A Mass Screening System for Short Stature in Children
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概要
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We developed a mass screening system for short stature in elementary school children. The subjects of this mass screening were 153, 679 pupils. This screening was done in two steps. In the primary screening, children with possible short stature were screened according to height criteria by grade designed to perform simple and efficient selection. In the second step, children with height below a - 2SD score were screened according to height criteria by chronological age. The case report forms, with body measurements, growth curve and height velocity curve for positive cases in the second screening, were returned to the mass-screening center where the need for further evaluation was determined. Of all the subjects, 2, 331 were classified as positive. The necessity for further evaluation was recommended in 273. Ninety-six of the 273 were actually seen at hospitals, and underlying diseases were revealed in 19 of them (GH deficiency, 10; hypothyroidism, 2; Turner syndrome, 6; and renal tubular acidosis, 1). The results indicate that short-stature children can be identified more efficiently without any particular additional examination, if body measurements obtained by annual checkups in school are combined with growth and annual height velocity curves.
- 日本小児内分泌学会の論文
日本小児内分泌学会 | 論文
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