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Secondary Sexual Characteristics and Menses in Young Girls Seen in Office Practice: A Study from the Pediatric Research in Office Settings Network

PEDIATRICS · 1997 · Vol. 99(4) · pp. 505–512
Marcia E. Herman‐GiddensEric J. SloraRichard C. WassermanCarlos J. BourdonyManju BhapkarGary G. KochCynthia M. Hasemeier

Abstract

These data suggest that girls seen in a sample of pediatric practices from across the United States are developing pubertal characteristics at younger ages than currently used norms. Practitioners may need to revise their criteria for referral of girls with precocious puberty, with attention to racial differences.

Sexual Differentiation and DisordersUrological Disorders and TreatmentsHypothalamic control of reproductive hormonesMedicinePubic hairBreast developmentAfrican americanSecondary sex characteristicDemographyWhite (mutation)Cross-sectional studyPediatrics

MeSH terms

Black or African AmericanChildChild, PreschoolCross-Sectional StudiesFemaleHumansMenarchePediatricsPubertySex CharacteristicsSexual MaturationUnited StatesReproducibility of ResultsObserver VariationPrevalence

Funding

  • Health Resources and Services Administration
  • Maternal and Child Health Bureau
Citations
1,733
FWCI
14.94
field-weighted impact
References
47
Percentile
99%
vs. same field & year
Citations per year
References
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Variations in the Pattern of Pubertal Changes in Boys
Archives of Disease in Childhood · 1970 · 5,124 citations
Statistical Aspects of the Analysis of Data From Retrospective Studies of Disease
JNCI Journal of the National Cancer Institute · 1959 · 14,848 citations
Variations in pattern of pubertal changes in girls.
Archives of Disease in Childhood · 1969 · 5,801 citations
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