Prepared by:
Tufts-New England Medical Center EPC
Boston, MA
Investigators
Patricia Wheeler, M.D.
Karen Bresnahan, M.D.
Barbara Shephard, M.D.
EPC Staff
Joseph Lau, M.D., Director
Ethan Balk, M.D., M.P.H., Project Leader
Deirdre DeVine, M.Litt., Project Manager
Mei Chung, M.P.H., Research Associate
Kimberly Miller, B.A., Research Assistant
File Name Description Software Version File Size ________________________________________________________________________________________________ 01front.doc Microsoft Word® Document MS Word® 2002 112KB 12 pages Contents: Title Page, Preface, Structured Abstract, Table of Contents ________________________________________________________________________________________________ 02summ.doc Microsoft Word® Document MS Word® 2002 77KB 12 pages Contents: Summary: Overview, Causes of Short Stature in Children, Reporting the Evidence, Methods, Findings, Limitations, Future Research ________________________________________________________________________________________________ 03chap1.doc Microsoft Word® Document MS Word® 2002 41KB 4 pages Contents: Chapter 1. Introduction: Scope of the Problem, Causes of Short Stature in Children ________________________________________________________________________________________________ 04chap2.doc Microsoft Word® Document MS Word® 2002 50KB 6 pages Contents: Chapter 2. Methodology: Key Questions Addressed by the Evidence Report (Question 1. Definition of Short Stature as a Result of Medically Determinable Impairment, Question 2. Definition of Short Stature as a Result of Skeletal Dysplasia, Question 3. Chronic Disease and Linear Growth Velocity); Search Strategies; Study Selection; Data Abstraction; Summary Tables; Limitations ________________________________________________________________________________________________ 05chap3.doc Microsoft Word® Document MS Word® 2002 1.0MB 58 pages Contents: Chapter 3. Results: Search Results; Evidence Found Regarding Key Questions; Question 1. Is Short Stature as a Result of a Medically Determinable Impairment Associated With Severe Functional Limitations, According to, But Not Limited to, SSA's Definition of Disability?; Table 1. Mean Academic Achievement Scores of Children With Short Stature Due to Medical Impairment; Table 2. Mean Intelligence Quotients of Children With Short Stature Due to Medical Impairment; Table 3. Association of Height to Visual-Motor Skills Among Children With Short Stature Due to Medical Impairment; Table 4. Association of Height to Psychomotor Development Among Children With Short Stature Due to Medical Impairment; Table 5. Association of Height to Teacher-Graded Behavior Problems Among Children With Short Stature Due to Medical Impairment; Question 2. What is the Evidence That Short Stature Due to a Skeletal Dysplasia is Disabling According to, But Not Limited to, SAA's Definition of Disability? If So, Are Children Disabled by Virtue of Their Size or Other Features of Their Conditions?; Table 6. Academic Achievement Score of Children With Short Stature due to Skeletal Dysplasia; Table 7. Intelligence Quotient of Children With Short Stature Due to Skeletal Dysplasia; Table 8. Visual Motor Skills in Children With Short Stature Due to Skeletal Dysplasia; Table 9. Motor Development in Children With Short Stature Due to Skeletal Dysplasia; Table 10. Motor Development Patterns in Children With Short Stature Due to Skeletal Dysplasia; Table 11. Neuromuscular Findings in Chldren With Skeletal Dysplasia; Table 12. Ambulation/Mobility of Children With Short Stature Due to Skeletal Dysplasia; Table 13. Limb Range of Motion in Children With Skeletal Dysplasia; Table 14. Spinal Curvature in Children With Skeletal Dysplasia; Table 15. Heating Loss in Children With Short Stature Due to Skeletal Dysplasia; Table 16. Sleep Apnea in Children With Short Stature Due to Skeletal Dysplasia; Table 17. Pulmonary Function in Children With Short Stature Due to Skeletal Dysplasia; Table 18. Psychological Outcomes in Chldren With Skeletal Dysplasia; Question 3. What is the Evidence That a Sustained Decrease in Linear Growth Velocity Can Be Used as a Marker of Severity of an Underlying Disease? Is Such a Process Likely To Be Disabling?; Table 19. Height Association With Severity of Asthma; Table 20. Growth Retardation Association With Severity of Congenital Heart Disease; Table 21. Growth Retardation Association With Control/Severity of Insulin Dependent Diabetes Mellitus; Table 22. Growth Retardation Association With Hemoglobin Level/Severity of ?-Thalassemia; Table 23. Growth Retardation Association With Severity of Inflammatory Bowel Disease; Table 24. Growth Retardation Association With Subtypes/Severity of Juvenile Rheumatoid Arthritis; Table 25. Growth Retardation Association With Severity of Chronic Kidney Disease; Table 26. Growth Retardation Association With Severity of Human Immunodeficiency Virus; Table 27. Growth Retardation Association With Severity of Atopic Dermatitis/Eczema ________________________________________________________________________________________________ 06chap4.doc Microsoft Word® Document MS Word® 2002 58KB 10 pages Contents: Chapter 4. Conclusions: Overview, Question 1, Question 2, Question 3, Limitations ________________________________________________________________________________________________ 07chap5.doc Microsoft Word® Document MS Word® 2002 23KB 1 page Contents: Chapter 5. Future Research: Questions 1 and 2, Question 3 ________________________________________________________________________________________________ 08refs.doc Microsoft Word® Document MS Word® 2002 67KB 6 pages Contents: References and Bibliography ________________________________________________________________________________________________ 09etbl1.doc Microsoft Word® Document MS Word® 2002 264KB 25 pages Contents: Evidence Table 1. Studies Evaluating Short Stature Secondary to Medical Impairment ________________________________________________________________________________________________ 10etbl2.doc Microsoft Word® Document MS Word® 2002 355KB 34 pages Contents: Evidence Table 2. Studies Evaluating Short Stature Secondary to Skeletal Dysplasia ________________________________________________________________________________________________ 11etbl3.doc Microsoft Word® Document MS Word® 2002 568KB 64 pages Contents: Evidence Table 3. Association of Decreased Growth Velocity With Severity of Disease ________________________________________________________________________________________________ 12appa.doc Microsoft Word® Document MS Word® 2002 94KB 2 pages Contents: Appendix A. Main Search Performed in MEDLINE® ________________________________________________________________________________________________ 13appb.doc Microsoft Word® Document MS Word® 2002 74KB 3 pages Contents: Appendix B. Acronyms and Abbreviations ________________________________________________________________________________________________ 14appc.doc Microsoft Word® Document MS Word® 2002 34KB 3 pages Contents: Appendix C. Acknowledgements ________________________________________________________________________________________________
AHRQ Publication No. 03-E025
Current as of March 2003
Internet Citation:
Criteria for Determining Disability in Infants and Children: Short Stature. File Inventory, Evidence Report/Technology Assessment Number 73. AHRQ Publication No. 03-E025, March 2003. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/clinic/shortinv.htm
Return to Evidence-based Practice
Clinical Information
AHRQ Home Page
Department of Health and Human Services