Evidence map›Paper›PMID 37382866›Full record

SynthesisAdvances in therapy2023

Burden and Treatment of Achondroplasia: A Systematic Literature Review.

Molly C Murton, Emma L A Drane, Danielle M Goff-Leggett, Renée Shediac, Jamie O'Hara, Melita Irving, Thomas J Butt

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Advances in therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
9.1field-weighted citation impact, top 2% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Patient perspectives on humeral lengthening in achondroplasia: association between treatment timing and acceptance.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
    Article
  4. Review
  5. Article
  6. Experiences and treatment perspectives of adolescents and young adults with achondroplasia and caregivers: a qualitative interview study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Observational
  18. [Achondroplasia : New era of orthopedic treatment?]Orthopadie (Heidelberg, Germany) · 2024
    Review
  19. Achondroplasia current concept of orthopaedic management.Journal of children's orthopaedics · 2024
    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

7 authors at 5 institutions in 2 countries.

Molly C MurtonCostello Medical Consulting Ltd, London, UK.
Emma L A DraneCostello Medical Consulting Ltd, Cambridge, UK.
Danielle M Goff-LeggettCostello Medical Consulting Ltd, Cambridge, UK.
Renée ShediacBioMarin Pharmaceutical Inc, Novato, CA, USA.
Jamie O'HaraHCD Economics Ltd, Daresbury, UK.
Melita IrvingGuy's and St Thomas' NHS Foundation Trust, London, UK.
Thomas J ButtBioMarin Europe Ltd, London, UK. tom.butt@bmrn.com.ORCID http://orcid.org/0000-0002-0387-4550
Costello Medical Consulting (United Kingdom) · GBBioMarin (United Kingdom) · GBBioMarin (United States) · USElement Six (United Kingdom) · GBGuy's and St Thomas' NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAchondroplasia is the most common form of skeletal dysplasia. Recent advances in therapeutic options have highlighted the need for understanding the burden and treatment landscape of the condition. This systematic literature review (SLR) aimed to identify health-related quality of life (HRQoL)/utilities, healthcare resource use (HCRU), costs, efficacy, safety and economic evaluation data in achondroplasia and to identify gaps in the research.

methodsSearches of MEDLINE, Embase, the University of York Centre for Reviews and Dissemination (CRD), the Cochrane Library and grey literature were performed. Articles were screened against pre-specified eligibility criteria by two individuals and study quality was assessed using published checklists. Additional targeted searches were conducted to identify management guidelines.

resultsFifty-nine unique studies were included. Results demonstrated a substantial HRQoL and HCRU/cost-related burden of achondroplasia on affected individuals and their families throughout their lifetimes, particularly in emotional wellbeing and hospitalisation costs and resource use. Vosoritide, growth hormone (GH) and limb lengthening all conferred benefits for height or growth velocity; however, the long-term effects of GH therapy were unclear, data for vosoritide were from a limited number of studies, and limb lengthening was associated with complications. Included management guidelines varied widely in their scope, with the first global effort to standardise achondroplasia management represented by the International Achondroplasia Consensus Statement published at the end of 2021. Current evidence gaps include a lack of utility and cost-effectiveness data for achondroplasia and its treatments.

conclusionsThis SLR provides a comprehensive overview of the current burden and treatment landscape for achondroplasia, along with areas where evidence is lacking. This review should be updated as new evidence becomes available on emerging therapies.

Indexed as

AchondroplasiaHuman Growth HormoneCost-Benefit AnalysisHumansQuality of LifeHuman Growth HormoneAchondroplasiaDisease overviewDwarfismGrowth hormoneLimb lengtheningShort statureVosoritide

Identifiers

PMID37382866
PMCPMC10427595
OpenAlexW4382501846

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.