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Clinical Care Guidelines


Normal Pubertal Development and Puberty Disorders
Growth Charts
Tanner Stages
 

Normal Pubertal Development and Puberty Disorders

Performing Preventive Services: Physical Examination
Bright Futures, 2016
The chapter on Sexual Maturity Stages addresses the standard assessment for normal growth and development and offers appropriate anticipatory guidance to recognize problems related to pubertal abnormalities that need referral.
 
Evaluation and Referral of Children With Signs of Early Puberty
American Academy of Pediatrics, 2016 (P. Kaplowitz and C. Bloch)
This clinical report addresses concerns about possible early pubertal development, indicators of central precocious puberty, and evaluation and therapy options. 
 
Female Physical Development
Stanford Children’s Health, 2016
These guidelines provide overviews of female anatomy, normal breast development, the menstrual cycle, and other pubertal changes for female adolescents.
 
Male Physical Development
Stanford Children’s Health, 2016
These guidelines provide overview of male anatomy, pubertal changes for male adolescents, and information about the care of uncircumcised penises.
 
Normal Puberty
Up To Date, 2015
Descriptions of normal pubertal development are available in this guide, which reviews sequencing and timing of pubertal events and issues that may arise with patients.
 
Diagnosis and Treatment of Delayed Puberty
Up To Date, 2013
This guide reviews evaluation and testing for delayed puberty in males and females, as well as therapy options including hormone therapy.
 
Normal Pubertal Development: Part 1 and Part 2
Pediatrics in Review, 2012 (B. Bordini and R. Rosenfield)
These clinical guidelines, divided into two parts (The Endocrine Basis of Puberty and Clinical Aspects of Puberty) explain how puberty is regulated and hormonal interactions. They also provide clinical charts to describe the usual sequence of development in boys and girls and identify abnormalities.
 
Physiologic Growth and Development During Adolescence
Bright Futures, 2004 (D. Rosen)
This article describes the usual sequence of pubertal development in boys and girls and the pattern of linear growth during puberty, and identifies pubertal abnormalities that require further evaluation.
 
Growth and Pubertal Development in Children and Adolescents: Effects of Diet and Physical Activity
American Journal of Clinical Nutrition, 2000 (A. Rogol, P. Clar, and J. Roemmich)
These guidelines outline the growth measurements and physiological growth patterns of children and adolescents and the effects of diet and physical activity may have on a growing child. 
 
Disorders of Puberty
American Academy of Family Physicians, 1999
Providing a visual chart of pubertal development in boys and girls, this article discusses normal and abnormal development for adolescents. 
 
 
Growth Charts

The WHO Child Growth Standards
World Health Organization, 2016
The WHO growth charts present documentation on how the physical growth curves and motor milestone windows of achievement were developed as well as application tools to support implementation of the standards.
 
Child Growth Calculator
World Health Organization, 2016
Using data from the World Health Organization, this online growth calculator allows patients to enter their weight and age up to 18 years old and calculate their size and growth pattern.
 
WHO Growth Chart Training
Dietitians of Canada, 2014
Consisting of five modules, this training program is an evidence-based, self-directed package designed for primary care and public health practitioners to better understand the use of the WHO Growth Charts.
 
Clinical Growth Charts
Centers for Disease Control and Prevention, 2009
The clinical growth charts are available for children and adolescents, 2–20 years old, and reflect modifications in the format of the individual charts whereby two individual charts appear on a single page. The charts are also available in Spanish

Tanner Stages

Puberty and Tanner Stages
Child Growth Foundation, 2016
The normal sequence of pubertal events and perils of puberty are reviewed in these descriptive guidelines within the normal ranges. It does not take into account Precocious Puberty or Delayed Puberty.
 
Female Tanner Stage
Family Practice Notebook, 2016
These guidelines describe the Tanner Stages in females and include descriptions of each stage, growth indicators, and related images.
 
Male Tanner Stage
Family Practice Notebook, 2016
These guidelines describe the Tanner Stages in males and include descriptions of each stage, growth indicators, and related images.


The goal of the AHRQ-funded project, Youth Providers 2.0 (YP2.0), is to improve the use of evidence-based practices among health care providers caring for adolescents and young adults. To accomplish this goal, SAHM will engage in a number of activities using new media to improve the dissemination of patient-centered outcomes research (PCOR) to health professionals.
 

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