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Referral patterns of children with poor growth in primary health care

BMC Public Health
Springer (Biomed Central Ltd.)
Publication Date
DOI: 10.1186/1471-2458-7-77
  • Research Article
  • Mathematics
  • Medicine

Abstract ral ss BioMed CentBMC Public Health Open AcceResearch article Referral patterns of children with poor growth in primary health care Floor K Grote*1, Wilma Oostdijk1, Sabine MPF De Muinck Keizer-Schrama2, Friedo W Dekker3, Paula van Dommelen4, Stef van Buuren4,5, Adry M Lodder-van der Kooij6, Paul H Verkerk7 and Jan Maarten Wit1 Address: 1Dept. of Paediatrics, Leiden University Medical Center, Leiden, The Netherlands, 2Dept. of Paediatrics, Erasmus MC – Sophia Children's Hospital, Rotterdam, The Netherlands, 3Dept of Clinical Epidemiology, Leiden University Medical Center, Leiden, The Netherlands, 4Dept. of Statistics, TNO Quality of life, Leiden, The Netherlands, 5Dept. of Methodology & Statistics, University of Utrecht, The Netherlands, 6Dept. Child Health Care, Regional Public Health Service Hollands Midden, Leiden, The Netherlands and 7Dept. of Child Health, TNO Quality of life, Leiden, The Netherlands Email: Floor K Grote* - [email protected]; Wilma Oostdijk - [email protected]; Sabine MPF De Muinck Keizer-Schrama - s.demuinckkeizer- [email protected]; Friedo W Dekker - [email protected]; Paula van Dommelen - [email protected]; Stef van Buuren - [email protected]; Adry M Lodder-van der Kooij - [email protected]; Paul H Verkerk - [email protected]; Jan Maarten Wit - [email protected] * Corresponding author Abstract Background: To promote early diagnosis and treatment of short stature, consensus meetings were held in the mid nineteen nineties in the Netherlands and the UK. This resulted in guidelines for referral. In this study we evaluate the referral pattern of short stature in primary health care using these guidelines, comparing it with cut-off values mentioned by the WHO. Methods: Three sets of referral rules were tested on the growth data of a random sample (n = 400) of all children born between 01-01-1985 and 31-12-1988, attending school doctors between 1998 and 2000 in Leiden and Alphen aan den Rijn (the Netherlands): th

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