Abstract
Earlier findings suggested that adult height (AH) of most pediatric patients treated by hemodialysis (HD) or transplantation (TP) is subnormal and that during treatment relative height is worthening (Proc.EDTA 18:329,1981). We have reexamined this problem with improved methodology in 41 pediatric pts followed longitudinally at different stages of CRF until AH (epiphyseal closure) was attained. In addition, AH was predicted by Tanner's method. At last observation 15 pts were treated by HD, 9 by TP and 17 conservatively (CT). AH was < 2 SD from normal mean in 1/13 male and 3/28 female pts when population specific standards were considered, but only 4 pts exceeded the mean. No significant differences were found between pts treated by HD, TP or CT nor between sexes. The mean age when AH was reached was 18.6 yrs in boys and 16.2 yrs in girls, i.e. close to normal means. An acceptable prediction of AH ± 2 cm was possible from the first available bone age in 60 % of all pts, with a mean prediction error of 2.7 cm. In conclusion, stunting is infrequent in pediatric pts with CRF who have reached AH. The method applied to predict AH allows a reliable prognosis of future growth in most children with CRF.
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Gilli, G., Schärer, K. & Mehls, O. ADULT HEIGHT AND ITS PREDICTION IN PEDIATRIC PATIENTS WITH CHRONIC RENAL FAILURE (CRF). Pediatr Res 18, 808 (1984). https://doi.org/10.1203/00006450-198408000-00098
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DOI: https://doi.org/10.1203/00006450-198408000-00098