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Arch Dis Child 2004;89:394 doi:10.1136/adc.2002.022764
  • Letter

Community growth monitoring in practice

  1. J C Agwu1,
  2. A Leishenring2,
  3. I Darnley3
  1. 1Dept of Paediatrics, Sandwell Healthcare NHS Trust, Hallam Road, West Bromwich B71 4HJ, UK
  2. 2Dept of Primary Care, Sandwell Healthcare NHS Trust, Hallam Road, West Bromwich B71 4HJ, UK
  3. 3Dept of Clinical Effectiveness, Sandwell Healthcare NHS Trust, Hallam Road, West Bromwich B71 4HJ, UK
  1. Correspondence to:
    Dr J C Agwu
    Dept of Paediatrics, Sandwell Healthcare NHS Trust, Hallam Road, West Bromwich B71 4HJ, UK; sagwu22890aol.com

    The aim of routine growth monitoring (GM) of school age children is to identify children with the so-called “silent” conditions. These include growth hormone deficiency, hypothyroidism, and Turner’s syndrome. Using the UK 1990 nine centile growth charts it has been recommended that all children with heights less than the 0.4th centile should be referred to growth clinics for further assessment.1 We evaluated a district GM programme fulfilling this criterion, to assess its outcome. …

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