• Rationale and Comments

    Even in children who are below the 3rd percentile for height with a normal history and physical exam, the incidence of newly diagnosed pathology was found to be only about 1%. In patients who have significant short stature (e.g. ≤ –2.5 standard deviation) or who are well below their genetic potential based on parental heights, tiered or sequential screening may be considered.

    Sponsoring Organizations

    • American Academy of Pediatrics – Section on Endocrinology

    Sources

    • Expert consensus

    Disciplines

    • Endocrinologic
    • Pediatric

    References

    • Sisley S, Trujillo MV, Khoury J, Backeljauw P. Low incidence of pathology detection and high cost of screening in the evaluation of asymptomatic short children. J Pediatr. 2013 Oct;163(4):1045-51.