Evidence map›Paper›PMID 35484227›Full record

ReviewNature reviews. Endocrinology2022

Interdisciplinary management of FGF23-related phosphate wasting syndromes: a Consensus Statement on the evaluation, diagnosis and care of patients with X-linked hypophosphataemia.

Andrea Trombetti, Nasser Al-Daghri, Maria Luisa Brandi, Jorge B Cannata-Andía, Etienne Cavalier, Manju Chandran, Catherine Chaussain, Lucia Cipullo, Cyrus Cooper, Dieter Haffner and 17 more

Open access · hybridAbstract readReviewConsensus Statement
PubMed Publisher
In one paragraph

Review in Nature reviews. Endocrinology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 5 pooled it
15.3field-weighted citation impact, top 1% 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

79 citing papers in PubMed, 5 syntheses or guidelines pooled it, 111 citations in OpenAlex.

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  16. Bone Age Delay in X-linked Hypophosphatemia.Journal of the Endocrine Society · 2026
    Article
  17. Supplements for bone health.Archives of endocrinology and metabolism · 2025
    Review
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19 more citing papers are in PubMed but not listed here.

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

27 authors at 20 institutions in 16 countries.

Andrea TrombettiDivision of Bone Diseases, Department of Medicine, Geneva University Hospitals and Faculty of Medicine, Geneva, Switzerland.
Nasser Al-DaghriChair for Biomarkers of Chronic Diseases, Biochemistry Department, College of Science, King Saud University, Riyadh, Kingdom of Saudi Arabia.
Maria Luisa BrandiF.I.R.M.O. Foundation, University of Florence, Florence, Italy.
Jorge B Cannata-AndíaHospital Universitario Central de Asturias (HUCA), Oviedo, Spain.
Etienne CavalierDepartment of Clinical Chemistry, University of Liege, CHU de Liège, Liège, Belgium.
Manju ChandranComplicated Metabolic Bone Disorders Clinic, Osteoporosis and Bone Metabolism Unit, Department of Endocrinology, Singapore General Hospital, Singapore, Singapore.
Catherine ChaussainUniversité de Paris, Institut des maladies musculo-squelettiques, URP2496, UFR Odontologie, Montrouge, France.
Lucia CipulloPatient representative with XLH, Geneva, Switzerland.
Cyrus CooperMRC Lifecourse Epidemiology Centre, University of Southampton, Southampton, UK.ORCID http://orcid.org/0000-0003-3510-0709
Dieter HaffnerDepartment of Paediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School, Hannover, Germany.ORCID http://orcid.org/0000-0002-9601-7813
Pol HarvengtXLH Belgium, Belgian association of patients with XLH (a member of the International XLH Alliance), Waterloo, Belgium.ORCID http://orcid.org/0000-0003-1283-411X
Nicholas C HarveyMRC Lifecourse Epidemiology Centre, University of Southampton, Southampton, UK.ORCID http://orcid.org/0000-0002-8194-2512
Muhammad Kassim JavaidNIHR Oxford Biomedical Research Centre, University of Oxford, Oxford, UK.
Famida JiwaChair of the Committee of Patients Societies at the International Osteoporosis Foundation, Osteoporosis Canada, Toronto, Canada.
John A KanisMary McKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia.
Andrea LaslopScientific Office, Federal Office for Safety in Health Care, Vienna, Austria.
Michaël R LaurentCentre for Metabolic Bone Diseases, University Hospitals Leuven, Leuven, Belgium.ORCID http://orcid.org/0000-0001-9681-8330
Agnès LinglartParis-Saclay University, INSERM U1185, Le Kremlin-Bicêtre, France.ORCID http://orcid.org/0000-0003-3455-002X
Andréa MarquesRheumatology Department, Centro Hospitalar Universitário de Coimbra, Coimbra, Portugal.
Gabriel T MindlerDepartment of Paediatric Orthopaedics, Orthopaedic Hospital Speising, Vienna, Austria.ORCID http://orcid.org/0000-0002-8533-2164
Salvatore MinisolaDepartment of Clinical, Internal, Anaesthesiologic and Cardiovascular Sciences, 'Sapienza', Rome University, Rome, Italy.ORCID http://orcid.org/0000-0001-6525-0439
María Concepción Prieto YerroAgencia Española de Medicamentos Y Productos Sanitarios, Madrid, Spain.
Mario Miguel RosaDepartamento de Neurociências, Laboratório de Farmacologia Clínica E Terapêutica Faculdade de Medicina da Universidade de Lisboa, Lisbon, Portugal.ORCID http://orcid.org/0000-0003-3158-2106
Lothar SeefriedOrthopedic Department, University of Würzburg, Würzburg, Germany.ORCID http://orcid.org/0000-0003-1154-3388
Mila VlaskovskaMedical Faculty, Department of Pharmacology, Medical University Sofia, Sofia, Bulgaria.
María Belén ZanchettaInstituto de Investigaciones Metabólicas (IDIM), Universidad del Salvador, Buenos Aires, Argentina.
René RizzoliDivision of Bone Diseases, Department of Medicine, Geneva University Hospitals and Faculty of Medicine, Geneva, Switzerland. rene.rizzoli@unige.ch.ORCID http://orcid.org/0000-0002-1537-422X
University Hospital Southampton NHS Foundation Trust · GBAgencia Española de Medicamentos y Productos Sanitarios · ESAustralian Catholic University · AUAustrian Agency for Health and Food Safety · ATCharles Humbert 8 · CHHospitais da Universidade de Coimbra · PTInserm · FRKing Saud University · SAKU Leuven · BEMedical University of Sofia · BGMedizinische Hochschule Hannover · DEOrthopaedic Hospital Speising · ATOsteoporosis Canada · CASapienza University of Rome · ITSingapore General Hospital · SGUniversidad del Salvador · ARUniversidad de Oviedo · ESUniversité Paris Cité · FRUniversity Hospital of Geneva · CHUniversity of Florence · IT

