Evidence map›Paper›PMID 31928107›Full record

ArticleActa orthopaedica2020

Gorham-Stout disease: good results of bisphosphonate treatment in 6 of 7 patients.

Kristian Nikolaus Schneider, Max Masthoff, Georg Gosheger, Sebastian Klingebiel, Dominik Schorn, Julian Röder, Tim Vogler, Moritz Wildgruber, Dimosthenis Andreou

Open access · goldAbstract read
In one paragraph

Article in Acta orthopaedica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

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  9. Treatment for Gorham-Stout syndrome with a combination of teriparatide and denosumab.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2024
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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

9 authors at 1 institution in 1 country.

Kristian Nikolaus SchneiderDepartment of Orthopaedics and Tumor Orthopaedics, University Hospital of Münster, Germany.
Max MasthoffInstitute of Clinical Radiology, University Hospital of Münster, Germany.
Georg GoshegerDepartment of Orthopaedics and Tumor Orthopaedics, University Hospital of Münster, Germany.
Sebastian KlingebielDepartment of Orthopaedics and Tumor Orthopaedics, University Hospital of Münster, Germany.
Dominik SchornDepartment of Orthopaedics and Tumor Orthopaedics, University Hospital of Münster, Germany.
Julian RöderDepartment of Orthopaedics and Tumor Orthopaedics, University Hospital of Münster, Germany.
Tim VoglerDepartment of Orthopaedics and Tumor Orthopaedics, University Hospital of Münster, Germany.
Moritz WildgruberInstitute of Clinical Radiology, University Hospital of Münster, Germany.
Dimosthenis AndreouDepartment of Orthopaedics and Tumor Orthopaedics, University Hospital of Münster, Germany.
University Hospital Münster · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and purpose - Gorham-Stout disease (GSD) is a rare mono- or polyostotic condition characterized by idiopathic intraosseous proliferation of angiomatous structures resulting in progressive destruction and resorption of bone. Little is known about the course of disease and no previous study has evaluated patients' quality of life (QoL).Patients and methods - This is a retrospective analysis of 7 consecutive patients (5 males) with a median age at diagnosis of 14 years and a median follow-up of 7 years who were diagnosed with GSD in our department between 1995 and 2018. Data regarding clinical, radiographic, and histopathological features, and treatment, as well as sequelae and their subsequent therapy, were obtained. QoL was assessed by Musculoskeletal Tumor Society Score (MSTS), Toronto Extremity Salvage Score (TESS), and Reintegration to Normal Living (RNL) Index.Results - 3 patients had a monoostotic and 4 patients a polyostotic disease. Besides a diagnostic biopsy, 4 of the 7 patients had to undergo 8 surgeries to treat evolving sequelae. Using an off-label therapy with bisphosphonates in 6 patients, a stable disease state was achieved in 5 patients after a median of 20 months. The median MSTS, TESS, and RNL Index at last follow-up was between 87% and 79%.Interpretation - Due to its rare occurrence, diagnosis and treatment of GSD remain challenging. Off-label treatment with bisphosphonates appears to lead to a stable disease state in the majority of patients. QoL varies depending on the individual manifestations but good to excellent results can be achieved even in complex polyostotic cases with a history of possibly life-threatening sequelae.

Indexed as

AdolescentAdultBone Density Conservation AgentsChildChild, PreschoolDiphosphonatesFemaleHumansMaleOff-Label UseOsteolysis, EssentialPsychometricsQuality of LifeRadiographyRetrospective StudiesYoung AdultBone Density Conservation AgentsDiphosphonates

Identifiers

PMID31928107
PMCPMC7144312
OpenAlexW2999700591

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LicenceCC BY
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Registered trials

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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.