Krishnamoorthy Preetha, Gagné Nancy, Girgis Rose, Marks Seth, Saoudi Zoraida, Zenlea Ian, Kirsch Susan
Division of Endocrinology and Metabolism, Department of Pediatrics, McGill University Health Center, Montreal, Quebec, Canada.
Division of Pediatric Endocrinology, Department of Pediatrics, Centre Hospitalier Universitaire de Sherbrooke, Sherbrooke, Quebec, Canada.
Paediatr Child Health. 2024 Jun 6;29(5):306-310. doi: 10.1093/pch/pxae025. eCollection 2024 Aug.
The assessment of growth during infancy and childhood is an essential component of paediatric medicine, as atypical growth may point to the existence of an underlying health condition. To reduce morbidity, it is vital that treatment for growth disorders is provided in a timely fashion. However, although there are guidelines regarding referral criteria for short stature in Europe and the USA, there are no such guidelines in Canada. To address this, a series of consultations and workshops with paediatricians, paediatric endocrinologists, family physicians and nurses were held, with the aim of developing a consensus-based set of recommendations for children in Canada showing atypical growth and to identify red flags for children who might benefit from early referral. To achieve this, a referral algorithm and referral form for primary care providers were developed to ensure timely and appropriate referrals, and transmission of the most relevant details to the secondary care consultant.
婴儿期和儿童期的生长评估是儿科学的重要组成部分，因为生长异常可能表明存在潜在的健康问题。为了降低发病率，及时提供生长障碍治疗至关重要。然而，尽管欧洲和美国有关于身材矮小转诊标准的指南，但加拿大却没有此类指南。为解决这一问题，与儿科医生、儿科内分泌学家、家庭医生和护士进行了一系列磋商和研讨会，目的是为加拿大生长异常的儿童制定一套基于共识的建议，并确定可能从早期转诊中受益的儿童的警示信号。为实现这一目标，为初级保健提供者制定了转诊算法和转诊表，以确保及时、适当的转诊，并将最相关的细节传递给二级保健顾问。
