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Revised listings for growth disorders and weight loss in children. Final rule

    Federal Register
    |April 23, 2015
    PubMed

    Insights

    New rules will evaluate childhood growth disorders, replacing old listings with updated criteria for low birth weight, failure to thrive, genitourinary issues, and combined growth failure. These changes incorporate medical advancements and expert feedback.

    Area of Science:

    • Pediatrics
    • Medical Policy
    • Disability Evaluation

    Background:

    • Existing Listing of Impairments (listings) include criteria for evaluating childhood growth disorders based on linear growth or weight loss.
    • Previous rules required updates to reflect current medical knowledge and program experience.

    Purpose of the Study:

    • To revise and update the rules for evaluating growth disorders in children.
    • To implement new listings for specific conditions and revise existing ones.

    Main Methods:

    • Adoption of a new rule with one modification, based on a notice of proposed rulemaking.
    • Incorporation of public and expert medical comments.

    Main Results:

    • Replacement of previous growth disorder listings with new criteria.
    • Introduction of new listings for low birth weight (LBW) and failure to thrive.
    • Inclusion of a new listing for genitourinary impairments.
    • Revision of listings for growth failure combined with respiratory, cardiovascular, digestive, or immune system disorders.

    Conclusions:

    • The updated rules provide a more current and comprehensive framework for evaluating childhood growth disorders.
    • Revisions reflect advances in medical understanding and practical program experience.

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