Evidence map›Paper›PMID 34741521›Full record

ArticleThe Journal of clinical endocrinology and metabolism2022

Health Care Transition From Pediatric- to Adult-Focused Care in X-linked Hypophosphatemia: Expert Consensus.

Kathryn Dahir, Ruban Dhaliwal, Jill Simmons, Erik A Imel, Gary S Gottesman, John D Mahan, Gnanagurudasan Prakasam, Allison I Hoch, Prameela Ramesan, Maria Díaz-González de Ferris

Open access · hybridAbstract readConsensus Statement
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
6.1field-weighted citation impact, top 4% 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, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Guideline
  2. Guideline
  3. Article
  4. Hypophosphatemic rickets: diagnosis and treatment.Archives of endocrinology and metabolism · 2026
    Review
  5. Article
  6. Transition of patients with hereditary nephropathies from paediatric to adult care.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2026
    Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Significance of assessing the severity of craniosynostosis in patients with X-linked hypophosphatemia (XLH) at diagnosis.Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric Endocrinology · 2025
    Article
  13. The importance of genetic counselling for turner syndrome transition.European child & adolescent psychiatry · 2025
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  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

10 authors at 8 institutions in 1 country.

Kathryn DahirVanderbilt University Medical Center, Nashville, Tennessee 37232, USA.ORCID 0000-0002-9980-9138
Ruban DhaliwalSUNY Upstate Medical University, Syracuse, New York 13210, USA.ORCID 0000-0003-4179-4006
Jill SimmonsVanderbilt University Medical Center, Nashville, Tennessee 37232, USA.ORCID 0000-0002-4189-6718
Erik A ImelIndiana University School of Medicine, Indianapolis, Indiana 46202, USA.ORCID 0000-0002-7284-3467
Gary S GottesmanShriners Hospitals for Children-St Louis, St Louis, Missouri 63110,USA.ORCID 0000-0002-0302-3852
John D MahanNationwide Children's Hospital, Columbus, Ohio 43205, USA.ORCID 0000-0001-5175-1339
Gnanagurudasan PrakasamSutter Medical Center, Sacramento, California 95816, USA.ORCID 0000-0002-4865-7867
Allison I HochUltragenyx Pharmaceutical Inc, Novato, California 94949, USA.ORCID 0000-0002-2418-8736
Prameela RamesanUltragenyx Pharmaceutical Inc, Novato, California 94949, USA.
Maria Díaz-González de FerrisUniversity of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA.ORCID 0000-0003-1891-6765
Ultragenyx Pharmaceutical (United States) · USVanderbilt University Medical Center · USIndiana University School of MedicineNationwide Children's Hospital · USShriners Hospitals for Children - St. Louis · USSUNY Upstate Medical University · USSutter Medical Center · USUniversity of North Carolina at Chapel Hill · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextX-linked hypophosphatemia (XLH) is an inherited skeletal disorder that can lead to lifelong deleterious musculoskeletal and functional consequences. Although often perceived as a childhood condition, children and adults both experience the negative effects of XLH. Adolescents and young adults (AYAs) benefit from effective health care transition (HCT) preparation to support the transfer from pediatric- to adult-focused care. Whereas transition timelines, milestones, and educational tools exist for some chronic conditions, they do not meet the unique needs of patients with XLH. EVIDENCE ACQUISITION: To produce the first expert recommendations on HCT preparation for AYAs with XLH developed by clinical care investigators and transition experts, a formal literature search was conducted and discussed in an advisory board meeting in July 2020. A modified Delphi method was used to refine expert opinion and facilitate a consensus position. EVIDENCE SYNTHESIS: We identified the need for psychosocial and access-related resources for disease education, genetic counseling, family planning, and AYA emancipation from caregiver-directed care. Additionally, we recognized that it is necessary to facilitate communication with patients through channels familiar and accessible to AYAs and teach patients to advocate for their health care/access to specialists.

conclusionClear HCT preparation guidelines and treatment-related goals are defined. Individualized timelines and practical strategies for HCT preparation are proposed to optimize health outcomes resulting from continuous clinical care throughout the patient lifecycle. We provide an expert consensus statement describing a tailored HCT preparation program specifically for AYAs with XLH to aid in the effective transfer from pediatric- to adult-focused health care.

Indexed as

Practice Guidelines as TopicAdolescentChildConsensusFamilial Hypophosphatemic RicketsHumansTransition to Adult CareYoung Adultadolescent careexpert opinion consensushealth care transitionmetabolic bone disorderstransition preparationX-linked hypophosphatemia

Identifiers

PMID34741521
PMCPMC8852209
OpenAlexW3210767952

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.