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Table 1 Clinical and ultrasonography characteristics of patients with premature sexual development in training and validation samples

From: Clinical risk score for central precocious puberty among girls with precocious pubertal development: a cross sectional study

 

Training (n = 314)

Validation (n = 313)

P Value

Central precocious puberty (%)

172 (54.8)

172 (55.0)

0.9649

Clinical characteristics

 Age at onset of puberty [mean (SD), year]

6.5 (1.6)

6.5 (1.6)

0.8132

 Chronological age [mean (SD), year]

7.5 (1.6)

7.6 (1.7)

0.9460

 Bone age [mean (SD), year]

9.6 (7.5)

8.9 (2.3)

0.1415

 Bone age/ Chronological age (SD)

1.2 (0.2)

1.2 (0.2)

0.8146

 Duration of disease [mean (SD), year]

1.1 (0.9)

1.0 (0.8)

0.7547

 Family history of central precocious puberty (%)

5 (1.6)

0 (0.0)

0.0250

Tanner stage for breast development

 Left (%)

  

0.5959 a

  I

9 (2.9)

9 (2.9)

 

  II

200 (64.5)

211 (68.5)

 

  III

98 (31.6)

87 (28.3)

 

  IV

3 (1.0)

1 (0.3)

 

 Right (%)

  

0.4052 a

  I

12 (3.9)

8 (2.6)

 

  II

196 (63.2)

211 (68.5)

 

  III

99 (31.9)

88 (28.6)

 

  IV

3 (1.0)

1 (0.3)

 

 Tanner stage for pubic hair development (%)

  

0.1860 a

  I

277 (88.2)

282 (90.1)

 

  II

32 (10.2)

31 (9.9)

 

  III

4 (1.3)

0 (0.0)

 

  IV

1 (0.3)

0 (0.0)

 

 Height [mean (SD), cm]

130.0 (11.6)

129.9 (12.6)

0.8986

 Weight [mean (SD), kg]

28.4 (6.8)

28.8 (7.3)

0.5405

 BMI [mean (SD), kg/m2]

16.7 (2.2)

16.9 (2.4)

0.3691

 LH [Median (IQR), IU/L]

   

  Baseline

0.43 (0.17, 1.07)

0.43 (0.18, 1.02)

0.6364

  Stimulated

10.45 (5.01, 21.36)

9.55 (4.80, 24.97)

0.9503

 FSH [mean (SD), IU/L]

   

  Baseline

3.7 (2.3)

3.6 (2.2)

0.6839

  Stimulated

16.7 (8.0)

17.0 (7.8)

0.6182

 LH/FSH [Median (IQR)]

   

  Baseline

0.14 (0.08, 0.29)

0.14 (0.07, 0.30)

0.5607

  Stimulated

0.75 (0.38, 1.46)

0.72 (0.32, 1.45)

0.7394

 Estradiol [Median (IQR), pg/mL]

15.0 (8.0, 29.5)

14.0 (7.0, 26.8)

0.4737

 hCG [Median (IQR), IU/L]

0.08 (0.00, 0.23)

0.05 (0.00, 0.21)

0.4128

 Prolactin [mean (SD), ng/mL]

10.7 (7.7)

9.7 (5.8)

0.1042

 DHEAS [mean (SD), μg/dL]

53.3 (38.3)

53.5 (39.6)

0.9594

 Testosterone [Median (IQR), ng/dL]

2.4 (0.0, 16.3)

0.0 (0.0, 15.1)

0.3793

 Cortisol [mean (SD), μg/dL]

8.3 (4.9)

8.3 (4.7)

0.9896

 ACTH [Median (IQR), pg/mL]

24.2 (17.8, 33.0)

24.5 (18.0, 34.0)

0.7214

 Total triiodothyronine [mean (SD), ng/dL]

139.8 (24.3)

136.5 (25.1)

0.0982

 Free triiodothyronine [mean (SD), pg/mL]

3.9 (0.6)

3.8 (0.6)

0.8073

 Total thyroxine [mean (SD), μg/dL]

9.0 (1.8)

9.1 (1.8)

0.3588

 Free thyroxine [mean (SD), ng/dL]

1.0 (0.2)

1.0 (0.2)

0.6164

 TSH [mean (SD), μIU/mL]

2.4 (1.4)

2.2 (1.2)

0.1302

Pelvic sonogram

 Ovarian volume

   

  Average ovarian (%)

1.9 (0.9)

1.9 (0.9)

0.6001

  <  1 mL

40 (12.7)

44 (14.1)

0.8866

  1- < 2 mL

157 (50.0)

155 (49.5)

 

  ≥ 2 mL

117 (37.3)

114 (36.4)

 

 Largest ovarian (%)

   

  <  1 mL

31 (9.9)

34 (10.9)

0.8914

  1- < 2 mL

142 (45.2)

137 (43.8)

 

  ≥ 2 mL

141 (44.9)

142 (45.4)

 

 Smallest ovarian (%)

   

  < 1 mL

67 (21.3)

73 (23.3)

0.8138

  1- < 2 mL

160 (51.0)

153 (48.9)

 

  ≥ 2 mL

87 (27.7)

87 (27.8)

 

 Uterine

   

 Length

   

  < 3 cm

278 (88.5)

287 (91.7)

0.1774 a

  3- < 4 cm

36 (11.5)

25 (8.0)

 

  ≥ 4 cm

0 (0.0)

1 (0.3)

 

 Volume

   

  < 3 mL

244 (77.7)

251 (80.2)

0.7287

  3- < 4 mL

42 (13.4)

36 (11.5)

 

  ≥ 4 mL

28 (8.9)

26 (8.3)

 

 Endometrium visible (%)

40 (12.7)

40 (12.8)

0.9878

  1. BMI body mass index, LH luteinizing hormone, FSH follicle-stimulating hormone, hCG human chorionic gonadotropin, DHEAS dehydroepiandrosterone sulfate, ACTH adrenocorticotropic hormone, TSH thyroid - stimulating hormone, IQR interquartile range
  2. aCalculated using Fisher’s exact test