Evidence map›Paper›PMID 32430048›Full record

ArticleOrphanet journal of rare diseases2020

Rare musculoskeletal diseases in adults: a research priority setting partnership with the James Lind Alliance.

Gerda Mickute, Kristina Staley, Heather Delaney, Oliver Gardiner, Amy Hunter, Richard Keen, Lorraine Lockhart, Nick Meade, Maria Newman, Stuart Ralston and 8 more

Open access · goldAbstract read
In one paragraph

Article in Orphanet journal of rare diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 20% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
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  6. Pain Care Management in Rare Diseases.Healthcare (Basel, Switzerland) · 2023
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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

18 authors at 10 institutions in 1 country.

Gerda MickuteSomerville College, University of Oxford, Oxford, OX2 6HD, UK. gerda.mickute@some.ox.ac.uk.ORCID 0000-0002-2477-7565
Kristina StaleyMontague House, 4 St. Mary's Street, Ross on Wye, HR9 5HT, UK.
Heather DelaneyPatient representative, FDSS UK, London, UK.
Oliver GardinerPatient representative, XLH Network, London, UK.
Amy HunterGenetic Alliance UK, N1 6AH, London, UK.
Richard KeenRoyal National Orthopaedic Hospital, Stanmore, HA7 4LP, UK.
Lorraine LockhartPatient, Banbury, Oxfordshire, UK.
Nick MeadeGenetic Alliance UK, N1 6AH, London, UK.
Maria NewmanPatient, London, UK.
Stuart RalstonMRC Institute of Genetics and Molecular Medicine, University of Edinburgh, Edinburgh, EH4 2XU, UK.
Elaine RushPatient, London, UK.
Sheela UpadhyayaIndependent Adviser of the James Lind Alliance, London, UK.
Sandra ReganNIHR Oxford Biomedical Research Centre Project Manager, Oxford, UK.
Laura WattsNIHR Musculoskeletal Biomedical Research Unit, University of Oxford, Oxford, OX3 7LD, UK.
Jennifer WalshMetabolic Bone Centre, Sheffield Teaching Hospitals NHS Foundation Trust, S5 7AU, Sheffield, UK.
Paul WhitePatient, London, UK.
Roger M FrancisTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, NE1 7RU, UK.
M Kassim JavaidThe Botnar Research Centre, Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, OX3 7LD, UK.
The Patients Association · GBGenetic Alliance UK (United Kingdom) · GBUniversity of Oxford · GBInstitute of Genetics and Cancer · GBMontagu Hospital · GBNewcastle University · GBNuffield Orthopaedic Centre · GBOxford BioMedica (United Kingdom) · GBRoyal National Orthopaedic Hospital · GBSheffield Teaching Hospitals NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOsteogenesis imperfecta, fibrous dysplasia/McCune-Albright syndrome and X-linked hypophosphatemia are three rare musculoskeletal diseases characterised by bone deformities, frequent fractures and pain. Little high-quality research exists on appropriate treatment and long-term management of these conditions in adults. This is further worsened by limited research funding in rare diseases and a general mismatch between the existing research priorities and those of the patients. This partnership adopted the James Lind Alliance approach to identify the top 10 research priorities for rare musculoskeletal diseases in adults through joint patient, carer and healthcare professional collaboration.

resultsThe initial survey for question collection recruited 198 respondents, submitting a total of 988 questions. 77% of the respondents were patients with a rare musculoskeletal disease. Following out-of-scope question exclusion, repeating query grouping and scientific literature check for answers, 39 questions on treatment and long-term management remained. In the second public survey, 220 respondents, of whom 85% were patients with a rare musculoskeletal disease, their carers, relatives or friends, prioritised these uncertainties, which allowed selection of the top 25. In the last stage, patients, carers and healthcare professionals gathered for a priority setting workshop to reach a consensus on the final top 10 research priorities. These focus on the uncertainties surrounding appropriate treatment and holistic long-term disease management, highlighting several aspects indirect to abnormal bone metabolism, such as extra-skeletal symptoms, psychological care of both patients and their families and disease course through ageing.

conclusionsThis James Lind Alliance priority setting partnership is the first to investigate rare bone diseases. The priorities identified here were developed jointly by patients, carers and healthcare professionals. We encourage researchers, funding bodies and other stakeholders to use these priorities in guiding future research for those affected by rare musculoskeletal disorders.

Indexed as

Biomedical ResearchMusculoskeletal DiseasesAdultCaregiversHealth PrioritiesHumansRare DiseasesResearchFibrous dysplasia/McCune-Albright syndromeJames Lind AllianceOsteogenesis imperfectaPatient and public involvementPriority setting partnershipRare musculoskeletal diseasesResearch mismatchResearch prioritiesX-linked hypophosphatemia

Identifiers

PMID32430048
PMCPMC7238497
OpenAlexW3026631115

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.