Evidence map›Paper›PMID 41230026›Full record

ArticleJournal of the Endocrine Society2025

Adherence and Growth Outcomes in a Large Cohort of Children Treated With Recombinant GH Using a Connected Auto-injector.

Michel Polak, Natacha Bouhours-Nouet, Paula van Dommelen, Lilian Arnaud, Sophie Berger, Claire Castello-Bridoux, Quentin Le Masne, Mélissande Simonin, Raphaël Untereiner, Viviane Jeanbat and 3 more

Abstract read
In one paragraph

Article in Journal of the Endocrine Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
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

13 authors.

Michel PolakDepartment of Pediatric Endocrinology, Diabetology and Gynecology, Hôpital Universitaire Necker Enfants Malades, Centre des Maladies Endocriniennes Rares de la Croissance et du Développement, Assistance Publique Hôpitaux de Paris, Paris 75015, France.ORCID https://orcid.org/0000-0003-2639-352X
Natacha Bouhours-NouetDepartment of Paediatric Endocrinology and Diabetology, Angers University Hospital, Angers 49000, France.
Paula van DommelenDepartment of Child Health, The Netherlands Organization for Applied Scientific Research TNO, Schipholweg 77-89, 2316 ZL Leiden, The Netherlands.ORCID https://orcid.org/0000-0001-5546-6244
Lilian ArnaudDevices and Connected Solutions Engineering, Global Healthcare Operations, Ares Trading S.A. (an affiliate of Merck KGaA, Darmstadt, Germany), Eysins 1262, Switzerland.ORCID https://orcid.org/0000-0003-3028-0253
Sophie BergerMedical Affairs Department Endocrinology, Merck Santé S.A.S., (an affiliate of Merck Healthcare KGaA, Darmstadt, Germany), Lyon 69008, France.
Claire Castello-BridouxMedical Affairs Department Endocrinology, Merck Santé S.A.S., (an affiliate of Merck Healthcare KGaA, Darmstadt, Germany), Lyon 69008, France.
Quentin Le MasneConnected Health & Devices Department, Akkad SAS, Lyon 69003, France.ORCID https://orcid.org/0000-0001-7120-130X
Mélissande SimoninDevices and Connected Solutions Engineering, Global Healthcare Operations, Ares Trading S.A. (an affiliate of Merck KGaA, Darmstadt, Germany), Eysins 1262, Switzerland.
Raphaël UntereinerMedical Affairs Department Endocrinology, Merck Santé S.A.S., (an affiliate of Merck Healthcare KGaA, Darmstadt, Germany), Lyon 69008, France.
Viviane JeanbatQuality Management Department, CEMKA, Bourg-la-Reine 92340, France.
Ekaterina KoledovaGlobal Medical Affairs, Cardiometabolic & Endocrinology, Merck Healthcare KGaA, Darmstadt 64293, Germany.ORCID https://orcid.org/0000-0003-2572-9052
Maithé TauberDepartment of Paediatric Endocrinology, Obesity, Bone Diseases, Genetic and Gynecology, Toulouse University Hospital, Toulouse 31059, France.ORCID https://orcid.org/0000-0002-0363-7862
Agnès LinglartParis Saclay University, Assistance Publique Hôpitaux de Paris, INSERM, Department of Endocrinology and Diabetes for Children, Bicêtre Paris-Saclay Hospital, Le Kremlin-Bicêtre 94270, France.ORCID https://orcid.org/0000-0003-3455-002X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Context: Adherence to recombinant GH treatment is crucial to achieve optimal adult height in children with growth disorders. Information on factors responsible for differences in adherence and growth in different countries is limited. Aim: To evaluate adherence and catch-up growth in children receiving GH using Easypod® auto-injectors. Methods: Retrospective cohort analysis of adherence and height, from 481 children (55% boys) in 19 centers in France, from the Growzen® Connect database, from mid-2018 to end-2023. Adherence was classified as high (≥85% of injections) or medium/low (<85%). Gain in height SD score (HSDS) was evaluated after 1 and 2 years of GH treatment. Results: High adherence was maintained throughout for 85% of patients. Among children who started young (mean age 6.3 years), 91% had high adherence over the first 2 years, significantly more than the 83% among those starting older (13.1 years) ( Conclusion: Children using Easypod exhibit high adherence, which aids clinical decision-making and patient engagement. Adherence and catch-up growth decrease with age. Indication for GH treatment had little impact, but overall catch-up growth was significantly greater with high adherence.

Indexed as

adherencecatch-up growthconnected auto-injectorgrowth hormone deficiencysmall for gestational age

Identifiers

PMID41230026
PMCPMC12603557

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Registered trials

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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.