Division of Endocrinology, Department of Medicine, Leiden University Medical Center, Leiden, the Netherlands
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Università “Federico II” di Napoli, Dipartimento di Medicina Clinica e Chirurgia, Sezione di Endocrinologia, Naples, Italy
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Department of Endocrinology and Metabolism, Amsterdam Gastroenterology Endocrinology & Metabolism, Amsterdam University Medical Centre, University of Amsterdam, Amsterdam, Netherlands
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Adult Chair of MTG Pituitary of Endo-ERN
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from childhood to adulthood. Despite the importance of this period, agreement on how to define (timing of) transition is nonexistent. Previously, physicians have defined transition as the transitional phase between the end of puberty and reaching peak
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maximal oxygen consumption (VO 2 max). The primary aim of this review was to identify what evidence is available on the risks of GHD and the benefits of rhGH therapy during the transition period in the following areas: bone mass, body
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treatment in the transition period or for adults only in a few countries ( 2 , 17 ). Therefore, in most countries, the diagnosis of adult GH deficiency must be established according to guidelines before it can be used in the transition period and in adults
Faculty of Medicine, University of Belgrade, Belgrade, Serbia
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Faculty of Medicine, University of Belgrade, Belgrade, Serbia
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Institute of Medical Statistics and Informatics, Belgrade, Serbia
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University Children’s Clinic, Belgrade, Serbia
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University Children’s Clinic, Belgrade, Serbia
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Mother and Child Health Care Institute of Serbia ‘Dr Vukan Cupic’, Belgrade, Serbia
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Mother and Child Health Care Institute of Serbia ‘Dr Vukan Cupic’, Belgrade, Serbia
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Faculty of Medicine, University of Belgrade, Belgrade, Serbia
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Clinic for Neurosurgery, University Clinical Center of Serbia, Belgrade, Serbia
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Faculty of Medicine, University of Belgrade, Belgrade, Serbia
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Institute of Pathology, Faculty of Medicine, University of Belgrade, Belgrade, Serbia
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Clinic for Neurosurgery, University Clinical Center of Serbia, Belgrade, Serbia
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Faculty of Medicine, University of Belgrade, Belgrade, Serbia
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density (BMD) impairment in different COGHD subgroups ( 1 ). Observations are particularly contradictory concerning BC and BMD in respect of the role of rhGH continuation in the transition period (TP). Several studies have demonstrated improvement of these
Developmental Endocrinology Research Group, University of Glasgow, Glasgow, UK
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Institute of Cancer and Genomic Sciences, University of Birmingham, Birmingham, UK
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Centre for Endocrinology, William Harvey Research Institute, Barts and The London Medical School, Queen Mary University of London, London, UK
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Department of Endocrinology, Imperial College Healthcare NHS Trust, Hammersmith Hospital, London, UK
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Department of Paediatric Endocrinology, Makarios Children's Hospital, Nicosia, Cyprus
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Sussex Community NHS Trust, Brighton, UK
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Developmental Endocrinology Research Group, University of Glasgow, Glasgow, UK
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The University of Dublin, Trinity College Dublin, Dublin, Republic of Ireland
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developmental phase in PWS. Hypotonia, poor feeding and faltering growth are dominant features in the neonatal period and whilst most infants are diagnosed early on, there still remains a delay in diagnosis for some patients ( 4 ). Nutritional and growth phases
International Center for Research and Research Training in Endocrine Disruption of Male Reproduction and Child Health (EDMaRC), Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
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International Center for Research and Research Training in Endocrine Disruption of Male Reproduction and Child Health (EDMaRC), Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
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International Center for Research and Research Training in Endocrine Disruption of Male Reproduction and Child Health (EDMaRC), Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
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International Center for Research and Research Training in Endocrine Disruption of Male Reproduction and Child Health (EDMaRC), Rigshospitalet, University of Copenhagen, Copenhagen, Denmark
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analyzed according to previously described methods ( 21 , 22 ) and the measured urinary concentrations of phthalate metabolites have been published before ( 17 ). The EDCs were measured in samples collected twice each year during pubertal transition ( Fig
UPMC Univ, Paris, France
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Université Paris Descartes, Paris, France
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UPMC Univ, Paris, France
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organization of transition is important in order to support and encourage these patients in this stressful period. The goal is also not to lose follow-up. However, very few studies have examined transitional care and its determinants in real life. Transition of
AP-HP.Nord-Université de Paris, Hôpital Universitaire Robert Debré, Unité d’Épidémiologie Clinique, Inserm, Paris, France
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organs affected, the age of disclosure and the need for paramedical or social care and support. In recent decades, the survival rate of these paediatric patients has improved, and their care pathway now involves a transition to adult care around their
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Academic Centre for Growth, Erasmus University Medical Centre, Rotterdam, the Netherlands
Dutch Growth Research Foundation, Rotterdam, the Netherlands
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Diabeter, National Diabetes Care and Research Centre, Rotterdam, the Netherlands
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Department of Paediatrics, Leiden University Medical Centre, Leiden, the Netherlands
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Academic Centre for Growth, Erasmus University Medical Centre, Rotterdam, the Netherlands
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transfer from paediatric care (PC) to adult care (AC) ( 2 , 3 ). The entire dynamic process in which the paediatric patient is guided towards AC is called ‘transition’, whereas ‘transfer’ is the moment when the patient leaves PC and AC takes over. The
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INSERM, UMRS 1166, Nutriomic Group 6, Paris, France
Sorbonne Université, UMRS1166, Paris, France
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most frequent reasons for the absence of transitional care were disruption in medical follow-up during the pediatric period ( n = 29, 45.3%), late diagnosis of PWS (21.6 ± 11.5 years) ( n = 20, 31.3%), lack of specialized pediatric care since