{"id":"https://openalex.org/W4410105744","doi":"https://doi.org/10.31128/ajgp-10-24-7435","title":"The assessment of premature thelarche","display_name":"The assessment of premature thelarche","publication_year":2025,"publication_date":"2025-05-01","ids":{"openalex":"https://openalex.org/W4410105744","doi":"https://doi.org/10.31128/ajgp-10-24-7435","pmid":"https://pubmed.ncbi.nlm.nih.gov/40320808"},"language":"en","primary_location":{"id":"doi:10.31128/ajgp-10-24-7435","doi":"https://doi.org/10.31128/ajgp-10-24-7435","is_oa":true,"landing_page_url":"https://doi.org/10.31128/ajgp-10-24-7435","pdf_url":"https://www1.racgp.org.au/getattachment/d65b56df-787e-4ce5-8166-30fbea4fc429/The-assessment-of-premature-thelarche.aspx","source":{"id":"https://openalex.org/S4210183753","display_name":"Australian Journal of General Practice","issn_l":"2208-794X","issn":["2208-794X","2208-7958"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","medline"],"host_organization":"https://openalex.org/P4310318003","host_organization_name":"Royal Australian College of General Practitioners","host_organization_lineage":["https://openalex.org/P4310318003"],"host_organization_lineage_names":["Royal Australian College of General Practitioners"],"type":"journal"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Australian Journal of General Practice","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://www1.racgp.org.au/getattachment/d65b56df-787e-4ce5-8166-30fbea4fc429/The-assessment-of-premature-thelarche.aspx","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5092634235","display_name":"Lisa Hammerton","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Lisa Hammerton","raw_affiliation_strings":["MBBS, FRACGP, FASBP, Senior Medical Officer, Sunshine Coast Hospital and Health Service, Sunshine Coast, Qld; Breast Physician, BreastScreen Sunshine Coast Service, Sunshine Coast, Qld; Breast Physician, Wesley Breast Clinic, Brisbane, Qld"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"MBBS, FRACGP, FASBP, Senior Medical Officer, Sunshine Coast Hospital and Health Service, Sunshine Coast, Qld; Breast Physician, BreastScreen Sunshine Coast Service, Sunshine Coast, Qld; Breast Physician, Wesley Breast Clinic, Brisbane, Qld","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5092634235"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.7001,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.69330157,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":90,"max":94},"biblio":{"volume":"54","issue":"5","first_page":"252","last_page":"258"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10960","display_name":"Hypothalamic control of reproductive hormones","score":0.9872999787330627,"subfield":{"id":"https://openalex.org/subfields/2743","display_name":"Reproductive Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10960","display_name":"Hypothalamic control of reproductive hormones","score":0.9872999787330627,"subfield":{"id":"https://openalex.org/subfields/2743","display_name":"Reproductive Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11956","display_name":"Sexual Differentiation and Disorders","score":0.004999999888241291,"subfield":{"id":"https://openalex.org/subfields/1312","display_name":"Molecular Biology"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T11134","display_name":"Breast Lesions and Carcinomas","score":0.001500000013038516,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/premature-thelarche","display_name":"premature thelarche","score":1.0},{"id":"https://openalex.org/keywords/precocious-puberty","display_name":"precocious puberty","score":0.9190000295639038},{"id":"https://openalex.org/keywords/breast-development","display_name":"breast development","score":0.8169999718666077},{"id":"https://openalex.org/keywords/differential-diagnosis","display_name":"differential diagnosis","score":0.5180000066757202},{"id":"https://openalex.org/keywords/follow-up","display_name":"follow-up","score":0.6050000190734863},{"id":"https://openalex.org/keywords/parental-anxiety","display_name":"parental anxiety","score":0.6959999799728394},{"id":"https://openalex.org/keywords/skeletal-maturation","display_name":"skeletal maturation","score":0.746999979019165},{"id":"https://openalex.org/keywords/adult-height","display_name":"adult