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Archives of Disease in Childhood 2008;93:267-268; doi:10.1136/adc.2007.136051
Copyright © 2008 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.

Perspectives

If it’s worth doing, let’s do it!

Tam Fry

Correspondence to:
Tam Fry, Child Growth Foundation, 2 Mayfield Avenue, Chiswick, London W4 1PW, UK; cgflondon@aol.com

The first 150 words of the full text of this article appear below.

After waiting 20 years for the evidence that growth monitoring is not only effective but also cost effective, you will understand how much I welcome the papers by Fayter et al1 and Grote et al.2 Both have declared, yet again, that the early identification and referral of children with abnormal growth is beneficial and that a good monitoring system is required. If only the papers had been available in 1998 when a meeting of health professionals took place in Coventry and virtually dismantled any form of monitoring system in the United Kingdom. Having considered that growth hormone deficiency and Turner syndrome were the only two conditions worth measuring for in the absence of evidence to the contrary, the meeting concluded with a "consensus" that routinely measuring children was not worth it. This month’s papers have turned that on its head, with Grote’s study specifying at least four groups . . . [Full text of this article]


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