10 research outputs found
Clinical practice guidelines for the care of girls and women with Turner syndrome: proceedings from the 2016 Cincinnati International Turner Syndrome Meeting.
syndrome affects 25–50 per 100,000 females and can involve multiple organs through all stages of life,
necessitating multidisciplinary approach to care. Previous guidelines have highlighted this, but numerous important
advances have been noted recently. These advances cover all specialty fields involved in the care of girls and women with
TS. This paper is based on an international effort that started with exploratory meetings in 2014 in both Europe and the
USA, and culminated with a Consensus Meeting held in Cincinnati, Ohio, USA in July 2016. Prior to this meeting, five
groups each addressed important areas in TS care: 1) diagnostic and genetic issues, 2) growth and development during
childhood and adolescence, 3) congenital and acquired cardiovascular disease, 4) transition and adult care, and 5) other
comorbidities and neurocognitive issues. These groups produced proposals for the present guidelines. Additionally, four
pertinent questions were submitted for formal GRADE (Grading of Recommendations, Assessment, Development and
Evaluation) evaluation with a separate systematic review of the literature. These four questions related to the efficacy
and most optimal treatment of short stature, infertility, hypertension, and hormonal replacement therapy. The guidelines
project was initiated by the European Society of Endocrinology and the Pediatric Endocrine Society, in collaboration with
the European Society for Paediatric Endocrinology, the Endocrine Society, the European Society of Human Reproduction
and Embryology, the American Heart Association, the Society for Endocrinology, and the European Society of Cardiology.
The guideline has been formally endorsed by the European Society of Endocrinology, the Pediatric Endocrine Society,
the European Society for Paediatric Endocrinology, the European Society of Human Reproduction and Embryology and the Endocrine Society. Advocacy groups appointed representatives who participated in
pre-meeting discussions and in the consensus meeting