Skip to content

To access the new portal/member content, please reset your username and password by clicking "I forgot my login name or password" on this page.

Pediatric Endocrine Society
  • Clinical
    Resources
    • Clinical Resource Library
    • Referral Guidelines
    • Special Interest Groups
    • Online Community
    • Insurance Appeal Letter Templates
    • And the survey says…
  • Patient
    Resources
    • What is a Pediatric Endocrinologist?
    • Patient Education
      • Patient Education Videos
    • Find a Pediatric Endocrinologist
    • Camps
    • Clinical Studies
    • Transition Toolkit
    • Professional Links
  • Education
    & Events
    • Events Calendar
    • PES Annual Meeting
    • Board Review Course
    • Online Education
    • PES Leadership Advantage (PESLA)
    • Mentor Match Program
    • Fellows, Residents, and Students
      • PedsENDO365
      • PedsENDO Discovery Program
      • Practical Clinical Tools
      • Clinical Update and Case Discussion Course
      • Spring Fellows Retreat
      • ESPE E-Learning Web Portal
      • Mentoring Program
      • SEED
    • PES 50th Anniversary
    • Endocrinology Timeline
    • Video Vignettes/Interviews
  • News &
    Publications
    • PES News & Announcements
    • Journal
  • Careers
    • Job Board
    • Pediatric Endocrine Program Directors
    • Certification
      • Ethics in Pediatric Endocrinology MOC
      • Maintenance of Certification (MOC)
      • PES Obesity SIG MOC/CME Activity
      • Precocious Puberty Self-Assessment MOC/CME
  • Awards, Lectureships & Grants
    • Awards
    • Lectureships
    • Grants
  • About
    PES
    • About PES
      • Contact
      • Leadership
      • PES Committees
      • PES Special Interest Group
      • Society History
    • PES Membership
      • Join PES
    • Partner with Us
      • Mission Alliance Partners
      • Become a Mission Alliance Partner
      • Exhibit & Sponsorship Opportunities
      • Mailing List and Advertising
      • Industry Sponsored Symposia
    • Policies and Strategy
      • Health Systems Disparity Initiative
      • Strategic Plan
      • Policies and Bylaws
      • Public Policy and Advocacy
      • Conflict of Interest Statement
  • Join PES
  • Contact
  • Find a Pediatric Endocrinologist
  • Join PES
  • Contact
  • Find a Pediatric Endocrinologist
  • Find a Colleague
Pediatric Endocrine Society
Member Login
  • Clinical
    Resources
    • Clinical Resource Library
    • Referral Guidelines
    • Special Interest Groups
    • Online Community
    • Insurance Appeal Letter Templates
    • And the survey says…
  • Patient
    Resources
    • What is a Pediatric Endocrinologist?
    • Patient Education
      • Patient Education Videos
    • Find a Pediatric Endocrinologist
    • Camps
    • Clinical Studies
    • Transition Toolkit
    • Professional Links
  • Education
    & Events
    • Events Calendar
    • PES Annual Meeting
    • Board Review Course
    • Online Education
    • PES Leadership Advantage (PESLA)
    • Mentor Match Program
    • Fellows, Residents, and Students
      • PedsENDO365
      • PedsENDO Discovery Program
      • Practical Clinical Tools
      • Clinical Update and Case Discussion Course
      • Spring Fellows Retreat
      • ESPE E-Learning Web Portal
      • Mentoring Program
      • SEED
    • PES 50th Anniversary
    • Endocrinology Timeline
    • Video Vignettes/Interviews
  • News &
    Publications
    • PES News & Announcements
    • Journal
  • Careers
    • Job Board
    • Pediatric Endocrine Program Directors
    • Certification
      • Ethics in Pediatric Endocrinology MOC
      • Maintenance of Certification (MOC)
      • PES Obesity SIG MOC/CME Activity
      • Precocious Puberty Self-Assessment MOC/CME
  • Awards, Lectureships & Grants
    • Awards
    • Lectureships
    • Grants
  • About
    PES
    • About PES
      • Contact
      • Leadership
      • PES Committees
      • PES Special Interest Group
      • Society History
    • PES Membership
      • Join PES
    • Partner with Us
      • Mission Alliance Partners
      • Become a Mission Alliance Partner
      • Exhibit & Sponsorship Opportunities
      • Mailing List and Advertising
      • Industry Sponsored Symposia
    • Policies and Strategy
      • Health Systems Disparity Initiative
      • Strategic Plan
      • Policies and Bylaws
      • Public Policy and Advocacy
      • Conflict of Interest Statement
  • Join PES
  • Contact
  • Find a Pediatric Endocrinologist

