BMJ 2002;325:58-59 ( 13 July )

Editorials

Growth hormone in growth hormone deficiency

Start treatment early and give it for long enough

Papers p 70

The first 150 words of the full text of this article appear below.

With the advent of an unlimited supply of recombinant DNA growth hormone some 15 years ago endocrinologists and paediatricians hoped that the major goal in treating children with growth hormone deficiency---that is, a near normal adult height---would finally be achievable.

Carel and colleagues report in this issue the adult height after "long term" recombinant growth hormone treatment for idiopathic isolated growth hormone deficiency.1 The investigators were able to analyse entry data on all French children with growth hormone deficiency whose treatment started between 1987 and 1992 and stopped in 1996 under the auspices of the French national programme, Association France Hypophyse. They then were able to record adult heights for 76% of these patients. Gain in height was on average a disappointing 1.1 (0.9 SD). Overall, the treatment of a child for about three years (certainly not "long term") was associated with an estimated gain in height of only 4.2 cm. Faced with these . . . [Full text of this article]


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This article has been cited by other articles:

  • Carel, J.-C., Ecosse, E., Coste, J., Loche, S., Maghnie, M., Cappa, M. (2002). Growth hormone in growth hormone deficiency. BMJ 325: 1037-1037 [Full text]  
  • (2002). Results of Long-Term Growth Hormone Treatment. JWatch General 2002: 6-6 [Full text]  

Rapid Responses:

Read all Rapid Responses

Growth hormone in growth hormone deficiency: ignore the evidence and keep going wrong
Jean-Claude Carel, et al.
bmj.com, 14 Aug 2002 [Full text]



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