Introduction: International Turner syndrome (TS) Clinical Practice Guidelines recommend screening for neurodevelopmental (ND) and mental health (MH) concerns in girls with TS; however, it remains unclear whether this is implemented in current practice. The objective of this mixed methods study was to assess screening practices for ND and MH in girls with TS from the perspective of pediatric endocrinologists. Methods: Pediatric Endocrine Society members who provide care for girls with TS were invited to complete an electronic survey on screening practices. Descriptive statistics were used to summarize quantitative results concurrently with thematic analysis of free-text survey responses. Results: A total of 124 surveys were completed (86% attending pediatric endocrinologists, 81% at academic institutions). Overall, 25% of providers reported their patients with TS received both ND and MH screenings. Only 9 (9%) respondents endorsed screening for ND concerns themselves, while more providers (26%) reported they screen for MH concerns. Multiple barriers to screening for ND and MH concerns within the clinical setting were endorsed. Nearly all providers (#x3e;93%) reported they would consider using a short, validated screening tool for ND and MH concerns if such tools were available. Discussion: A minority of pediatric endocrinologists currently perform ND or MH screening for patients with TS, however, many would be interested in implementing a brief screening tool into their clinical practice. Given almost all girls with a TS diagnosis receive care from pediatric endocrinologists at least annually, this may be an effective method to increase the proportion of girls with TS who receive recommended screenings.
Horm Res Paediatr

中文翻译：

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儿科内分泌诊所特纳综合征患者的神经发育和心理健康筛查：儿科内分泌学会调查结果

简介：国际特纳综合征 (TS) 临床实践指南建议筛查 TS 女孩的神经发育 (ND) 和心理健康 (MH) 问题；但是，目前尚不清楚这是否在当前实践中实施。这项混合方法研究的目的是从儿科内分泌学家的角度评估 TS 女孩的 ND 和 MH 筛查实践。方法：邀请为患有 TS 的女孩提供护理的儿科内分泌学会成员完成一项关于筛查实践的电子调查。描述性统计用于总结定量结果，同时对自由文本调查响应进行主题分析。结果：共完成了 124 项调查（86% 就诊于儿科内分泌学家，81% 就诊于学术机构）。总体而言，25% 的提供者报告他们的 TS 患者接受了 ND 和 MH 筛查。只有 9 名 (9%) 的受访者支持自己筛查 ND 问题，而更多的提供者 (26%) 表示他们会筛查 MH 问题。认可了在临床环境中筛查 ND 和 MH 问题的多重障碍。几乎所有提供者 (#x3e;93%) 报告说，如果有此类工具，他们将考虑使用经过验证的简短筛查工具来解决 ND 和 MH 问题。讨论：少数儿科内分泌学家目前对 TS 患者进行 ND 或 MH 筛查，然而，许多人有兴趣在他们的临床实践中实施一个简短的筛查工具。鉴于几乎所有诊断为 TS 的女孩至少每年都接受儿科内分泌科医生的护理，这可能是增加接受推荐筛查的 TS 女孩比例的有效方法。
儿科荷尔蒙