Growth hormone in short children: beyond medicine?
Article first published online: 2 JAN 2007
Volume 90, Issue 1, pages 69–73, January 2001
How to Cite
Bolt, L. and Mul, D. (2001), Growth hormone in short children: beyond medicine?. Acta Paediatrica, 90: 69–73. doi: 10.1111/j.1651-2227.2001.tb00258.x
- Issue published online: 2 JAN 2007
- Article first published online: 2 JAN 2007
- Received April 25, 2000; revision received Sept. 18, 2000; accepted Sept. 22, 2000
- growth hormone;
- short stature;
The indications for growth hormone (GH) treatment in non-GH-deficient short children are in debate, with some arguing that this treatment does not belong solely in the medical domain. We describe three different approaches to the issue, and argue that neither a disease-oriented nor client-oriented approach is sufficient. Both lead to withdrawal of medical interventions or to an undesirable application.
Conclusion: An approach focusing on suffering as an indication for treatment of short stature is the most appropriate. The challenge is to develop proper tools by which to evaluate suffering and the efficacy of GH treatment in these children in order to relieve or prevent suffering.