| Title: | Comparative outcomes of GH treatment in pediatric idiopathic short stature and GH deficiency |
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| Authors: | ID Phillip, Moshe (Author)
ID Abuzzahab, M. Jennifer (Author)
ID Pietropoli, Alberto (Author)
ID Ferran, Jean-Marc (Author)
ID Højby Rasmussen, Michael (Author)
ID Kelepouris, Nicky (Author)
ID Kotnik, Primož (Author)
ID Polak, Michel (Author)
ID Sävendahl, Lars (Author) |
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| Files: |  PDF - Presentation file, download (931,74 KB)
MD5: 0A3453D0A80353B2046A17766FB8E5D3
 URL - Source URL, visit https://academic.oup.com/jes/article/9/10/bvaf133/8236488
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| Language: | English |
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| Typology: | 1.01 - Original Scientific Article |
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| Organization: |  UKC LJ - Ljubljana University Medical Centre
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| Abstract: | Context: GH treatment in children with idiopathic short stature (ISS) can be controversial, and analyses comparing responses to children with GH deficiency (GHD) are limited. Objective: To compare the effectiveness and safety of GH treatment in children with ISS and GHD, including those reaching near adult height (NAH). Methods: This post hoc analysis of the NordiNet International Outcome Study (2006-2016) and the American Norditropin Studies: Web-Enabled Research Program (2002-2016) included children with ISS or GHD who initiated treatment aged <18 years. The safety analysis set had birthdate and GH exposure information. The effectiveness analysis set was GH-naïve with valid baseline information. GH exposure, effectiveness, and safety outcomes were analyzed annually for ≤10 years. Results: The safety analysis set included 3816 children with ISS and 22 858 with GHD. The effectiveness analysis set comprised 18 405 children (ISS: 2684; GHD: 15 721), 1856 of whom reached NAH (ISS: 230; GHD: 1626). Average dose of GH was higher for children with ISS vs children with GHD but mean duration of treatment was shorter. At NAH, height SD score (mean [SD]) was −1.21 (1.09) and −0.90 (1.20) for children with ISS and GHD, respectively, whereas change in height SD score (mean [SD]) from baseline to 10 years was 1.21 (0.86) and 1.45 (1.09). Incidence of adverse reactions was similar across indications, with no new safety signals. Conclusion: GH treatment over 5 to 10 years effectively increased height in children with ISS and children with GHD, including those who reached NAH, with a favorable benefit-risk profile. |
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| Keywords: | comparative outcomes, growth hormon treatment, growth hormon deficiency, pediatrics |
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| Publication status: | Published |
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| Publication version: | Version of Record |
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| Year of publishing: | 2025 |
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| Number of pages: | str. 1-10 |
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| Numbering: | Vol. 9, issue 10 |
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| PID: | 20.500.12556/DiRROS-28719  |
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| UDC: | 616-053.2 |
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| ISSN on article: | 2472-1972 |
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| DOI: | 10.1210/jendso/bvaf133 |
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| COBISS.SI-ID: | 273655811 |
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| Note: | Nasl z nasl. zaslona;
Opis vira z dne 31. 3. 2026;
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| Publication date in DiRROS: | 31.03.2026 |
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| Views: | 183 |
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| Downloads: | 102 |
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