Growth monitoring: a survey of current practices of primary care paediatricians in Europe.
<h4>Objective</h4>We aimed to study current practices in growth monitoring by European primary care paediatricians and to explore their perceived needs in this field.<h4>Methods</h4>We developed a cross-sectional, anonymous on-line survey and contacted primary care paediatric...
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| Autores principales: | , , , , , , , , , , , |
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| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
Public Library of Science (PLoS)
2013
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| Materias: | |
| Acceso en línea: | https://doaj.org/article/6ecfc17a79c54db092422c7fc74c6ea4 |
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| Sumario: | <h4>Objective</h4>We aimed to study current practices in growth monitoring by European primary care paediatricians and to explore their perceived needs in this field.<h4>Methods</h4>We developed a cross-sectional, anonymous on-line survey and contacted primary care paediatricians listed in national directories in the 18 European countries with a confederation of primary care paediatricians. Paediatricians participated in the survey between April and September 2011.<h4>Results</h4>Of the 1,198 paediatricians from 11 European countries (response rate 13%) who participated, 29% used the 2006 World Health Organization Multicentre Growth Reference Study growth charts, 69% used national growth charts; 61% used software to draw growth charts and 79% did not use a formal algorithm to detect abnormal growth on growth charts. Among the 21% of paediatricians who used algorithms, many used non-algorithmic simple thresholds for height and weight and none used the algorithms published in the international literature. In all, 69% of paediatricians declared that a validated algorithm to monitor growth would be useful in daily practice. We found important between-country variations.<h4>Conclusion</h4>The varied growth-monitoring practices declared by primary care paediatricians reveals the need for standardization and evidence-based algorithms to define abnormal growth and the development of software that would use such algorithms. |
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