Cost-Conscious Growth-Promoting Treatment: When Discretion Is the Better Part of Value (HRP 2018)

Home / Clinical Resources / Paper Review / Cost-Conscious Growth-Promoting Treatment: When Discretion Is the Better Part of Value (HRP 2018)

Clinical Topic

  • Growth
    • Impaired Growth

Resource Type

  • Paper Review

Publication Date

September 28, 2018

Resource Link

View This Resource

Assessing cost-effectiveness of human growth hormone (hGH) treatment to augment height is complicated by uncertainty about how best to measure its therapeutic effect. Cost-conscious growth promotion practice, however, is possible and likely an emerging practical requisite as health care payers increasingly deny the medical necessity of and restrict support for short stature treatment. The increase in denials is not surprising given the expansion and continued high cost of hGH treatment, debate about the value of such treatment, and universal need to restrain burgeoning health care costs.

Renunciation of sweeping payer rejection of hGHfor-height treatment is strengthened by cost-conscious practices that:

  1. Recommend no treatment for most short children and restrict treatment to severe, likely disabling short stature
  2. Initiate hGH treatment only after evidence-based informed assent
  3. Utilize alternative less costly and less invasive options when possible
  4. Minimize hGH treatment duration and dosage
  5. Resist enhancement of normal adult stature

A new era of cost-conscious hGH prescribing that prompts thoughtful restraint in hGH use could help preserve hGH approval for children most in need of treatment.

Get Involved

Join a Special Interest Group

Learn More

Join PES

Learn More

Mentoring Program

Learn More

Explore PES Grants & Scholarships

Learn More

pes-white-logo

Phone: (703) 884-9781
info@pedsendo.org

  • Clinical
    Resources
    • Clinical Resource Library
    • Referral Guidelines
    • Special Interest Groups
    • Online Community
    • Insurance Appeal Letter Templates
    • And the survey says…
  • Patient
    Resources
    • What is a Pediatric Endocrinologist?
    • Patient Education
      • Patient Education Videos
    • Find a Pediatric Endocrinologist
    • Camps
    • Clinical Studies
    • Transition Toolkit
    • Professional Links
  • Education
    & Events
    • Events Calendar
    • PES Annual Meeting
    • Board Review Course
    • Online Education
    • PES Leadership Advantage (PESLA)
    • Mentor Match Program
    • Fellows, Residents, and Students
      • PedsENDO365
      • PedsENDO Discovery Program
      • Practical Clinical Tools
      • Clinical Update and Case Discussion Course
      • Spring Fellows Retreat
      • ESPE E-Learning Web Portal
      • Mentoring Program
      • SEED
    • PES 50th Anniversary
    • Endocrinology Timeline
    • Video Vignettes/Interviews
  • News &
    Publications
    • PES News & Announcements
    • Journal
  • Careers
    • Job Board
    • Pediatric Endocrine Program Directors
    • Certification
      • Ethics in Pediatric Endocrinology MOC
      • Maintenance of Certification (MOC)
      • PES Obesity SIG MOC/CME Activity
      • Precocious Puberty Self-Assessment MOC/CME
  • Awards, Lectureships & Grants
    • Awards
    • Lectureships
    • Grants
  • About
    PES
    • About PES
      • Contact
      • Leadership
      • PES Committees
      • PES Special Interest Group
      • Society History
    • PES Membership
      • Join PES
    • Partner with Us
      • Mission Alliance Partners
      • Become a Mission Alliance Partner
      • Exhibit & Sponsorship Opportunities
      • Mailing List and Advertising
      • Industry Sponsored Symposia
    • Policies and Strategy
      • Health Systems Disparity Initiative
      • Strategic Plan
      • Policies and Bylaws
      • Public Policy and Advocacy
      • Conflict of Interest Statement
  • Join PES
  • Contact
  • Find a Pediatric Endocrinologist
  • Contact
  • Join PES

Learn More About PES!

Contact Us

© 2025 Pediatric Endocrine Society     Privacy Policy     Accessibility Statement

Website by Yoko Co

Scroll To Top