NAME
Medical::Growth::NHANES_2000 - NHANES 2000 Growth Charts
SYNOPSIS
use Medical::Growth::NHANES_2000;
my $handle = Medical::Growth::NHANES_2000->new;
my $dset = $handle->measure_class_for(measure => 'WtAge',
age_group => 'Infant',
sex => 'Male')
foreach my $pt (get_infant_data() ) {
...
my $wfa_pct = $dset->pct_for_value($pt->age_mon, $pt->wt_kg);
}
DESCRIPTION
Medical::Growth::NHANES_2000 is a measurement system implemented using
the Medical::Growth framework, that allows you to compare growth
measurements for children to the National Health and Nutrition
Examination Survey's (NHANES) 2000 infant and child growth charts
<
http://www.cdc.gov/growthcharts>. Measurement classes are provided for
each of the datasets published by the CDC. These are typically used to
compute the percentile for a particular child's measurements relative to
the NHANES sample.
In order to compare a particular child's growth measurements to the
NHANES 2000 norms (the moral equivalent of plotting the measurement on
the appropriate growth chart), you will need to pick the measure class
for the growth measurement of interest (the moral equivalent of using
the right growth chart). While you can use a particular measurement
class directly by name, Medical::Growth::NHANES_2000 also provides ways
for you to look up the appopriate measurement class using more flexible
syntax, as described below.
Once you have retrieved the measure class, you may use the methods
available to manipulate specific values documented in the common
Medical::Growth::NHANES_2000::Base class; these may be called as class
or instance methods on any of the measurement classes.
METHODS
measure_classes
Returns a list of the names of measurement classes in the
Medical::Growth::NHANES_2000 system.
measure_class_name_for(*%criteria*)
Returns the name of the measurement class matching *%criteria*. No
check is made that the measurement class is actually available
(though this will be the case unless something went awry with
installation of Medical::Growth::NHANES_2000).
The following elements of *%criteria* are used to identify the
measurement class. Case is not significant for any of the values.
measure
Growth measurement to be examined and basis for comparison. This
can be a string of the form *measure*" for "*norm*, where
*measure* is the measurement (one of "Weight", "Height",
"Length", "Stature", "Head Circumference", or "BMI") and *norm*
is the norm (one of "Age", "Height", or "Length"). Spaces may be
replaced with underscores, and "for" may be replaced with "by",
or the entire preposition just replaced by spaces.
For convenience, some shorter forms are accepted as well, in the
form *MeasNorm*. In this case, *Meas* can have the values above,
but also "Wgt", "Wt", "Hgt", "Ht", "Stat", "Len", "Head", "HC",
or "OFC", and *Norm* can have the additional values "Hgt", "Ht",
or "Len".
Finally, any of "Height", "Length", or "Stature" are mapped to
"Length" if an infant *age_group* is specified (see below), or
to "Height" if a child age group is specified.
age_group
Age range for the norms to be used. In the NHANES 2000 data,
this is either infants (ages 0-24 months) or children (ages 2-20
years). Values of "Infant", "Toddler", "Recumbent", "Neonatal",
and "Neonate" are taken as "Infant", and values of "Child",
"School-age", and "Adolescent" are taken as "Child".
If the value looks like a number rather than a label, it is
interpreted as an age in months; values of 0-24 map to "Infant"
and larger values map to "Child".
The key "age" may be used instead of "age_group"; if both are
present, "age_group" is preferred.
sex Sex of the children from whose measurements the desired norms
were constructed. Values of "Male", "M", "Boy", "B", and 1 map
to "Male". Values of "Female", "F", "Girl", "G", and 2 map to
"Female".
If any of these values are missing or can't be interpreted, an
exception is thrown.
have_measure_class_for(*%criteria*)
Finds the measurement class name for *%criteria* as described above,
and tries to load the measurement class.
Returns the name of the measure class if successful, and "undef" if
the class cannot be loaded.
measure_class_for(*%criteria*)
Finds the measurement class name for *%criteria* as described above,
and loads the measurement class. An exception is thrown if the class
cannot be loaded.
Returns a handle for the measurement class, through which its
methods may be called.
This method can be called directly, or may be called by delegation
from "measure_class_for" in Medical::Growth, if the "system" element
of *%criteria* specifies "NHANES_2000".
USING NHANES_2000 MEASUREMENT CLASSES
Once you have a measurement class in hand, you will typically want to do
one of two things with it:
Compare a particular child's growth measurements with the NHANES norms.
You can convert growth measurements to percentiles or Z scores by
calling pct_for_value or z_for_value, respectively.
Reconstruct a growth curve
You can find out what specific growth measurements correspond to a
given percentile or Z score by calling value_for_pct or value_for_z,
respectively.
EXPORT
None.
SEE ALSO
Medical::Growth
<
http://www.cdc.gov/growthcharts>
Moo::Lax (for developers) Medical::Growth::NHANES_2000 is implemented
using Moo::Lax and friends to avoid the need for compiled dependencies;
if your code is already using Moose, it should play nicely.
DIAGNOSTICS
Any message produced by an included package, as well as
Need to specify measure, age_group, and sex (F)
One of the required criteria for identifying a measurement class is
missing.
Don't understand measure spec (F)
The value of the "measure" element in *%criteria* wasn't in a known
format.
Don't understand measure name (F)
The growth measurement part of the "measure" element in *%criteria*
wasn't a known growth measurement.
Don't understand norm name (F)
The norm (basis for comparison) part of the "measure" element in
*%criteria* wasn't a known norm.
Don't understand age group (F)
The value of the "age_group" element in *%criteria* wasn't a known
growth measurement.
Don't understand sex (F)
The value of the "age_group" element in *%criteria* wasn't a known
growth measurement.
BUGS AND CAVEATS
Are there, for certain, but have yet to be cataloged.
VERSION
version 1.00
AUTHOR
Charles Bailey <
[email protected]>
COPYRIGHT AND LICENSE
Copyright 2012-2014 Charles Bailey.
This software may be used under the terms of the Artistic License or the
GNU General Public License, as the user prefers.
ACKNOWLEDGMENT
The code incorporated into this package was originally written with
United States federal funding as part of research work done by the
author at the Children's Hospital of Philadelphia.