Evidence map›Paper›PMID 38498128›Full record

SynthesisEndocrine2024

Epidemiology of growth hormone deficiency in children and adolescents: a systematic review.

Chiara Mameli, Liliana Guadagni, Massimiliano Orso, Valeria Calcaterra, Malgorzata Gabriela Wasniewska, Tommaso Aversa, Simona Granato, Pietro Bruschini, Daniela d'Angela, Federico Spandonaro and 2 more

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Endocrine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
6.1field-weighted citation impact, top 3% 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

24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 17 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

12 authors at 7 institutions in 2 countries.

Chiara MameliDepartment of Pediatrics, Buzzi Children's Hospital, Milan, Italy.ORCID 0000-0002-6768-3411
Liliana GuadagniDepartment of Surgical and Biomedical Sciences, University of Perugia, Perugia, Italy.ORCID 0009-0002-3803-4073
Massimiliano OrsoC.R.E.A. Sanità (Centre for Applied Economic Research in Healthcare), Rome, Italy. m.orso@creasanita.it.ORCID 0000-0003-0200-1202
Valeria CalcaterraDepartment of Pediatrics, Ospedale dei Bambini V. Buzzi, Milan, Italy.ORCID 0000-0002-2137-5974
Malgorzata Gabriela WasniewskaPediatric Unit, AOU Policlinico "G. Martino", Messina, Italy.ORCID 0000-0002-8299-2677
Tommaso AversaPediatric Unit, AOU Policlinico "G. Martino", Messina, Italy.ORCID 0000-0002-1754-6822
Simona GranatoMedical Department, Pfizer Italia, Rome, Italy.ORCID 0000-0002-3509-1446
Pietro BruschiniMedical Department, Pfizer Italia, Rome, Italy.
Daniela d'AngelaC.R.E.A. Sanità (Centre for Applied Economic Research in Healthcare), Rome, Italy.ORCID 0000-0003-3409-4757
Federico SpandonaroC.R.E.A. Sanità (Centre for Applied Economic Research in Healthcare), Rome, Italy.ORCID 0000-0003-1388-2850
Barbara PolistenaC.R.E.A. Sanità (Centre for Applied Economic Research in Healthcare), Rome, Italy.ORCID 0000-0002-0138-0223
Gianvincenzo ZuccottiDepartment of Pediatrics, Buzzi Children's Hospital, Milan, Italy.ORCID 0000-0002-2795-9874
University of Rome Tor Vergata · ITPfizer (Italy) · ITUniversity of Messina · ITUniversity of Milan · ITEconomic Research Centre · AZUniversity of Pavia · ITUniversity of Perugia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveGrowth hormone deficiency (GHD) is the most common pituitary hormone deficiency and is one of the main causes of short stature in children and adolescents. The aim of this study is to evaluate the epidemiology of pediatric GHD worldwide, since no other systematic review has been published so far.

methodsWe searched PubMed, Embase, and Web of Science up to July 2023 to find epidemiological studies involving children with GHD. Two review authors independently screened articles, extracted data and performed the quality assessment.

resultsWe selected 9 epidemiological studies published from 1974 to 2022. The range of prevalence was 1/1107-1/8,646. A study based on a registry of GH users in the Piedmont region (Italy) reported the highest mean prevalence. In the included studies, the mean incidence ranged from 1/28,800 to 1/46,700 cases per year. One study reported a 20-year cumulative incidence of 127/100,000 for boys and 93/100,000 for girls. Studies were heterogeneous in terms of population (age and GHD etiology) and diagnostic criteria. As for the methodological quality of included studies, all but one study satisfied the majority of the checklist items.

conclusionsThe included studies are mostly European, so the provided estimates cannot be considered global. International multicentre studies are needed to compare epidemiological estimates of GHD among different ethnical groups. Considering the considerable cost of human recombinant GH, the only available therapy to treat GHD, understanding accurate epidemiological estimates of GHD in each country is fundamental for resource allocation.

Indexed as

Human Growth HormoneAdolescentChildDwarfism, PituitaryFemaleGrowth DisordersHumansIncidenceMalePrevalenceHuman Growth HormoneEpidemiologyGHDGrowth hormone deficiencyIncidencePrevalence

Identifiers

PMID38498128
PMCPMC11246253
OpenAlexW4392914555

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.