Document Detail

The Oxford growth study: a district growth surveillance programme 1988-1994.
MedLine Citation:
PMID:  8536188     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To develop a method of community based growth assessment. SETTING: Oxford District, United Kingdom. METHODS: A system of growth surveillance involving a community consultant paediatrician, a paediatric endocrinologist, a clinical auxologist, a project coordinator, and the many primary health care teams was started. Letters and meetings were arranged to introduce the programme to general practitioners and health visitors, emphasising the importance of growth assessment in normal child development. They were asked to measure all children as part of their routine developmental checks at 3 and 4.5 years of age. Community growth assessment clinics staffed by an experienced auxologist were established. Children whose heights were more than two standard deviation (SD) scores below the mean or whose height SD score decreased between the two ages were referred to the clinic. Any child whose height was more than 3 SD scores below the mean was referred directly to the paediatric endocrinologist. Those seen in the community clinics were followed up for a year and if their velocity was > 25th centile, karyotype normal, and bone age appropriately delayed, they were discharged to the general practitioner for further follow up. Any child with an annual velocity < 25th centile was referred to the endocrinologist. RESULTS: Of 20,338 children monitored, 260 (1.3%) had heights > -2 SD scores. Seventy six were lost to follow up, 35 were measuring errors, 69 were already seeing a paediatrician, leaving 80 children to be evaluated. Of these, 69 were "short normals" and 11 were newly identified diagnoses. CONCLUSIONS: This system of secondary referral keeps normal healthy children out of hospital, avoids unnecessary over-investigation, reduces travel and anxiety for families, avoids filling specialist clinics with normal children, and provides an inexpensive system of growth surveillance.
M L Ahmed; A D Allen; D B Dunger; A Macfarlane
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of medical screening     Volume:  2     ISSN:  0969-1413     ISO Abbreviation:  J Med Screen     Publication Date:  1995  
Date Detail:
Created Date:  1996-02-02     Completed Date:  1996-02-02     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  9433359     Medline TA:  J Med Screen     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  160-3     Citation Subset:  IM    
Department of Paediatrics, John Radcliffe Hospital, Oxford, United Kingdom.
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MeSH Terms
Analysis of Variance
Body Height*
Child, Preschool
Follow-Up Studies
Great Britain
Growth Disorders / prevention & control
Longitudinal Studies
Mass Screening*
Physicians, Family

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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