Evidence map›Paper›PMID 37051203›Full record

Observational studyFrontiers in endocrinology2023

Impact of muscular symptoms and/or pain on disease characteristics, disability, and quality of life in adult patients with hypophosphatasia: A cross-sectional analysis from the Global HPP Registry.

Kathryn M Dahir, Priya S Kishnani, Gabriel Ángel Martos-Moreno, Agnès Linglart, Anna Petryk, Cheryl Rockman-Greenberg, Samantha E Martel, Keiichi Ozono, Wolfgang Högler, Lothar Seefried

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Frontiers in endocrinology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02306720 (An Observational, Longitudinal, Prospective, Long-Term Registry Of Patients With Hypophosphatasia), which is not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
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.

NCT02306720 enrolling by invitationnot on this map

An Observational, Longitudinal, Prospective, Long-Term Registry Of Patients With Hypophosphatasia (HPP)

Typeobservational_patient_registrySponsorAlexion Pharmaceuticals, Inc.Ran2015 to 2031Enrolled1,571ConditionsHypophosphatasia (HPP)
3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. A randomized Phase 1b trial evaluating the pharmacodynamics of ilofotase alfa in adults with hypophosphatasia.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2026
    Trial
  2. Article
  3. External validation of the proposed diagnostic criteria for hypophosphatasia in adults of a Spanish cohort.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Observational
  11. Review
  12. Disease burden byJournal of medical genetics · 2025
    Article
  13. Diagnosis and Treatment of Hypophosphatasia.Calcified tissue international · 2025
    Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. 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.

Kathryn M DahirDivision of Endocrinology and Metabolism, Vanderbilt University Medical Center, Nashville, TN, United States.
Priya S KishnaniDivision of Medical Genetics, Department of Pediatrics, Duke University Medical Center, Durham, NC, United States.
Gabriel Ángel Martos-MorenoDepartments of Pediatrics and Pediatric Endocrinology, Hospital Infantil Universitario Niño Jesús, Madrid, Spain.
Agnès LinglartDepartment of Endocrinology and Childhood Diabetes, Paris Saclay University, AP-HP and INSERM, Paris, France.
Anna PetrykDepartment of Global Medical Affairs, Alexion, AstraZeneca Rare Disease, Boston, MA, United States.
Cheryl Rockman-GreenbergDepartment of Pediatrics & Child Health and Biochemistry & Medical Genetics, University of Manitoba, Winnipeg, MB, Canada.
Samantha E MartelDepartment of Epidemiology, Alexion, AstraZeneca Rare Disease, Boston, MA, United States.
Keiichi OzonoDepartment of Pediatrics, Osaka University, Suita, Osaka, Japan.
Wolfgang HöglerDepartment of Paediatrics and Adolescent Medicine, Johannes Kepler University Linz, Linz, Austria.
Lothar SeefriedOrthopedic Department, University of Würzburg, Würzburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Hypophosphatasia (HPP) manifests in adults as fractures/pseudofractures, pain, muscle weakness, and other functional impairments. Better phenotypic disease characterization is needed to help recognize disability and treat patients with HPP. Methods: Baseline/pretreatment demographic, clinical characteristic, and patient-reported disability/health-related quality-of-life (HRQoL) data from adults (≥18 y) in the Global HPP Registry (NCT02306720) were stratified by presence of overt skeletal manifestations (skeletal group) versus muscular/pain manifestations without skeletal manifestations (muscular/pain group) and summarized descriptively. Disability was measured using the Health Assessment Questionnaire-Disability Index (HAQ-DI), and HRQoL using the 36-item Short Form Health Survey (SF-36v2). Results: Of 468 adults, 300 were classified into the skeletal group and 73 into the muscular/pain group. The skeletal group had a higher median age at baseline (50.1 vs 44.4 y; Conclusion: Adults with HPP experience similar QoL impairment regardless of skeletal involvement. Registration: https://clinicaltrials.gov/ct2/show/NCT02306720 and https://www.encepp.eu/encepp/viewResource.htm?id=47907, identifier NCT02306720; EUPAS13514.

Indexed as

Fractures, BoneHypophosphatasiaAdultCross-Sectional StudiesHumansPainQuality of LifeRegistries6MWTalkaline phosphatasefracturehealth-related quality of lifemobilitypseudofracturerare diseasesSF-36

Identifiers

PMID37051203
PMCPMC10083387

What OpenQuestion holds

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Registered trials

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.