Does recombinant growth hormone improve adult height in children with chronic renal failure?

Abstract:

:During the past decade, the safety and efficacy of long-term treatment with recombinant human growth hormone (rhGH) in children with chronic renal failure before and after renal transplantation has been established. This article reviews the increasing evidence that rhGH treatment also results in a significant improvement of adult height in patients with childhood-onset chronic renal failure. The eventual height benefit of extended rhGH treatment appears to be 1.0 to 1.5 standard deviations on average. Whereas prepubertal rhGH treatment has a beneficial effect on final height, the efficacy of rhGH during puberty is less evident. The cumulative duration of rhGH treatment was found to be the most important positive, and the duration of dialysis treatment periods a negative predictor of rhGH efficacy, stressing the importance of prolonged rhGH treatment starting early in the course of chronic renal failure.

journal_name

Semin Nephrol

journal_title

Seminars in nephrology

authors

Haffner D,Schaefer F

doi

10.1053/snep.2001.24944

subject

Has Abstract

pub_date

2001-09-01 00:00:00

pages

490-7

issue

5

eissn

0270-9295

issn

1558-4488

pii

S0270-9295(01)70048-4

journal_volume

21

pub_type

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