height","score":0.9070000052452087}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7728167772293091},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.6027728319168091},{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.5833966732025146},{"id":"https://openalex.org/C2776135927","wikidata":"https://www.wikidata.org/wiki/Q5242559","display_name":"Referral","level":2,"score":0.5647174715995789},{"id":"https://openalex.org/C2778367240","wikidata":"https://www.wikidata.org/wiki/Q224513","display_name":"Precocious puberty","level":3,"score":0.5097081661224365},{"id":"https://openalex.org/C89551170","wikidata":"https://www.wikidata.org/wiki/Q1777274","display_name":"Bone age","level":2,"score":0.4532738924026489},{"id":"https://openalex.org/C2776880931","wikidata":"https://www.wikidata.org/wiki/Q6745783","display_name":"Breast development","level":3,"score":0.43078285455703735},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.2118872106075287},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.11497768759727478},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.11447501182556152},{"id":"https://openalex.org/C71315377","wikidata":"https://www.wikidata.org/wiki/Q11364","display_name":"Hormone","level":2,"score":0.07388195395469666}],"mesh":[{"descriptor_ui":"D001940","descriptor_name":"Breast","qualifier_ui":"Q000002","qualifier_name":"abnormalities","is_major_topic":true},{"descriptor_ui":"D001940","descriptor_name":"Breast","qualifier_ui":"Q000002","qualifier_name":"abnormalities","is_major_topic":true},{"descriptor_ui":"D001940","descriptor_name":"Breast","qualifier_ui":"Q000002","qualifier_name":"abnormalities","is_major_topic":true},{"descriptor_ui":"D001940","descriptor_name":"Breast","qualifier_ui":"Q000254","qualifier_name":"growth & development","is_major_topic":true},{"descriptor_ui":"D001940","descriptor_name":"Breast","qualifier_ui":"Q000254","qualifier_name":"growth & development","is_major_topic":true},{"descriptor_ui":"D001940","descriptor_name":"Breast","qualifier_ui":"Q000254","qualifier_name":"growth & development","is_major_topic":true},{"descriptor_ui":"D001940","descriptor_name":"Breast","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":true},{"descriptor_ui":"D001940","descriptor_name":"Breast","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":true},{"descriptor_ui":"D001940","descriptor_name":"Breast","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":true},{"descriptor_ui":"D002675","descriptor_name":"Child, Preschool","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002675","descriptor_name":"Child, Preschool","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002675","descriptor_name":"Child, Preschool","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007223","descriptor_name":"Infant","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007223","descriptor_name":"Infant","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007223","descriptor_name":"Infant","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011629","descriptor_name":"Puberty, Precocious","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D011629","descriptor_name":"Puberty, Precocious","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D011629","descriptor_name":"Puberty, Precocious","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D011629","descriptor_name":"Puberty, Precocious","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":true},{"descriptor_ui":"D011629","descriptor_name":"Puberty, Precocious","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":true},{"descriptor_ui":"D011629","descriptor_name":"Puberty, Precocious","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.31128/ajgp-10-24-7435","doi":"https://doi.org/10.31128/ajgp-10-24-7435","is_oa":true,"landing_page_url":"https://doi.org/10.31128/ajgp-10-24-7435","pdf_url":"https://www1.racgp.org.au/getattachment/d65b56df-787e-4ce5-8166-30fbea4fc429/The-assessment-of-premature-thelarche.aspx","source":{"id":"https://openalex.org/S4210183753","display_name":"Australian Journal of General Practice","issn_l":"2208-794X","issn":["2208-794X","2208-7958"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","medline"],"host_organization":"https://openalex.org/P4310318003","host_organization_name":"Royal Australian College of General Practitioners","host_organization_lineage":["https://openalex.org/P4310318003"],"host_organization_lineage_names":["Royal Australian College of General Practitioners"],"type":"journal"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Australian Journal of General