Academic Journal

Statistical agreement and cost-benefit: comparison of methods for constructing growth reference charts

التفاصيل البيبلوغرافية
العنوان: Statistical agreement and cost-benefit: comparison of methods for constructing growth reference charts
المؤلفون: Hermanussen, M., Aßmann, C., Tutkuvienė, Janina
المصدر: Annals of human biology, Abingdon : Taylor & Francis Ltd, 2010, vol. 37, no. 1, p. 57-69 ; ISSN 0301-4460
سنة النشر: 2010
المجموعة: LSRC VL (Lithuanian Social Research Centre Virtual Library) / LSTC VB (Lietuvos socialinių tyrimų centras virtualią biblioteką)
مصطلحات موضوعية: Statistical agreement, Synthetic growth reference, WHO growth reference, Growth standards
الوصف: Background: Growth reference charts are important tools for adequate paediatric decisions. Aim: In view of the workload required to construct empirical growth reference charts we debate practicable and less demanding alternatives and took the recent national 2000–2002 Lithuanian growth charts as an example. Two options appeared reasonable: (1) applying international WHO child growth standards and WHO growth reference data for 5–19 years that are recommended for global use; or (2) replacing the costly empirical method of deriving national growth references by more convenient low-cost statistics, e.g. the method of generating synthetic references for the Lithuanian population. Methods: We analysed the degree of agreement between the 2000–2002 Lithuanian growth charts, and the international WHO child growth standards and WHO growth reference data for 5–19 years and synthetic references for the Lithuanian population using the Bland–Altman method. Results: Synthetically generated references for the Lithuanian population slightly surpassed the national Lithuanian reference for body height (males +0.3 (SD 0.9) cm; females +0.2 (SD 0.6) cm) particularly at young age, which may be regarded clinically irrelevant. WHO international child growth standards and the WHO growth reference data for 5–19 years, however, failed to match the Lithuanian references as they underestimated mean height in boys by –2.8 (SD 1.4) cm and in girls by –2.9 (SD 1.1) cm, with extremely discrepant estimates of more than –6 cm occurring in several adolescent cohorts. Conclusions: The analysis revitalizes the debate on clinically relevant and at the same time practicable but less demanding alternatives for constructing growth reference charts, and for economic reasons, strongly suggests replacing the traditional empirical methods by synthetic growth references.
نوع الوثيقة: article in journal/newspaper
اللغة: English
Relation: http://vu.lvb.lt/VU:ELABAPDB4188486&prefLang=en_US
الاتاحة: http://vu.lvb.lt/VU:ELABAPDB4188486&prefLang=en_US
رقم الانضمام: edsbas.802E69E4
قاعدة البيانات: BASE