Evidence map›Paper›PMID 34825999›Full record

ReviewCurrent rheumatology reports2021

The Musculoskeletal Manifestations of Marfan Syndrome: Diagnosis, Impact, and Management.

Lily Pollock, Ashley Ridout, James Teh, Colin Nnadi, Dionisios Stavroulias, Alex Pitcher, Edward Blair, Paul Wordsworth, Tonia L Vincent

Open access · hybridAbstract readReview
In one paragraph

Review in Current rheumatology reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
4.8field-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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Marfan Syndrome-Comprehensive Dental/Surgical Management: Clinical Case Report.International journal of clinical pediatric dentistry · 2026
    Article
  5. Review
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  7. Article
  8. Article
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  10. Review
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  12. Article
  13. A novel missense variant ofFrontiers in pediatrics · 2025
    Article
  14. Review
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  16. Article
  17. Article
  18. Article
  19. Review
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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 2 institutions in 1 country.

Lily PollockKennedy Institute of Rheumatology, NDORMS, University of Oxford, Oxford, UK.
Ashley RidoutDepartment of Rheumatology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
James TehDepartment of Radiology, Oxford University Hospitals NHS Foundation Trust, Oxford, England, UK.
Colin NnadiDepartment of Surgery, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Dionisios StavrouliasDepartment of Surgery, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Alex PitcherDepartment of Cardiology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Edward BlairDepartment of Clinical Genetics, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Paul WordsworthDepartment of Rheumatology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Tonia L VincentKennedy Institute of Rheumatology, NDORMS, University of Oxford, Oxford, UK. tonia.vincent@kennedy.ox.ac.uk.
Oxford University Hospitals NHS Trust · GBUniversity of Oxford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewMarfan syndrome (MFS) is an autosomal dominant heritable disorder of fibrillin-1 (FBN1) with predominantly ocular, cardiovascular, and musculoskeletal manifestations that has a population prevalence of approximately 1 in 5-10,000 (Chiu et al. Mayo Clin Proc. 89(1):34-42, 146, Dietz 3, Loeys et al. J Med Genet. 47(7):476-85, 4). RECENT

findingsThe vascular complications of MFS still pose the greatest threat, but effective management options, such as regular cardiac monitoring and elective surgical intervention, have reduced the risk of life-threatening cardiovascular events, such as aortic dissection. Although cardiovascular morbidity and mortality remains high, these improvements in cardiovascular management have extended the life expectancy of those with MFS by perhaps 30-50 years from an estimated mean of 32 years in 1972 (Dietz 3, Gott et al. Eur J Cardio-thoracic Surg. 10(3):149-58, 147, Murdoch et al. N Engl J Med. 286(15):804-8, 148). The musculoskeletal manifestations of MFS, which to date have received less attention, can also have a significant impact on the quality of life and are likely to become more important as the age of the Marfan syndrome population increases (Hasan et al. Int J Clin Pract. 61(8):1308-1320, 127). In addition, musculoskeletal manifestations are often critically important in the diagnosis of MFS. Here, we review the main clinically relevant and diagnostically useful musculoskeletal features of MFS, which together contribute to the "systemic features score" (referred to hereafter as systemic score), part of the revised Ghent nosology for MFS. We discuss current treatment strategies and highlight the need for a multidisciplinary approach to diagnosis and management. Finally, we review new pharmacological approaches that may be disease modifying and could help to improve the outcome for individuals with this syndrome.

Indexed as

Cardiovascular DiseasesMarfan SyndromeHumansQuality of LifeArachnodactylyDural ectasiaMarfan syndromePectus deformityScoliosis

Identifiers

PMID34825999
PMCPMC8626407
OpenAlexW3215378101

What OpenQuestion holds

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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.