Evidence map›Paper›PMID 29460029›Full record

ArticleJournal of inherited metabolic disease2018

Outcome of adult patients with X-linked hypophosphatemia caused by PHEX gene mutations.

Douglas Chesher, Michael Oddy, Ulpee Darbar, Parag Sayal, Adrian Casey, Aidan Ryan, Annalisa Sechi, Charlotte Simister, Aoife Waters, Yehani Wedatilake and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of inherited metabolic disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 85 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 6 pooled it
9.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

85 citing papers in PubMed, 6 syntheses or guidelines pooled it, 133 citations in OpenAlex.

  1. Pooled it
  2. Guideline
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  6. Burden of disease associated with X-linked hypophosphataemia in adults: a systematic literature review.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2021
    Pooled it
  7. Trial
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  10. Burosumab Improved Histomorphometric Measures of Osteomalacia in Adults with X-Linked Hypophosphatemia: A Phase 3, Single-Arm, International Trial.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2019
    Trial
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25 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 8 institutions in 3 countries.

Douglas ChesherCharles Dent Metabolic Unit, National Hospital for Neurology and Neurosurgery, Queen Square, London, WC1N 3BG, UK.
Michael OddyDepartment of Trauma and Orthopaedics, University College London Hospitals NHS Foundation Trust, London, UK.
Ulpee DarbarDepartment of Periodontology, Eastman Dental Hospital, London, UK.
Parag SayalDepartment of Neurosurgery, National Hospital for Neurology and Neurosurgery, Queen Square, London, UK.
Adrian CaseyDepartment of Neurosurgery, National Hospital for Neurology and Neurosurgery, Queen Square, London, UK.
Aidan RyanCharles Dent Metabolic Unit, National Hospital for Neurology and Neurosurgery, Queen Square, London, WC1N 3BG, UK.
Annalisa SechiCharles Dent Metabolic Unit, National Hospital for Neurology and Neurosurgery, Queen Square, London, WC1N 3BG, UK.
Charlotte SimisterCharles Dent Metabolic Unit, National Hospital for Neurology and Neurosurgery, Queen Square, London, WC1N 3BG, UK.
Aoife WatersInstitute of Child Health, Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.
Yehani WedatilakeCharles Dent Metabolic Unit, National Hospital for Neurology and Neurosurgery, Queen Square, London, WC1N 3BG, UK.
Robin H LachmannCharles Dent Metabolic Unit, National Hospital for Neurology and Neurosurgery, Queen Square, London, WC1N 3BG, UK.
Elaine MurphyCharles Dent Metabolic Unit, National Hospital for Neurology and Neurosurgery, Queen Square, London, WC1N 3BG, UK. elaine.murphy8@nhs.net.ORCID 0000-0002-6302-9279
National Hospital for Neurology and Neurosurgery · GBEastman Dental Hospital · GBGreat Ormond Street Hospital for Children NHS Foundation Trust · GBImperial College Healthcare NHS Trust · GBRoyal North Shore Hospital · AUUniversity College London Hospitals NHS Foundation Trust · GBUniversity Hospital Southampton NHS Foundation Trust · GBUniversity of Udine · IT

Funding

Department of HealthMedical Research Council MR/K010654/1
6 · The paper itself

Abstract

X-linked hypophosphatemia (XLH) is the most common monogenic disorder causing hypophosphatemia. This case-note review documents the clinical features and the complications of treatment in 59 adults (19 male, 40 female) with XLH. XLH is associated with a large number of private mutations; 37 different mutations in the PHEX gene were identified in this cohort, 14 of which have not been previously reported. Orthopaedic involvement requiring surgical intervention (osteotomy) was frequent. Joint replacement and decompressive laminectomy were observed in those older than 40 years. Dental disease (63%), nephrocalcinosis (42%), and hearing impairment (14%) were also common. The rarity of the disease and the large number of variants make it difficult to discern specific genotype-phenotype relationships. A new treatment, an anti-FGF23 antibody, that may affect the natural history of the disease is currently being investigated in clinical trials.

Indexed as

Genetic Diseases, X-LinkedMutationAdolescentAdultAgedAntibodies, MonoclonalFamilial Hypophosphatemic RicketsFemaleFibroblast Growth Factor-23Fibroblast Growth FactorsGenetic Association StudiesHearing LossHumansLaminectomyMaleMiddle AgedAntibodies, MonoclonalFGF23 protein, humanFibroblast Growth Factor-23Fibroblast Growth FactorsPHEX Phosphate Regulating Neutral EndopeptidasePHEX protein, humanDental abcessEnthesopathyNephrocalcinosisOsteotomyPHEXPhosphate regulating endopeptidase homologueXLHX-linked hypophosphatemia

Identifiers

PMID29460029
PMCPMC6133187
OpenAlexW2790127412

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.