Evidence map›Paper›PMID 32047911›Full record

ArticleThe Journal of clinical endocrinology and metabolism2020

Osteoarthritis, Osteophytes, and Enthesophytes Affect Biomechanical Function in Adults With X-linked Hypophosphatemia.

Amy Steele, Ramon Gonzalez, Juan C Garbalosa, Keith Steigbigel, Tania Grgurich, Erika J Parisi, Richard S Feinn, Steven M Tommasini, Carolyn M Macica

Open access · hybridAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
5.6field-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

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Guideline
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  4. Review of Recent Advances in Implantable Brain-Computer Interfaces for the Restoration of Motor Function in Patients With Paralysis.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Review
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  13. X-linked hypophosphatemic rickets: from diagnosis to management.Clinical and experimental pediatrics · 2024
    Article
  14. Article
  15. X-Linked Familial Hypophosphatemia: A Case Report of 27-Year Old Male and Review of Literature.Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme · 2023
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Amy SteeleDepartment of Medical Sciences, Frank H. Netter MD School of Medicine at Quinnipiac University, North Haven, Connecticut.
Ramon GonzalezDepartment of Diagnostic Imaging, School of Health Sciences at Quinnipiac University, North Haven, Connecticut.
Juan C GarbalosaDepartment of Physical Therapy, School of Health Sciences at Quinnipiac University, North Haven, Connecticut.
Keith SteigbigelDepartment of Physical Therapy, School of Health Sciences at Quinnipiac University, North Haven, Connecticut.
Tania GrgurichDepartment of Diagnostic Imaging, School of Health Sciences at Quinnipiac University, North Haven, Connecticut.
Erika J ParisiDepartment of Medicine, Massachusetts General Hospital, Boston, Massachusetts.
Richard S FeinnDepartment of Medical Sciences, Frank H. Netter MD School of Medicine at Quinnipiac University, North Haven, Connecticut.
Steven M TommasiniDepartment of Orthopaedics, Yale University School of Medicine at Quinnipiac University, New Haven, Connecticut.
Carolyn M MacicaDepartment of Medical Sciences, Frank H. Netter MD School of Medicine at Quinnipiac University, North Haven, Connecticut.
Quinnipiac University · USMassachusetts General Hospital · USYale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextX-Linked hypophosphatemia (XLH) is a lifelong metabolic disease with musculoskeletal comorbidities that dominate the adult clinical presentation.

objectiveThe adult XLH disorder has yet to be quantified on the basis of the physical and functional limitations that can affect activities of daily living. Our goal was to report the impact of the musculoskeletal manifestations on physical function. DESIGN AND

settingMusculoskeletal function was evaluated by validated questionnaires and in an interdisciplinary clinical space where participants underwent full-body radiologic imaging, goniometric range of motion (ROM) measurements, general performance tests, and kinematic gait analysis. PATIENTS: Nine adults younger than 60 years with a diagnosis of XLH and self-reported musculoskeletal disability, but able to independently ambulate, were selected to participate. Passive ROM and gait analysis were also performed on age-approximated controls to account for differences between individual laboratory instrumentation.

resultsEnthesophytes, degenerative arthritis, and osteophytes were found to be consistently bilateral and diffusely present at the spine and synovial joints across participants, with predominance at weight-bearing joints. Passive ROM in adults with XLH was decreased at the cervical spine, hip, knee, and ankle compared to controls. Gait analysis relative to controls revealed increased step width, markedly increased lateral trunk sway, and physical restriction at the hip, knees, and ankle joints that translated into limitations through the gait cycle.

conclusionsThe functional impact of XLH musculoskeletal comorbidities supports the necessity for creating an interprofessional health-care team with the goal of establishing a longitudinal plan of care that considers the manifestations of XLH across the lifespan.

Indexed as

Activities of Daily LivingBiomechanical PhenomenaFamilial Hypophosphatemic RicketsFemaleFollow-Up StudiesGaitHumansMaleMiddle AgedOsteoarthritisOsteophytePrognosisdegenerative arthritisenthesopathygait analysisosteophyterange of motionX-linked hypophosphatemia

Identifiers

PMID32047911
PMCPMC8416779
OpenAlexW3006470619

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.