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Assessment and referral of patients with short stature by primary care physicians in the Arabian gulf region: Current perspectives from a regional survey

Children with short stature are frequently referred late to pediatric endocrinologists in the Arabian Gulf region. This is likely a contributing factor to late initiation of treatment despite current evidence suggesting that children with short stature have better outcomes with earlier treatment. Th...

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Autores principales: Kaplan, W., Al Amiri, E., Attia, N., Al Basiri, I., Romany, I., Al Shehri, E., Al Twaim, A., Al Yaarubi, S., Deeb, A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9732663/
https://www.ncbi.nlm.nih.gov/pubmed/36507126
http://dx.doi.org/10.3389/fped.2022.988614
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author Kaplan, W.
Al Amiri, E.
Attia, N.
Al Basiri, I.
Romany, I.
Al Shehri, E.
Al Twaim, A.
Al Yaarubi, S.
Deeb, A.
author_facet Kaplan, W.
Al Amiri, E.
Attia, N.
Al Basiri, I.
Romany, I.
Al Shehri, E.
Al Twaim, A.
Al Yaarubi, S.
Deeb, A.
author_sort Kaplan, W.
collection PubMed
description Children with short stature are frequently referred late to pediatric endocrinologists in the Arabian Gulf region. This is likely a contributing factor to late initiation of treatment despite current evidence suggesting that children with short stature have better outcomes with earlier treatment. This delay in referral could be due to a lack of identification or proper assessment of short stature by front-line physicians. To analyze the assessment and perception of short stature in this group of physicians, an expert group of pediatric endocrinologists developed and disseminated an anonymous online survey of 22 multiple choice questions amongst general pediatricians, pediatric subspecialists, and family medicine physicians in the Arabian Gulf region. Of the 640 respondents, 450 completed the survey (70.3% completion rate). While most surveyed physicians use the correct definition for short stature in children, only 24% reported a consistent use of a wall-mounted stadiometer. Of the respondents, 50% or less would consider referring clinical conditions other than growth hormone (GH) deficiency or idiopathic short stature, 41% would refer a child with short stature as soon as height dropped below the 5th percentile, 57% considered GH a treatment option for short stature, and only 60% consider GH treatment safe. The results of this survey demonstrate knowledge gaps in short stature assessment and referral that need to be addressed through education on short stature amongst target physicians, and lay groundwork for future recommendations to address those gaps in the Arabian Gulf region.
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spelling pubmed-97326632022-12-10 Assessment and referral of patients with short stature by primary care physicians in the Arabian gulf region: Current perspectives from a regional survey Kaplan, W. Al Amiri, E. Attia, N. Al Basiri, I. Romany, I. Al Shehri, E. Al Twaim, A. Al Yaarubi, S. Deeb, A. Front Pediatr Pediatrics Children with short stature are frequently referred late to pediatric endocrinologists in the Arabian Gulf region. This is likely a contributing factor to late initiation of treatment despite current evidence suggesting that children with short stature have better outcomes with earlier treatment. This delay in referral could be due to a lack of identification or proper assessment of short stature by front-line physicians. To analyze the assessment and perception of short stature in this group of physicians, an expert group of pediatric endocrinologists developed and disseminated an anonymous online survey of 22 multiple choice questions amongst general pediatricians, pediatric subspecialists, and family medicine physicians in the Arabian Gulf region. Of the 640 respondents, 450 completed the survey (70.3% completion rate). While most surveyed physicians use the correct definition for short stature in children, only 24% reported a consistent use of a wall-mounted stadiometer. Of the respondents, 50% or less would consider referring clinical conditions other than growth hormone (GH) deficiency or idiopathic short stature, 41% would refer a child with short stature as soon as height dropped below the 5th percentile, 57% considered GH a treatment option for short stature, and only 60% consider GH treatment safe. The results of this survey demonstrate knowledge gaps in short stature assessment and referral that need to be addressed through education on short stature amongst target physicians, and lay groundwork for future recommendations to address those gaps in the Arabian Gulf region. Frontiers Media S.A. 2022-11-25 /pmc/articles/PMC9732663/ /pubmed/36507126 http://dx.doi.org/10.3389/fped.2022.988614 Text en © 2022 Kaplan, Al Amiri, Attia, Al Basiri, Romany, Al Shehri, Al Twaim, Al Yaarubi and Deeb. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pediatrics
Kaplan, W.
Al Amiri, E.
Attia, N.
Al Basiri, I.
Romany, I.
Al Shehri, E.
Al Twaim, A.
Al Yaarubi, S.
Deeb, A.
Assessment and referral of patients with short stature by primary care physicians in the Arabian gulf region: Current perspectives from a regional survey
title Assessment and referral of patients with short stature by primary care physicians in the Arabian gulf region: Current perspectives from a regional survey
title_full Assessment and referral of patients with short stature by primary care physicians in the Arabian gulf region: Current perspectives from a regional survey
title_fullStr Assessment and referral of patients with short stature by primary care physicians in the Arabian gulf region: Current perspectives from a regional survey
title_full_unstemmed Assessment and referral of patients with short stature by primary care physicians in the Arabian gulf region: Current perspectives from a regional survey
title_short Assessment and referral of patients with short stature by primary care physicians in the Arabian gulf region: Current perspectives from a regional survey
title_sort assessment and referral of patients with short stature by primary care physicians in the arabian gulf region: current perspectives from a regional survey
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9732663/
https://www.ncbi.nlm.nih.gov/pubmed/36507126
http://dx.doi.org/10.3389/fped.2022.988614
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