The Journal of Pediatrics of Korean Medicine (대한한방소아과학회지)

The Association of Korean Oriental Pediatrics (대한한방소아과학회)
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A Case Series on Clinical Characteristics of Patients Who Underwent Bone Age Test and Relationships between Methods of Bone Age Measurements

골연령 검사를 시행한 환자들의 임상적 특성과 골연령 측정 방법 간의 상관성에 대한 후향적 연구

  • Choi Ji U (Department of Pediatrics, College of Korean Medicine, Dongguk University) ;
  • Min Sang Yeon (Department of Pediatrics, College of Korean Medicine, Dongguk University) ;
  • Kim Eun Jin (Department of Pediatrics of Korean Medicine, Korean Medicine Hospital, Dongguk University Bundang Medical Center )
  • 최지우 (동국대학교 한의과대학 소아과교실) ;
  • 민상연 (동국대학교 한의과대학 소아과교실) ;
  • 김은진 (동국대학교 분당한방병원 한방소아과)
  • Received : 2023.08.01
  • Accepted : 2023.08.23
  • Published : 2023.08.31
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Abstract

Objectives The purpose of this study is to analyze the characteristic of the 157 pediatric patients who visited a Korean medical hospital for bone age (BA) measurement and to compare the BA measurement using Tanner-Whitehouse 3-based analysis software and specialists in pediatric Korean medicine to determine the relationships. Methods The study included 157 pediatric patients who visited a Korean medicine hospital for BA measurements from June 2021 to June 2023. They were analyzed to determine the characteristics and agreement of BA measurements using Tanner-Whitehouse 3-based analysis software and specialists using classification by age, intraclass correlation coefficient (ICC), and Bland-Altman plots. Results In total, 61.8% of the study population were boys and 38.2%, girls, with an average age of 11.32 ± 1.87. The types of growth were various, and the average of bone maturity was 0.48 ± 1.13 as concluded by analysis software and 0.38 ± 1.15 as concluded by the specialists. The ICC of two methods were excellent: 0.995 (overall), 0.996 (boys) and 0.994 (girls). However, BA determined by analysis software tended to be higher than that determined by specialists when the patients were young. Conclusions This study showed that patients visited the hospital for BA measurement regardless of their height, and the agreement of BA between the two methods can be used as a reference. However, there was differences in the trends between age and sex, which should be interpreted with caution.

Keywords

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