Evidence map›Paper›PMID 41420850›Full record

ArticleHormone research in paediatrics2025

Real-World Evidence of Treatment Patterns and Costs of Turner Syndrome and Noonan Syndrome in the USA.

Andrew Dauber, M Jennifer Abuzzahab, Jing Voon Chen, Nicky Kelepouris, Moshe Fridman, Morgan Shy, Scott Bunner, Alicia Romano, Vaneeta Bamba

Abstract read
In one paragraph

Article in Hormone research in paediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Andrew DauberChildren's National Hospital, Washington, DC, USA.
M Jennifer AbuzzahabChildren's Minnesota, St. Paul, Minnesota, USA.
Jing Voon ChenNovo Nordisk Inc., Plainsboro, New Jersey, USA, jgvc@novonordisk.com.
Nicky KelepourisNovo Nordisk Inc., Plainsboro, New Jersey, USA.
Moshe FridmanAMF Consulting, Los Angeles, California, USA.
Morgan ShyAMF Consulting, Los Angeles, California, USA.
Scott BunnerGenesis Research Group, Hoboken, New Jersey, USA.
Alicia RomanoBoston Children's Health Physicians, Hawthorne, New York, USA.
Vaneeta BambaDivision of Endocrinology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionShort stature is a common clinical feature of Turner syndrome (TS) and Noonan syndrome (NS). Growth hormone (GH) treatment increases height in patients with TS and NS. We aimed to assess treatment patterns and costs in a real-world setting of GH-treated patients with TS and NS in the USA.

methodsPatients with TS (aged 4 to <14 years) or NS (aged ≤18 years) were included in this retrospective analysis using the Komodo Health claims database. The study period from January 1, 2016, to September 30, 2022, included ≥6 months pre-index (baseline) and ≥1 year post-index (follow-up); the index date was the first (TS) or latest of two visits (NS) with diagnostic coding for the condition. Data were analyzed descriptively.

resultsAmong 2,530 patients with TS (mean age [SD] 8.4 [3.0] years) and 1,119 patients with NS (mean age 7.0 [4.4] years), 36% and 16% initiated GH treatment during follow-up, respectively. Of these patients, 48%/41% were early initiators (started ≤6 months post-index), 66%/70% had high adherence (≥80% of GH treatment days covered), and 56%/52% had long persistence (treated ≥2 years). Mean GH treatment duration was 24.9 (15.9) and 17.6 (10.1) months for patients with TS and NS, respectively. Median (IQR) total all-cause costs per patient/year were USD 10,232 (USD 2,850-USD 36,590) and USD 17,937 (USD 5,616-USD 47,552), respectively.

conclusionOf the few patients on GH therapy, less than half were initiated on treatment early after their TS or NS diagnosis. Greater awareness regarding early diagnosis and treatment of TS and NS is needed.

Indexed as

Growth hormoneMedication adherenceMedication persistenceNoonan syndromeTurner syndrome

Identifiers

PMID41420850
PMCPMC12880825

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.