Evidence map›Paper›PMID 31177550›Full record

ArticleJournal of inherited metabolic disease2019

Management of bone disease in cystinosis: Statement from an international conference.

Katharina Hohenfellner, Frank Rauch, Gema Ariceta, Atif Awan, Justine Bacchetta, Carsten Bergmann, Susanne Bechtold, Noelle Cassidy, Geroges Deschenes, Ewa Elenberg and 22 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of inherited metabolic disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 3 pooled it
4.9field-weighted citation impact, top 4% 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

41 citing papers in PubMed, 3 syntheses or guidelines pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Guideline
  4. Review
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Long-term outcomes in nephropathic cystinosis: a review.Pediatric nephrology (Berlin, Germany) · 2026
    Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Cortical impairment and reduced muscle mass in children and young adults with nephropathic cystinosis.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2024
    Article
  20. Extrarenal complications of cystinosis.Pediatric nephrology (Berlin, Germany) · 2024
    Review
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

32 authors at 20 institutions in 11 countries.

Katharina HohenfellnerRo Med Kliniken, Pediatric Nephrology, Rosenheim, Germany.ORCID 0000-0003-0978-8087
Frank RauchShriners Hospital for Children, McGill University, Montreal, Canada.
Gema AricetaService of Pediatric Nephrology, University Hospital Vall d' Hebron, Barcelona, Spain.
Atif AwanDepartment of Nephrology, Children's University Hospital, Dublin, Ireland.
Justine BacchettaRéférence Center for Rare Renal Diseases, Hôpital Femme-Mère-Enfant, Bron, France.
Carsten BergmannDepartment of Medicine, University Hospital Freiburg, Freiburg, Germany.
Susanne BechtoldDivision of Pediatric Endocrinology, Children's Hospital and Polyclinic iSPZ, Dr. v. Haunerschen Kinderspital, University Hospital Munich, Munich, Germany.
Noelle CassidyDepartment of Orthopaedic Surgery, Children's University Hospital, Dublin, Ireland.
Geroges DeschenesDepartment of Pediatric Nephrology, Hôpital Robert-Debré and University of Paris Diderot, Paris, France.
Ewa ElenbergDepartment of Pediatrics, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas.
William A GahlNational Human Genome Research Institute, National Institutes of Health Undiagnosed Diseases Program, Bethesda, Maryland.
Oliver GreilDepartment of Diagnostic and Interventional Radiology, Klinikum Traunstein, Traunstein, Germany.
Erik HarmsChildren's University Hospital Muenster, Muenster, Germany.
Nadine HerzigSchoen Clinic Munich Harlaching, Specialist Centre for Paediatric and Neuro-Orthopaedics, Munich, Germany.
Bernd HoppeDivision of Pediatric Nephrology, University Children's Hospital, Bonn, Germany.
Christian KoepplKliniken Südostbayern AG, Sozialpädiatrisches Zentrum, Traunstein, Germany.
Malcolm A LewisDepartment of Nephrology, Children's University Hospital, Dublin, Ireland.
Elena LevtchenkoDepartment of Pediatrics & Development and Regeneration, University Hospitals Leuven & Katholieke Universiteit Leuven, Leuven, Belgium.
Galina NesterovaNational Institutes of Health, National Human Genome Research Institute (NHGRI), Bethesda, Maryland.
Fernando SantosHospital Universitario Central de Asturias, Pediatría, Oviedo, Spain.
Karl P SchlingmannDepartment of General Pediatrics, University Children's Hospital Münster, Münster, Germany.
Aude ServaisReference Center of Inherited Metabolic Diseases, Nephrology Unit, Hospital Necker Enfants Malades, APHP, University Paris Descartes, Paris, France.
Neveen A SolimanDepartment of Pediatrics, Center of Pediatric Nephrology and Transplantation (CPNT), Kasr Al Ainy Faculty of Medicine, Cairo University, Cairo, Egypt.
Guenther SteidleKliniken Südostbayern AG, Sozialpädiatrisches Zentrum, Traunstein, Germany.
Clodagh SweeneyDepartment of Nephrology, Children's University Hospital, Dublin, Ireland.
Ulrike TreikauskasDepartment of Pediatrics, Department of Pediatric Nephrology, Ro-Med Kliniken, Rosenheim, Germany.
Rezan TopalogluDepartment of Pediatric Nephrology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Alexey TsyginDepartment of Nephrology, National Medical and Research Center for Children's Health, Moscow, Russia.
Koenraad VeysDepartment of Pediatrics & Development and Regeneration, University Hospitals Leuven & Katholieke Universiteit Leuven, Leuven, Belgium.
Rodo V VigierPediatric Clinic, Wildermeth Children's Hospital, Biel-Bienne, Switzerland.
Jozef ZustinInstitute of Osteology and Biomechanics, University Medical Center Hamburg-Eppendorf, University of Hamburg, Hamburg, Germany.
Dieter HaffnerDepartment of Pediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School, Hannover, Germany.
Temple Street Children's University Hospital · IEKreisklinik Trostberg · DEKU Leuven · BENational Institutes of Health · USUniversity Hospital Münster · DEBaylor College of Medicine · USCairo University · EGCenter for Children · USHacettepe University · TRHôpital Femme Mère Enfant · FRHôpital Necker-Enfants Malades · FRHospital Universitario Central de Asturias · ESMedizinische Hochschule Hannover · DEMontreal Children's Hospital · CAMünchen Klinik · DERoMed Kliniken · DESchön Klinik München Harlaching · DESchön Klinik Roseneck · DESpitalzentrum Centre hospitalier Biel- Bienne · CHUniversität Hamburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cystinosis is an autosomal recessive storage disease due to impaired transport of cystine out of lysosomes. Since the accumulation of intracellular cystine affects all organs and tissues, the management of cystinosis requires a specialized multidisciplinary team consisting of pediatricians, nephrologists, nutritionists, ophthalmologists, endocrinologists, neurologists' geneticists, and orthopedic surgeons. Treatment with cysteamine can delay or prevent most clinical manifestations of cystinosis, except the renal Fanconi syndrome. Virtually all individuals with classical, nephropathic cystinosis suffer from cystinosis metabolic bone disease (CMBD), related to the renal Fanconi syndrome in infancy and progressive chronic kidney disease (CKD) later in life. Manifestations of CMBD include hypophosphatemic rickets in infancy, and renal osteodystrophy associated with CKD resulting in bone deformities, osteomalacia, osteoporosis, fractures, and short stature. Assessment of CMBD involves monitoring growth, leg deformities, blood levels of phosphate, electrolytes, bicarbonate, calcium, and alkaline phosphatase, periodically obtaining bone radiographs, determining levels of critical hormones and vitamins, such as thyroid hormone, parathyroid hormone, 25(OH) vitamin D, and testosterone in males, and surveillance for nonrenal complications of cystinosis such as myopathy. Treatment includes replacement of urinary losses, cystine depletion with oral cysteamine, vitamin D, hormone replacement, physical therapy, and corrective orthopedic surgery. The recommendations in this article came from an expert meeting on CMBD that took place in Salzburg, Austria, in December 2016.

Indexed as

Administration, OralBone DiseasesCysteamineCystinosisDisease ManagementFanconi SyndromeFemaleHumansMaleCysteaminechronic kidney diseaseCKD-MBDcystinosiscystinosis metabolic bone diseaseFanconi syndromehypophosphatemic ricketstransplantation

Identifiers

PMID31177550
PMCPMC7379238
OpenAlexW2948701975

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.