Evidence map›Paper›PMID 30838070›Full record

ReviewJournal of children's orthopaedics2019

Current concepts in osteogenesis imperfecta: bone structure, biomechanics and medical management.

W H Nijhuis, D M Eastwood, J Allgrove, I Hvid, H H Weinans, R A Bank, R J Sakkers

Open access · goldAbstract readReview
In one paragraph

Review in Journal of children's orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
7.2field-weighted citation impact, top 3% 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

48 citing papers in PubMed, 1 synthesis or guideline pooled it, 82 citations in OpenAlex.

  1. Pooled it
  2. Setrusumab for the treatment of osteogenesis imperfecta: 12-month results from the phase 2b asteroid study.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2024
    Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Mechanical characterization ofCell biomaterials · 2026
    Article
  10. Review
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  12. Article
  13. Review
  14. Skeletal pathology in mouse models of Gould syndrome is partially alleviated by genetically reducing TGFβ signaling.Matrix biology : journal of the International Society for Matrix Biology · 2024
    Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
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

7 authors at 5 institutions in 3 countries.

W H NijhuisDepartment of Orthopaedic Surgery, University Medical Centre Utrecht, Wilhelmina Children's Hospital, The Netherlands.
D M EastwoodDepartment of Orthopaedic Surgery, Great Ormond Street Hospital, London, United Kingdom.
J AllgroveDepartment of Endocrinology, Great Ormond Street Hospital, London, United Kingdom.
I HvidDepartment of Orthopaedic Surgery, Oslo University Hospital, Norway.
H H WeinansDepartment of Orthopaedic Surgery, University Medical Centre Utrecht, Wilhelmina Children's Hospital, The Netherlands and Technical University, Delft, The Netherlands.
R A BankDepartment of Pathology and Medical Biology, University Medical Centre Groningen, The Netherlands.
R J SakkersDepartment of Orthopaedic Surgery, University Medical Centre Utrecht, Wilhelmina Children's Hospital, The Netherlands.
Wilhelmina Children's Hospital · NLGreat Ormond Street Hospital · GBOslo University Hospital · NOUniversity College London · GBUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The majority of patients with osteogenesis imperfecta (OI) have mutations in the COL1A1 or COL1A2 gene, which has consequences for the composition of the bone matrix and bone architecture. The mutations result in overmodified collagen molecules, thinner collagen fibres and hypermineralization of bone tissue at a bone matrix level. Trabecular bone in OI is characterized by a lower trabecular number and connectivity as well as a lower trabecular thickness and volumetric bone mass. Cortical bone shows a decreased cortical thickness with less mechanical anisotropy and an increased pore percentage as a result of increased osteocyte lacunae and vascular porosity. Most OI patients have mutations at different locations in the COL1 gene. Disease severity in OI is probably partly determined by the nature of the primary collagen defect and its location with respect to the C-terminus of the collagen protein. The overall bone biomechanics result in a relatively weak and brittle structure. Since this is a result of all of the above-mentioned factors as well as their interactions, there is considerable variation between patients, and accurate prediction on bone strength in the individual patient with OI is difficult. Current treatment of OI focuses on adequate vitamin-D levels and interventions in the bone turnover cycle with bisphosphonates. Bisphosphonates increase bone mineral density, but the evidence on improvement of clinical status remains limited. Effects of newer drugs such as antibodies against RANKL and sclerostin are currently under investigation. This paper was written under the guidance of the Study Group Genetics and Metabolic Diseases of the European Paediatric Orthopaedic Society.

Indexed as

bisphosphonatescollagen Ifracturehypermineralizationosteogenesis imperfecta

Identifiers

PMID30838070
PMCPMC6376438
OpenAlexW2908497913

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.