Funding

Medical Research Council G0400491Medical Research Council MC_PC_21000Medical Research Council MC_PC_21001Medical Research Council MC_PC_21003Medical Research Council MC_PC_21022Medical Research Council MC_U147585819Medical Research Council MC_U147585824Medical Research Council MC_U147585827Medical Research Council MC_UP_A620_1014Medical Research Council MC_UP_A620_1015Medical Research Council MC_UU_12011/2
6 · The paper itself

Abstract

X-linked hypophosphataemia (XLH) is the most frequent cause of hypophosphataemia-associated rickets of genetic origin and is associated with high levels of the phosphaturic hormone fibroblast growth factor 23 (FGF23). In addition to rickets and osteomalacia, patients with XLH have a heavy disease burden with enthesopathies, osteoarthritis, pseudofractures and dental complications, all of which contribute to reduced quality of life. This Consensus Statement presents the outcomes of a working group of the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases, and provides robust clinical evidence on management in XLH, with an emphasis on patients' experiences and needs. During growth, conventional treatment with phosphate supplements and active vitamin D metabolites (such as calcitriol) improves growth, ameliorates leg deformities and dental manifestations, and reduces pain. The continuation of conventional treatment in symptom-free adults is still debated. A novel therapeutic approach is the monoclonal anti-FGF23 antibody burosumab. Although promising, further studies are required to clarify its long-term efficacy, particularly in adults. Given the diversity of symptoms and complications, an interdisciplinary approach to management is of paramount importance. The focus of treatment should be not only on the physical manifestations and challenges associated with XLH and other FGF23-mediated hypophosphataemia syndromes, but also on the major psychological and social impact of the disease.

Indexed as

Familial Hypophosphatemic RicketsFibroblast Growth Factor-23OsteoarthritisWasting SyndromeAdultAnimalsHumansQuality of LifeFibroblast Growth Factor-23

Identifiers

PMID35484227
OpenAlexW4225012659

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.