{"id":6111,"date":"2025-09-12T15:05:33","date_gmt":"2025-09-12T13:05:33","guid":{"rendered":"https:\/\/www.pezz.ch\/?page_id=6111"},"modified":"2026-04-21T12:47:12","modified_gmt":"2026-04-21T10:47:12","slug":"wachstumsprognose","status":"publish","type":"page","link":"https:\/\/www.pezz.ch\/en\/fuer-fachpersonen\/wachstumsprognose\/","title":{"rendered":"Growth Prediction"},"content":{"rendered":"
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GROWTH PREDICTION<\/span><\/h1>\n<\/div>\n<\/div>\n<\/div>\n
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ANMERKUNGEN ZUR ZUVERL\u00c4SSIGKEIT<\/span><\/h3>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n
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Bei der Beratung von Wachstumsproblemen (zu kleine oder zu grosse K\u00f6rpergr\u00f6sse, zu fr\u00fche oder zu sp\u00e4te Pubert\u00e4tsentwicklung) nimmt die Bestimmung des biologischen Alters (sog. Knochenalter) und die Berechnung der voraussichtlichen Erwachsenengr\u00f6sse (sog. Wachstumsprognosen) eine zentrale Rolle ein<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n

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BERECHNUNG DER VORAUSSICHTLICHEN ERWACHSENENGR\u00d6SSE F\u00dcR IHRE PATIENTEN\/INNEN<\/span><\/h3>\n<\/div>\n<\/div>\n<\/div>\n
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Wachstumsprognose auf dem Korrespondenzweg erstellt von Professor Dr. med. Urs Eiholzer<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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Wenn immer m\u00f6glich, wird von Professor Dr. med. Urs Eiholzer das Knochenalter nach den Methoden von Greulich-Pyle und Tanner (TW2 und TW3) bestimmt und die Wachstumsprognosen nach Bayley-Pinneau, Roche und Tanner (TW2 und TW3) berechnet. Zus\u00e4tzlich nimmt er eine Beurteilung der klinischen Situation vor, soweit dies auf Grund der zur Verf\u00fcgung gestellten Daten m\u00f6glich ist.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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F\u00fcr eine Wachstumsprognose auf dem Korrespondenzweg gehen Sie folgendermassen vor:<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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Formular downloaden<\/strong><\/a>, ausdrucken und ausf\u00fcllen und zusammen mit dem R\u00f6ntgenbild per Post einschicken. (Das Einscannen des R\u00f6ntgenbilds hat sich nicht bew\u00e4hrt, weil die Aufl\u00f6sung ungen\u00fcgend ist.)<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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Ihr Patient (in der Schweiz) erh\u00e4lt eine Krankenkassen konforme Rechnung (dies gilt als technische \u00dcberweisung).<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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HOW RELIABLE ARE THE SO-CALLED GROWTH PREDICTIONS?<\/span><\/h3>\n<\/div>\n<\/div>\n<\/div>\n
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Once biological age has been determined using a hand X-ray, the further course of growth and biological development can be predicted with reasonable accuracy. It is then possible to estimate when puberty and the pubertal growth spurt will begin, how long growth will continue, and to make predictions about the expected adult height. There are various methods for performing these calculations.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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ACCURACY<\/span><\/h4>\n<\/div>\n<\/div>\n<\/div>\n
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Ihre Genauigkeit h\u00e4ngt davon ab, ob das weitere Wachstum einigermassen durchschnittlich weitergeht wie in etwa 80-90 % der F\u00e4lle. Nicht-durchschnittlich verl\u00e4uft das Wachstum zum Beispiel, wenn die K\u00f6rperproportionen sehr auff\u00e4llig sind, wie zum Beispiel bei sehr kurzen Beinen oder wenn das betreffende Kind als SGA, also als \u2018small for gestational age\u2019 auf die Welt gekommen ist.<\/span><\/p>\n

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A large percentage of SGA children do not grow exactly like most other children. Often, they experience a small growth spurt around 8\u201310 years of age. Unfortunately, in such cases, the pubertal growth spurt contributes less additional height than it does for most other children. This results in an adult height that is smaller than originally predicted. We have only known this for a few years, after analyzing cases of children who did not reach the height we had initially forecast.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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BONE AGE ASSESSMENT<\/span><\/h4>\n<\/div>\n<\/div>\n<\/div>\n
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So far, we have discussed biologically unusual growth patterns. There is another, much more common source of error. All methods for calculating growth predictions rely heavily on the accuracy of bone age assessment. Determining bone age is not a simple task. It involves analyzing the maturation of 13 or 20 hand bones. <\/span>It is therefore not about the measurable size or length of the hand bones, but about assessing their three-dimensional shape, which must be assigned to different stages of maturation. <\/strong><\/p>\n

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Je erfahrener Derjenige ist, der das Handr\u00f6ntgenbild beurteilt, desto genauer sind die Wachstumsprognosen – und zwar unabh\u00e4ngig von der verwendeten Methode. Im Knochenalter-Lesen Erfahrene nutzen meist auch mehrere Methoden gleichzeitig, weil sie aus den Unterschieden der einzelnen Methoden wiederum Schl\u00fcsse auf die Zuverl\u00e4ssigkeit in einem konkreten Fall ziehen k\u00f6nnen. Die gr\u00f6sste Erfahrung im Knochenalter- Lesenfindet man in der Regel bei den Fach\u00e4rzten f\u00fcr p\u00e4diatrische Endokrinologie, den Fachleuten f\u00fcr Wachstum und Hormonst\u00f6rungen.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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JE NORMALER EIN KIND W\u00c4CHST, DESTO GENAUER SIND DIE WACHSTUMSPROGRNOSEN.<\/span><\/h4>\n<\/div>\n<\/div>\n<\/div>\n
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In general, one can also say that the more normally a child grows, the more accurate the growth predictions are. However, growth predictions are most often of interest not for children with average growth, but for those with unusual growth patterns. Growth predictions are a kind of \u201cby-product\u201d of determining bone age. The main purpose of assessing bone age is to find out whether a child has a disease or growth disorder, and if so, what type it might be.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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<\/p>","protected":false},"excerpt":{"rendered":"

WACHSTUMSPROGNOSE ANMERKUNGEN ZUR ZUVERL\u00c4SSIGKEIT Bei der Beratung von Wachstumsproblemen (zu kleine oder zu grosse K\u00f6rpergr\u00f6sse, zu fr\u00fche oder zu sp\u00e4te Pubert\u00e4tsentwicklung) nimmt die Bestimmung des biologischen Alters (sog. Knochenalter) und die Berechnung der voraussichtlichen Erwachsenengr\u00f6sse (sog. Wachstumsprognosen) eine zentrale Rolle ein BERECHNUNG DER VORAUSSICHTLICHEN ERWACHSENENGR\u00d6SSE F\u00dcR IHRE PATIENTEN\/INNEN Wachstumsprognose auf dem Korrespondenzweg erstellt von Professor … Growth 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