Short Stature

Children who have growth failure over a significant time period  develop short stature. The objective in developing this guideline was to assist the pediatrician in the evaluation of short stature and to determine when a referral to a pediatric endocrinologist is warranted.

This guideline includes the following:

1.) Key points of recording history, particularly familial history, as well as dietary and exercise history;
2.) Physical exam recommendations, which include assessing for chronic disease that would delay growth and/or dysmorphology that would be suggestive of a chromosomal abnormality;
3.) Laboratory evaluation; and
4.) Indications for a referral to a pediatric endocrinologist.

If you are a physician and would like more information on the Clinical Practice and Referral Guideline for Short Stature, please contact us at

If you are a parent and concerned that your child may have growth issues, please consult with your child’s pediatrician or primary care physician.

*This guideline was developed in collaboration with pediatric endocrinologists from Georgia Pediatric Subspecialists and Emory-Children’s Center. The recommendations in the  guideline do not indicate an exclusive course of treatment. The intent is to build a consensus of care in the pediatric community and provide a framework for clinical decision-making. Last revised 4/2011.