Pediatric endocrinology

Real-World Evidence of Treatment Patterns and Costs of Turner Syndrome and Noonan Syndrome in the USA

Horm Res PaediatrPublished Retrospective cohort study

Authors' conclusion

Of the few patients on GH therapy, less than half were initiated on treatment early after their TS or NS diagnosis. Greater awareness regarding early diagnosis and treatment of TS and NS is needed.

Study context

Population
Patients with Turner syndrome (TS) (aged 4 to <14 years) or Noonan syndrome (NS) (aged ≤18 years) in a US claims database, 2016–2022, with ≥6 months baseline and ≥1 year follow-up
Participants
2,530 vs 1,119
Exposure
TS vs NS
  • TSn = 2,530
  • NSn = 1,119
Outcome
Initiated growth hormone (GH) treatment during follow-up
Methodological detailsclaims database (Komodo Health), descriptive analysis
  • Claims database (Komodo Health)
  • Descriptive analysis

Main finding

As reported in the abstract

Observational data: associations, not effects.

Further findings

Early initiators (started ≤6 months post-index), among GH-treated

High adherence (≥80% of GH treatment days covered), among GH-treated

Long persistence (treated ≥2 years), among GH-treated

GH treatment duration

Median USD

OutcomeTSNS
Total all-cause costs per patient/year10,232 (IQR USD 2,850-USD 36,590)17,937 (IQR USD 5,616-USD 47,552)

Original publication

Real-World Evidence of Treatment Patterns and Costs of Turner Syndrome and Noonan Syndrome in the USA. Horm Res Paediatr. Published 20 December 2025. doi:10.1159/000550211

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