Evidence map›Paper›PMID 31505461›Full record

ArticleEndocrine connections2019

Tumor induced osteomalacia in head and neck region: single center experience and systematic review.

Ravikumar Shah, Anurag R Lila, Ramteke-Swati Jadhav, Virendra Patil, Abhishek Mahajan, Sushil Sonawane, Puja Thadani, Anil Dcruz, Prathamesh Pai, Munita Bal and 3 more

Open access · goldAbstract read
In one paragraph

Article in Endocrine connections, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. A nomogram for predicting surgery outcome of tumor-induced osteomalacia: a case-control study.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Article
  7. Article
  8. Postoperative outcome and clinical management of tumor-induced osteomalacia: a single-center retrospective cohort study on 117 patients.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025
    Article
  9. Article
  10. Unmasking Skull Base Phosphaturic Mesenchymal Tumors: A Rare and Treatable Cause of Tumor-Induced Osteomalacia.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2025
    Article
  11. Treatment Advances in Tumor-Induced Osteomalacia.Calcified tissue international · 2025
    Review
  12. Healthcare Resource Use Associated With Tumor-Induced Osteomalacia: A Literature Review.The Journal of clinical endocrinology and metabolism · 2024
    Review
  13. Review
  14. Tumor-induced Osteomalacia in a Boy with Maxillary Ossifying FibromaJournal of clinical research in pediatric endocrinology · 2023
    Review
  15. Article
  16. Review
  17. Article
  18. Review
  19. Review
  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

13 authors at 2 institutions in 1 country.

Ravikumar ShahDepartment of Endocrinology, Seth GS Medical College & KEM Hospital, Parel, Mumbai, India.
Anurag R LilaDepartment of Endocrinology, Seth GS Medical College & KEM Hospital, Parel, Mumbai, India.
Ramteke-Swati JadhavDepartment of Endocrinology, Seth GS Medical College & KEM Hospital, Parel, Mumbai, India.
Virendra PatilDepartment of Endocrinology, Seth GS Medical College & KEM Hospital, Parel, Mumbai, India.
Abhishek MahajanDepartment of Radiodiagnosis and Imaging, Tata Memorial Hospital, Mumbai, Maharashtra, India.
Sushil SonawaneDepartment of Endocrinology, Seth GS Medical College & KEM Hospital, Parel, Mumbai, India.
Puja ThadaniDepartment of Endocrinology, Seth GS Medical College & KEM Hospital, Parel, Mumbai, India.
Anil DcruzDepartment of Head Neck Surgery, Tata Memorial Hospital, Mumbai, Maharashtra, India.
Prathamesh PaiDepartment of Head Neck Surgery, Tata Memorial Hospital, Mumbai, Maharashtra, India.
Munita BalDepartment of Pathology, Tata Memorial Hospital, Mumbai, Maharashtra, India.
Subhada KaneDepartment of Pathology, Tata Memorial Hospital, Mumbai, Maharashtra, India.
Nalini ShahDepartment of Endocrinology, Seth GS Medical College & KEM Hospital, Parel, Mumbai, India.
Tushar BandgarDepartment of Endocrinology, Seth GS Medical College & KEM Hospital, Parel, Mumbai, India.
King Edward Memorial Hospital and Seth G.S. Medical College · INTata Memorial Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tumor-induced osteomalacia in the head and neck region remains a challenging diagnosis to manage. Literature pertaining to management and outcome details remains sparse. We describe two cohorts: cohort 1 included seven patients from a single center in Western India with tumors located in paranasal sinuses (n = 3), intracranial (n = 2) and maxilla (n = 2). The unique features from our series is the management of persistent disease with radiation therapy (n = 2) and peptide receptor radionuclide therapy (PRRT) (n = 1). Cohort two has 163 patients identified from 109 publications for systematic review. Paranasal sinuses, mandible, intracranial disease, maxilla and oral cavity, in descending order, are reportedly common tumor sites. Within this cohort, mean age was 46 ± 14 years at presentation with 44.1% having local symptoms. Duration of symptoms varied from 1 to 240 months. Pre-surgery mean serum phosphorus was 1.4 ± 0.4 mg/dL and median FGF-23 levels were 3.6 (IQR:1.8-6.8) times of normal upper limit of normal. Majority (97.5%) were managed primarily with surgical excision; however, primary radiotherapy (n = 2) and surgery combined with radiotherapy (n = 2) were also reported. Twenty patients had persistent disease while nine patients had recurrence, more commonly noted with intracranial and oral cavity tumors. Surgery was the most common second mode of treatment employed succeeded by radiotherapy. Four patients had metastatic disease. The most common histopathological diagnosis reported is PMT mixed connective tissue, while the newer terminology 'PMT mixed epithelial and connective tissue type' has been described in 15 patients.

Indexed as

head and neckoncogenic osteomalaciasystematic reviewtumor-induced osteomalacia (TIO)

Identifiers

PMID31505461
PMCPMC6790902
OpenAlexW2972441873

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.