Authors (including presenting author) :
Fu ACC
Affiliation :
Department of Paediatrics & Adol Medicine, Princess Margaret Hospital
Introduction :
Clinical management of endocrine diseases in children varies much across the globe. Endocrine investigations, in broad term refers to dynamic function tests that require ingestion or injection of test agent followed by repeated blood samplings, lack comprehensive clinical data to review the trend of their usage.
Objectives :
This review describes the usage of various endocrine investigations in a regional paediatric center from 1 Jan 2018 to 31 Dec 2018.
Methodology :
Retrospective chart review of all endocrine investigations undertaken in Princess Margaret Hospital, which serves as a tertiary referral center serving the two districts of Kwai Tsing and Tsuen Wan, Hong Kong.
Result & Outcome :
Growth hormone studies (32.4%, Glucagon stimulation test and Arginine stimulation test), LHRH stimulation tests (23.1%) and short synacthen tests (21.3%) were the three commonest ordered endocrine investigations in 2018. Some tests were not used at all in 2018, including Clonidine stimulation test and overnight Dexamethasone suppression test. Longitudinal follow up and inter-hospital collaboration are needed to have more meaningful data analysis.