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Cited by 424

The DOI matches its Crossref record; 16 of the 16 references it cites were found in a registry or an index.

Evaluation and Treatment of Adult Growth Hormone Deficiency: An Endocrine Society Clinical Practice Guideline

Open access
Molitch, Mark E., Clemmons, David R., Malozowski, Saul, Merriam, George R., Shalet, Stephen M., Vance, Mary Lee, for The Endocrine Society’s Clinical Guidelines Subcommittee·2006·The Journal of Clinical Endocrinology & Metabolism

Abstract

OBJECTIVE: The objective is to provide guidelines for the evaluation and treatment of adults with GH deficiency (GHD). PARTICIPANTS: The chair of the Task Force was selected by the Clinical Guidelines Subcommittee of The Endocrine Society (TES). The chair selected five other endocrinologists and a medical writer, who were approved by the Council. One closed meeting of the group was held. There was no corporate funding, and members of the group received no remuneration. EVIDENCE: Only fully published, peer-reviewed literature was reviewed. The Grades of Evidence used are outlined in the Appendix. CONSENSUS PROCESS: Consensus was achieved through one group meeting and e-mailing of drafts that were written by the group with grammatical/style help from the medical writer. Drafts were reviewed successively by the Clinical Guidelines Subcommittee, the Clinical Affairs Committee, and TES Council, and a version was placed on the TES web site for comments. At each level, the writing group incorporated needed changes. CONCLUSIONS: GHD can persist from childhood or be newly acquired. Confirmation through stimulation testing is usually required unless there is a proven genetic/structural lesion persistent from childhood. GH therapy offers benefits in body composition, exercise capacity, skeletal integrity, and quality of life measures and is most likely to benefit those patients who have more severe GHD. The risks of GH treatment are low. GH dosing regimens should be individualized. The final decision to treat adults with GHD requires thoughtful clinical judgment with a careful evaluation of the benefits and risks specific to the individual.

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Crossref · 10.1210/jc.2005-2227

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Metadata

Authors
Molitch, M. E., Clemmons, D. R., Malozowski, S., Merriam, G. R., Shalet, S. M., Vance, M. L., & for The Endocrine Society’s Clinical Guidelines Subcommittee
Venue
The Journal of Clinical Endocrinology & Metabolism
Published
2006-05-01
Volume
91
Issue
5
Pages
1621-1634
ISSN
  • 0021-972X (ISSN-L)
  • 1945-7197
OpenAlex
W2185068816
Cited by
424
References
16
FWCI
27.43
Type
journal article
Language
en
Open access
hybrid

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