Evidence map›Paper›PMID 38117452›Full record

ArticleEndocrine2024

Latin-American consensus on the transition into adult life of patients with X-linked hypophosphatemia.

Maria Sofia Kastelic, Alejandro Roman-González, Guido De Paula Colares Neto, Francisco J A De Paula, Alfredo Adolfo Reza-Albarrán, Lilian Reyes Morales, Silvina Tormo, Adriana Isabel Meza-Martínez

Open access · hybridAbstract readConsensus Statement
In one paragraph

Article in Endocrine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 42% 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

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. 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
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

8 authors at 7 institutions in 5 countries.

Maria Sofia KastelicPediatric Endocrinology department, Hospital Nacional Profesor Alejandro Posadas, Buenos Aires, Argentina.
Alejandro Roman-GonzálezEndocrinology department, Hospital Universitario San Vicente Fundación, Medellín, Colombia. alejandro.roman@udea.edu.co.ORCID 0000-0001-5942-1035
Guido De Paula Colares NetoFaculdade de Medicina do Centro Universitário São Camilo - SP, São Paulo, Brasil.
Francisco J A De PaulaDepartment of Internal Medicine, Faculdade de Medicina de Ribeirão Preto-USP, Ribeirão Preto, Brasil.
Alfredo Adolfo Reza-AlbarránDepartment of endocrinology and metabolism, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de México, México.
Lilian Reyes MoralesChief of the Department of Pediatric Nephrology of the National Institute of Pediatrics, Ciudad de México, México.
Silvina TormoDepartment of endocrinology and metabolism, Hospital Nacional Posadas. El Palomar, Buenos Aires, Argentina.
Adriana Isabel Meza-MartínezPediatric nephrologist. Instituto Roosevelt, Hospital Infantil Universitario de San José, Bogotá, Colombia.
Hospital Posadas · ARCentro Universitário São Camilo · BRHospital Universitario de San Vicente Fundación · COHospital Universitario Infantil San José · COInstituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán · MXUniversidade de Ribeirão Preto · BRVietnam National Children's Hospital · VN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionX-linked hypophosphatemia is an orphan disease of genetic origin and multisystem involvement. It is characterized by a mutation of the PHEX gene which results in excess FGF23 production, with abnormal renal and intestinal phosphorus metabolism, hypophosphatemia and osteomalacia secondary to chronic renal excretion of phosphate. Clinical manifestations include hypophosphatemic rickets leading to growth abnormalities and osteomalacia, myopathy, bone pain and dental abscesses. The transition of these patients to adult life continues to pose challenges to health systems, medical practitioners, patients and families. For this reason, the aim of this consensus is to provide a set of recommendations to facilitate this process and ensure adequate management and follow-up, as well as the quality of life for patients with X-linked hypophosphatemia as they transition to adult life. MATERIALS AND

methodsEight Latin American experts on the subject participated in the consensus and two of them were appointed as coordinators. The consensus work was done in accordance with the nominal group technique in 6 phases: (1) question standardization, (2) definition of the maximum number of choices, (3) production of individual solutions or answers, (4) individual question review, (5) analysis and synthesis of the information and (6) synchronic meetings for clarification and voting. An agreement was determined to exist with 80% votes in favor in three voting cycles. RESULTS AND DISCUSSION: Transition to adult life in patients with hypophosphatemia is a complex process that requires a comprehensive approach, taking into consideration medical interventions and associated care, but also the psychosocial components of adult life and the participation of multiple stakeholders to ensure a successful process. The consensus proposes a total of 33 recommendations based on the evidence and the knowledge and experience of the experts. The goal of the recommendations is to optimize the management of these patients during their transition to adulthood, bearing in mind the need for multidisciplinary management, as well as the most relevant medical and psychosocial factors in the region.

Indexed as

Familial Hypophosphatemic RicketsHypophosphatemiaOsteomalaciaAdultFibroblast Growth FactorsHumansQuality of LifeFibroblast Growth FactorsBone metabolism disordersConsensusHypophosphatemiaTransitionVitamin DX-linked hypophosphatemia

Identifiers

PMID38117452
PMCPMC10987342
OpenAlexW4390016181

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.