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Priority target conditions for algorithms for monitoring children's growth: Interdisciplinary consensus

Pauline Scherdel1,2,3, Rachel Reynaud4, Christine Pietrement5

  • 1INSERM, UMR1153 Epidemiology and Biostatistics Sorbonne Paris Cité Center (CRESS), early ORigins of the Child's Health and Development Team (ORCHaD), Paris Descartes University, Paris, France.

Plos One
|April 28, 2017
PubMed

Insights

Experts reached a consensus on 8 priority conditions for monitoring children's growth, including celiac disease and Turner syndrome. This standardization aids in early detection of serious health issues.

Area of Science:

  • Pediatric endocrinology
  • Clinical algorithm development
  • Growth monitoring

Background:

  • Growth monitoring in children is crucial for early detection of serious conditions.
  • Standardizing definitions of abnormal growth is essential for optimizing monitoring.
  • Identifying priority target conditions is a prerequisite for standardization.

Purpose of the Study:

  • To achieve expert consensus on priority target conditions for pediatric growth monitoring algorithms.
  • To establish a standardized list for evaluating current growth monitoring tools.

Main Methods:

  • A modified RAND/UCLA consensus method was employed.
  • Expert groups from medical societies and parent associations participated.
  • Experts reviewed and selected conditions based on predefined criteria for ideal priority targets.

Main Results:

  • A strong agreement was reached on 8 priority conditions out of 133 possibilities.
  • Selected conditions include celiac disease, Crohn disease, craniopharyngioma, juvenile nephronophthisis, Turner syndrome, growth hormone deficiency with pituitary stalk interruption syndrome, infantile cystinosis, and hypothalamic-optochiasmatic astrocytoma.
  • The order of agreement for these conditions was documented.

Conclusions:

  • The established national consensus provides a basis for evaluating current pediatric growth monitoring algorithms.
  • The consensus methodology can be adapted for future international agreement on growth monitoring targets.
Abstract

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