Evidence map›Paper›PMID 33660084›Full record

ArticleArchives of osteoporosis2021

Diagnosis and management of X-linked hypophosphatemia in children and adolescent in the Gulf Cooperation Council countries.

Fahad Al Juraibah, Elham Al Amiri, Mohammed Al Dubayee, Jamal Al Jubeh, Hessa Al Kandari, Afaf Al Sagheir, Adnan Al Shaikh, Salem A Beshyah, Asma Deeb, Abdelhadi Habeb and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Archives of osteoporosis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
3.6field-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

25 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
  2. Article
  3. Switching from active vitamin D and phosphate supplementation to burosumab significantly corrects lower limb malalignment in pediatric X-linked hypophosphatemia.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2025
    Observational
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Serum Phosphorus as a Driver of Skeletal Morbidity in Fibrous Dysplasia.The Journal of clinical endocrinology and metabolism · 2024
    Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. 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
  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 12 institutions in 4 countries.

Fahad Al JuraibahDepartment of Paediatrics, Ministry of the National Guard - Health Affairs, Riyadh, Saudi Arabia.
Elham Al AmiriAl Qassimi Women & Children Hospital, Sharjah, United Arab Emirates.
Mohammed Al DubayeeDepartment of Paediatrics, Ministry of the National Guard - Health Affairs, Riyadh, Saudi Arabia.
Jamal Al JubehDivision of Paediatric Endocrinology, Institute of Paediatrics, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates.
Hessa Al KandariFarwaniya Hospital, Kuwait City, Kuwait.
Afaf Al SagheirKing Faisal Specialist Hospital & Research Centre, Riyadh, Kingdom of Saudi Arabia.
Adnan Al ShaikhKing Abdulaziz Medical City, Ministry of the National Guard, Jeddah, Saudi Arabia.
Salem A BeshyahDiabetes and Endocrine Clinic, Mediclinic Airport Road, Abu Dhabi, United Arab Emirates.
Asma DeebDivision of Paediatric Endocrinology, Sheikh Shakhbout Medical City, Abu Dhabi, United Arab Emirates.
Abdelhadi HabebCollege of Medicine, King Saud bin Abdulaziz University for Health Science, Riyadh, Saudi Arabia.
Manal MustafaLatifa Women & Children Hospital, Dubai Health Authority, Dubai, United Arab Emirates.
Hanaa ZidanAmerican Hospital, Dubai, United Arab Emirates.
M Zulf MughalRoyal Manchester Children's Hospital, Manchester University Hospitals NHS Foundation Trust, Oxford Road, Manchester, M13 9WL, UK. zulf.mughal@mft.nhs.uk.
Dubai Health Authority · AEFarwaniya Hospital · KWKing Abdulaziz Medical City · SAKing Faisal Specialist Hospital & Research Centre · SAKing Saud bin Abdulaziz University for Health Sciences · SAMediclinic City Hospital · AENational Guard Health Affairs · SAOasis Hospital · AEPrince Mohammed bin Abdulaziz Hospital · SAShaikh Khalifa Medical City · AESheikh Shakhbout Medical City · AEUniversity of Manchester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionX-linked hypophosphatemia (XLH) is a rare inherited cause of hypophosphatemic rickets and osteomalacia. It is caused by mutations in the phosphate-regulating endopeptidase homolog, X-linked (PHEX). This results in increased plasma fibroblast growth factor-23 (FGF23), which leads to loss of renal sodium-phosphate co-transporter expression leading to chronic renal phosphate excretion. It also leads to low serum 1,25-dihydroxyvitamin D (1,25(OH)

resultsThere is considerable overlap between symptoms and signs of phosphopenic and calcipenic rickets/osteomalacia. Wrong diagnosis leads to inappropriate treatment of rickets/osteomalacia. Nutritional rickets and osteomalacia are common in the Gulf Cooperation Council countries which include Saudi Arabia, United Arab Emirates, Kuwait, Qatar, Bahrain, and Oman. Due to high levels of consanguinity in the region, genetic causes of phosphopenic and calcipenic rickets/osteomalacia are also common.

conclusionThis guideline was developed to provide an approach to the diagnosis of XLH, especially where there is no family history of the disease, and that other related conditions are not mistaken for XLH. We also guide the medical management of XLH with conventional treatment and with burosumab, a recombinant human IgG1 monoclonal antibody to FGF23.

Indexed as

Familial Hypophosphatemic RicketsAdolescentBahrainChildFibroblast Growth Factor-23HumansKuwaitOmanSaudi ArabiaUnited Arab EmiratesFibroblast Growth Factor-23BurosumabFibroblast growth factor-23 (FGF23)Gulf Cooperation Council (GCC) countriesHypophosphatemiaOsteomalaciaRicketsX-linked hypophosphatemia (XLH)

Identifiers

PMID33660084
PMCPMC7929956
OpenAlexW3134512528

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.