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Individualised growth response optimisation (iGRO) tool: an accessible and easy-to-use growth prediction system to
Insights
A new web-based system, iGRO, enhances growth prediction for children receiving growth hormone (GH) therapy for growth hormone deficiency (GHD), Turner syndrome (TS), and small for gestational age (SGA) conditions.
Area of Science:
- Pediatric Endocrinology
- Biostatistics
- Clinical Informatics
Background:
- Clinical management of pediatric growth relies on growth prediction models (GPMs).
- Existing GPMs for growth hormone (GH) therapy in growth hormone deficiency (GHD), Turner syndrome (TS), and small for gestational age (SGA) lack widespread adoption.
- A need exists for an accessible and accurate prediction system.
Purpose of the Study:
- To develop a stand-alone, web-based system for the 'individualised growth response optimisation' (iGRO) tool.
- To ensure broad accessibility and compatibility within European endocrinology clinics.
- To facilitate widespread clinical use of advanced growth prediction.
Main Methods:
- Development of a modern, IT-compatible web platform.
- Integration and testing of seventeen GPMs derived from the KIGS database.
- Validation of prediction accuracy and system usability.
Main Results:
- The iGRO system demonstrated significant prediction accuracy.
- The platform confirmed IT compatibility across various systems and browsers.
- Observed discrepancies between predicted and actual height were noted.
Conclusions:
- The iGRO system offers accurate growth prediction and IT compatibility for clinical use.
- Discrepancies can aid clinicians in investigating growth deviations and optimizing GH treatment.
- This system has the potential for widespread adoption in endocrinology clinics for pediatric GH therapy management.
Background:
Growth prediction models (GPMs) exist to support clinical management of children treated with growth hormone (GH) for growth hormone deficiency (GHD), Turner syndrome (TS) and for short children born small for gestational age (SGA). Currently, no prediction system has been widely adopted.
Content:
The objective was to develop a stand-alone web-based system to enable the widespread use of an 'individualised growth response optimisation' (iGRO) tool across European endocrinology clinics. A modern platform was developed to ensure compatibility with IT systems and web browsers. Seventeen GPMs derived from the KIGS database were included and tested for accuracy.
Summary:
The iGRO system demonstrated prediction accuracy and IT compatibility. The observed discrepancies between actual and predicted height may support clinicians in investigating the reasons for deviations around the expected growth and optimise treatment.
Conclusions:
This system has the potential for wide access in endocrinology clinics to support the clinical management of children treated with GH for these three indications.
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