Print Email Facebook Twitter Guideline for referring short or tall children in preventive child health care Title Guideline for referring short or tall children in preventive child health care Author Dommelen, P.V. van Zoonen, R. Vlasblom, E. Wit, J.M. Beltman, M. Publication year 2020 Abstract Aim To develop a guideline for preventive child healthcare professionals in order to improve early detection of pathological disorders associated with short stature (or growth faltering) or tall stature (or accelerated growth). Methods We updated the previous Dutch guideline for short stature in children aged 0‐9 years and extended it to adolescents (10‐17 years), and added a guideline for tall stature, based on literature and input from an expert committee. Specificities were calculated in a cohort of healthy Dutch children aged 0‐9 years (n = 970). We investigated the impact of a late onset of puberty on height standard deviation score based on the Dutch growth charts. Results Growth parameters of the guideline include height, the distance between height and target height and change of height over time. Other parameters include diagnostic clues from medical history and physical examination, for example behavioural problems, precocious or delayed puberty, body disproportion and dysmorphic features. Conclusion Preventive child healthcare professionals now have an updated guideline for referring short or tall children to specialist care. Further research is needed on the diagnostic yield after referral and specificity at field level. Subject ChildrenPreventionGrowthGuidelineHeightMonitoring To reference this document use: http://resolver.tudelft.nl/uuid:081d6c8d-4c41-4d0c-8c59-0f8a770497e2 DOI https://doi.org/10.1111/apa.15625 TNO identifier 882225 Source Acta Paediatrica, Epub 29 Oct Document type article Files To receive the publication files, please send an e-mail request to TNO Library.