Evidence map›Paper›PMID 38712492›Full record

ArticleAnnals of pediatric endocrinology & metabolism2024

Effectiveness of the triptorelin stimulation test compared with the classic gonadotropin-releasing hormone stimulation test in diagnosing central precocious puberty in girls.

Yu Jin Kim, Jung Hwangbo, Kyu Hyun Park, Eungu Kang, Hyo-Kyoung Nam, Young-Jun Rhie, Kee-Hyoung Lee

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Article in Annals of pediatric endocrinology & metabolism, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

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0cells of the map it votes in
6citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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6 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Yu Jin KimDepartment of Pediatrics, Korea University Ansan Hospital, Ansan, Korea.
Jung HwangboDepartment of Pediatrics, Korea University Ansan Hospital, Ansan, Korea.
Kyu Hyun ParkDepartment of Pediatrics, Korea University Anam Hospital, Seoul, Korea.
Eungu KangDepartment of Pediatrics, Korea University Ansan Hospital, Ansan, Korea.
Hyo-Kyoung NamDepartment of Pediatrics, Korea University Guro Hospital, Seoul, Korea.
Young-Jun RhieDepartment of Pediatrics, Korea University Ansan Hospital, Ansan, Korea.
Kee-Hyoung LeeDepartment of Pediatrics, Korea University Anam Hospital, Seoul, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe gonadotropin-releasing hormone (GnRH) stimulation test is the gold standard for diagnosing central precocious puberty (CPP). Gonadorelin (Relefact) is used for the test but is not always readily available; triptorelin is used as an alternative. The purpose of this study was to evaluate the diagnostic validity of the triptorelin test compared with the GnRH test in the diagnosis of CPP in girls.

methodsThis retrospective study included 100 girls with premature thelarche (PT) who underwent a hypothalamic-pituitary-gonadal axis evaluation. In the overall group, 50 girls were tested with intravenous gonadorelin (Relefact) and 50 girls were tested with subcutaneous triptorelin acetate (Decapeptyl). Luteinizing hormone (LH) and follicle-stimulating hormone levels were measured at baseline and 30, 45, 60, and 90 minutes after gonadorelin injection or 30, 60, 90, and 120 minutes after triptorelin injection.

resultsClinical characteristics of age, height, weight, body mass index, and bone age were similar between the 2 groups. The highest LH level was reached 60 minutes after stimulation in both groups. Approximately 20% of the gonadorelin group and 24% of the triptorelin group were diagnosed with CPP (P=0.52). Among those diagnosed with CPP, the mean peak LH concentrations were 8.15 mIU/mL and 9.73 mIU/mL in the gonadorelin and triptorelin groups, respectively.

conclusionThe triptorelin test showed similar trends of LH elevation and diagnostic rate compared with the traditional GnRH test for diagnosing CPP. This suggests that the triptorelin test may be a valid alternative to the GnRH test for differentiating CPP from self-limiting PT. Our study also demonstrated that a triptorelin stimulation test for up to 120 minutes was sufficient to diagnose CPP.

Indexed as

Central precocious pubertyGonadorelinGonadotropin-releasing hormone stimulation testTriptorelin

Identifiers

PMID38712492
PMCPMC11076232

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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.