0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Use of Growth Hormone for Non—Growth Hormone Deficient Children-Reply

Barry B. Bercu, MD
JAMA. 1996;276(23):1878. doi:10.1001/jama.1996.03540230028028.
Text Size: A A A
Published online

In Reply.  —The comments of Dr Diller are acknowledged. I also appreciate Dr Voron's letter. Actually, because of space constraints in writing the Editorial, I combined information from 2 references and omitted the specific reference, another study by Wit et al,1 to which Voron actually is referring. In that multicenter study from 5 Dutch pediatric endocrine centers, a limited number (n=22) of prepubertal short stature children were evaluated. Voron's point is well taken; however, in the author's own words,A surprising finding was that the bone age delay, which would be expected to correlate positively with the degree of growth hormone insufficiency and therefore with the gain in final height, was negatively related to the final outcome. This is probably caused by a relatively large bone age advance in children with a large initial bone age delay, thereby limiting the effect on final height.That provides more detail to the statement

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Figures

Tables

References

Letters

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();