在COVID大流行期间,内分泌接触中的自我青春期阶段化
Chineze Ebo1, Jordyn McCray1, Katherine Bowers2
1Divisions of Endocrinology, Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine, Cincinnati, OH, United States.
Frontiers in endocrinology
|November 12, 2024
概括
儿科患者可以准确地自我定位青春期,区分"青春期"和"没有青春期". 这种自我评估方法对远程医疗非常有希望,尽管后来的阶段需要更精确的差异化.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 青少年医学 青少年医学
- 远程医疗远程医疗
背景情况:
- 青春期发育评估在内分泌学中至关重要.
- 随着COVID-19大流行,人们越来越依赖远程医疗,使青春期分期的体检复杂化.
- 以前关于自我分期与临床检查有效性的研究产生了不一致的结果.
研究的目的:
- 为了确定儿科青春期自我分期的有效性和可靠性.
- 评估青春期自我分期在远程医疗环境中的潜在应用.
- 这项研究代表了COVID-19大流行期间儿科自我评估青春期阶段的首次评估.
主要方法:
- 参与的患者年龄在7-22岁,正在接受儿科内分泌学评估.
- 参与者使用特定性别的插图指南完成了自我分期 (Tanner阶段T1-T5用于阴毛,乳房和丸发育).
- 自我评估与由儿科内分泌学家使用卡帕统计数据进行的体检进行了比较.
主要成果:
- 在243个完成的自我评估中,81%是有效的比较.
- 自我分期和临床评估之间的一致性 (Kappa) 在早期阶段 (T1) 和最早的青春期迹象中最高.
- 塔纳分组阶段进入青春期前,青春期早期到中期,青春期晚期,改善了自我和临床评估之间的一致性.
结论:
- 儿科患者可以通过自我分期,可靠地区分青春期的存在和不存在.
- 自我分期是远程医疗的一个有价值的工具,特别是在区分青春期前和青春期时.
- 为了在远程环境中准确区分晚年青春期的阶段,可能需要进一步的细化.
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