Practice","raw_type":"journal-article"},{"id":"pmid:40320808","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40320808","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Australian journal of general practice","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.31128/ajgp-10-24-7435","doi":"https://doi.org/10.31128/ajgp-10-24-7435","is_oa":true,"landing_page_url":"https://doi.org/10.31128/ajgp-10-24-7435","pdf_url":"https://www1.racgp.org.au/getattachment/d65b56df-787e-4ce5-8166-30fbea4fc429/The-assessment-of-premature-thelarche.aspx","source":{"id":"https://openalex.org/S4210183753","display_name":"Australian Journal of General Practice","issn_l":"2208-794X","issn":["2208-794X","2208-7958"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","doyens","medline"],"host_organization":"https://openalex.org/P4310318003","host_organization_name":"Royal Australian College of General Practitioners","host_organization_lineage":["https://openalex.org/P4310318003"],"host_organization_lineage_names":["Royal Australian College of General Practitioners"],"type":"journal"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Australian Journal of General Practice","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9537000060081482,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"sustainable_development_goals_aurora":[{"score":0.7200000286102295,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4410105744.pdf","grobid_xml":"https://content.openalex.org/works/W4410105744.grobid-xml"},"referenced_works_count":24,"referenced_works":["https://openalex.org/W4031123","https://openalex.org/W110788872","https://openalex.org/W1981583640","https://openalex.org/W1994305988","https://openalex.org/W2021326934","https://openalex.org/W2025420869","https://openalex.org/W2061694623","https://openalex.org/W2142657716","https://openalex.org/W2146616613","https://openalex.org/W2151785999","https://openalex.org/W2169221262","https://openalex.org/W2397504441","https://openalex.org/W2401738011","https://openalex.org/W2966948810","https://openalex.org/W3115375254","https://openalex.org/W4243956595","https://openalex.org/W4250825890","https://openalex.org/W4288400169","https://openalex.org/W4362608763","https://openalex.org/W4382138443","https://openalex.org/W4387682025","https://openalex.org/W4389247823","https://openalex.org/W4391919101","https://openalex.org/W4401991675"],"related_works":["https://openalex.org/W2906428793","https://openalex.org/W2563136572","https://openalex.org/W2536535474","https://openalex.org/W4253425206","https://openalex.org/W2378996488","https://openalex.org/W2766136622","https://openalex.org/W4310366035","https://openalex.org/W2338872451","https://openalex.org/W2007397639","https://openalex.org/W4392180607"],"abstract_inverted_index":{"BACKGROUND:":[0],"Premature":[1],"thelarche":[2,32],"(PT)":[3],"is":[4,17,79],"defined":[5],"as":[6],"early":[7],"breast":[8,61],"development":[9,62],"without":[10],"other":[11],"signs":[12],"of":[13,25,37,67,103,120],"pubertal":[14,26],"maturation.":[15],"It":[16],"frequently":[18],"considered":[19],"to":[20,48,95,113],"be":[21,53],"a":[22],"normal":[23],"variant":[24],"growth":[27],"in":[28,55],"girls.":[29],"When":[30],"premature":[31],"presents":[33],"under":[34],"the":[35,65,101],"age":[36,66],"two":[38],"years,":[39],"most":[40],"infants":[41,56],"will":[42],"have":[43],"spontaneous":[44],"remission.":[45],"OBJECTIVE:":[46],"Progression":[47],"precocious":[49],"puberty":[50],"(PP)":[51],"can":[52],"seen":[54],"with":[57],"PT,":[58],"especially":[59],"when":[60],"commences":[63],"after":[64],"five":[68],"years.":[69],"With":[70],"consequences":[71],"on":[72],"bone":[73],"maturation":[74],"and":[75,110],"final":[76],"height,":[77],"it":[78],"imperative":[80],"that":[81,91],"general":[82],"practitioners":[83],"(GPs)":[84],"confidently":[85],"differentiate":[86],"isolated":[87],"benign":[88],"PT":[89,121],"from":[90],"which":[92],"might":[93],"progress":[94],"PP.":[96],"DISCUSSION:":[97],"This":[98],"article":[99],"emphasises":[100],"importance":[102],"simple":[104],"baseline":[105],"investigations,":[106],"referral":[107],"red":[108],"flags":[109],"judicious":[111],"follow-up":[112],"allay":[114],"parental":[115],"anxiety":[116],"or":[117],"expedite":[118],"treatment":[119],"for":[122],"those":[123],"children":[124],"who":[125],"need":[126],"it.":[127]},"counts_by_year":[{"year":2025,"cited_by_count":1}],"updated_date":"2026-09-25T08:18:29.962427","created_date":"2025-10-10T00:00:00"}
