This tool applies user inputs to published guidelines and reference data to display calculations and relevant guideline criteria. It does not provide independent clinical judgment or personalized medical advice. All methods and sources are disclosed for user review. Not a substitute for clinical judgment or standard of care.

Short Stature Assessment

Guideline-driven calculator to support growth monitoring

HCP Use Only | v1.7

1 Patient Demographics

2 Growth & Proportions

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3 Clinical Red Flags

Calculation Rationale

Awaiting measurement data...
References
  1. World Health Organization. WHO Child Growth Standards. Geneva: World Health Organization; 2006.
  2. Kuczmarski RJ, Ogden CL, Guo SS, et al. 2000 CDC Growth Charts for the United States: methods and development. Vital Health Stat 11. 2002;(246):1-190.
  3. Cacciari E, Milani S, Balsamo A, et al. Italian cross-sectional growth charts for height, weight and BMI (2 to 20 yr). J Endocrinol Invest. 2006;29(7):581-593.
  4. Freeman JV, Cole TJ, Chinn S, Jones PR, White EM, Preece MA. Cross sectional stature and weight reference curves for the UK, 1990. Arch Dis Child. 1995;73(1):17-24.
  5. Neuhauser H, Schienkiewitz A, Schaffrath Rosario A, Dortschy R, Kurth BM. Reference percentiles for anthropometric measures and blood pressure from the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2013;56(12):1626-1638.
  6. Fernández C, Lorenzo H, Valls A, et al. Estudio transversal español de crecimiento 2004. Curvas de peso, talla e índice de masa corporal. An Pediatr (Barc). 2004;60(5):438-444.
  7. Isojima T, Kato N, Ito Y, Kanzaki S, Murata M. Clinical growth charts for Japanese children. Clin Pediatr Endocrinol. 2016;25(2):71-76.
  8. Lejarraga H, del Pino M, Fano V, Caino S, Cole TJ. Growth references for weight and height for Argentine girls and boys from birth to maturity: incorporation of data from the World Health Organization from birth to 2 years and calculation of percentiles and Z-scores. Arch Argent Pediatr. 2009;107(2):126-133.
  9. Lawrence S, Cummings E, Chanoine JP, et al. Canadian Pediatric Endocrine Group extension to WHO growth charts: why bother?. Paediatr Child Health. 2013;18(6):295-297.
  10. Fredriks AM, van Buuren S, van Heel WJ, Dijkman-Neerincx MA, Verloove-Vanhorick SP, Wit JM. Nationwide age references for sitting height, leg length, and sitting height/height ratio, and their diagnostic value for disproportionate growth disorders. Arch Dis Child. 2005;90(8):807-812.
  11. Cheung MS, Lanzafame R, Low KJ, Cole TJ. The Head Circumference Height Index (HCH-I) to quantify relative macrocephaly and aid identification of hypochondroplasia in children. Am J Med Genet A. 2026. doi:10.1002/ajmg.a.64266
  12. Nellhaus G. Head circumference from birth to eighteen years: practical composite international and interracial graphs. Pediatrics. 1968;41(1):106-114.
  13. Dauber A, Jorge AAL, Nilsson O, et al. International guideline on genetic testing of children with short stature. Eur J Endocrinol. 2026;194(2):R17-R36. doi:10.1093/ejendo/lvag013
  14. Dauber A, Cheung MS, Hoover-Fong J, Fredwall SO. Diagnosis of hypochondroplasia: International Delphi consensus recommendations.
  15. Gerver WJM, Gkourogianni A, Dauber A, Nilsson O, Wit JM. Arm span and its relation to height in a 2- to 17-year-old reference population and heterozygous carriers of ACAN variants. Horm Res Paediatr. 2020;93(3):164-172. doi:10.1159/000508191
Assessment Overview
Insufficient Data
Short Stature (H < -2 SD)
AND one or more of:
Disproportionality (> 2 SD)
Clinical Red Flags

Plotted Growth Curve