19, 04103 Leipzig, Germany.
Mitchell GeffnerThe Saban Research Institute and the Center for Endocrinology, Diabetes and Metabolism, Children's Hospital, Los Angeles, CA 90027, USA.ORCID 0000-0002-0384-3287
Bambino Gesù Children's Hospital · ITChildren's Hospital of Los Angeles · USCincinnati Children's Hospital Medical Center · USInserm · FRNovo Nordisk (Switzerland) · CHNovo Nordisk (United States) · USUniversity Hospital Leipzig · DEUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextEarly initiation of growth hormone (GH) therapy is recommended for short children born small for gestational age (SGA); however, real-world data indicate that treatment is often delayed.

objectiveWe aimed to assess the impact of patient age at GH therapy initiation on long-term growth outcomes and safety in short children born SGA.

methodsAnalysis of pooled data from NordiNet® International Outcome Study (NCT00960128; 469 European clinics) and the ANSWER Program (NCT01009905; 207 US clinics), two large, complementary observational studies. Patients received GH as prescribed by their treating physician. Enrolled patients born SGA were categorized into three groups based on their age at GH treatment initiation: 2 to <4 years, 4 to <6 years, and ≥6 years. Patient characteristics at birth and GH initiation, auxology, and safety data were evaluated.

resultsThe effectiveness analysis (treatment-naïve and prepubertal patients at GH initiation) included 3318 patients: 10.7% aged 2 to <4 years at therapy initiation, 31.6% aged 4 to <6 years, and 57.7% aged ≥6 years. Following 8 years of therapy, the mean improvement in height standard deviation score from baseline was significantly greater in the 2 to <4 years group vs the 4 to <6 years (+2.5 vs +2.2; P = 0.0054) and ≥6 years groups (+2.5 vs +1.7; P < 0.0001). No unexpected safety events were reported.

conclusionEarly initiation of GH therapy in short children born SGA may be an important contributor to height optimization. The data are reassuring regarding the long-term safety of GH therapy in this population.

Indexed as

Human Growth HormoneInfant, Newborn, DiseasesBody HeightChildGestational AgeGrowth HormoneHumansInfant, NewbornInfant, Small for Gestational AgeGrowth HormoneHuman Growth Hormonegrowth hormone therapylong-term effectivenesssafetysmall for gestational age

Identifiers

PMID36469726
PMCPMC10099159
OpenAlexW4310781337

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.