Evidence map›Paper›PMID 40058863›Full record

ArticleInternal medicine (Tokyo, Japan)2025

Two Cases of Tumor-induced Osteomalacia Resulting in Surgical Resection during Burosumab Therapy.

Dai Nagata, Yuichi Takashi, Mayuko Yamamoto, Kyoko Toyokawa, Kensuke Makihata, Haruki Koganemaru, Saki Hideshima, Yoshimi Muta, Hisashi Yokomizo, Hironori Fukumoto and 7 more

Abstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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.

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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

17 authors.

Dai NagataDepartment of Endocrinology and Diabetes, Fukuoka University School of Medicine, Japan.
Yuichi TakashiDepartment of Endocrinology and Diabetes, Fukuoka University School of Medicine, Japan.
Mayuko YamamotoDepartment of Endocrinology and Diabetes, Fukuoka University School of Medicine, Japan.
Kyoko ToyokawaDepartment of Endocrinology and Diabetes, Fukuoka University School of Medicine, Japan.
Kensuke MakihataDepartment of Endocrinology and Diabetes, Fukuoka University School of Medicine, Japan.
Haruki KoganemaruDepartment of Endocrinology and Diabetes, Fukuoka University School of Medicine, Japan.
Saki HideshimaDepartment of Endocrinology and Diabetes, Fukuoka University School of Medicine, Japan.
Yoshimi MutaDepartment of Endocrinology and Diabetes, Fukuoka University School of Medicine, Japan.
Hisashi YokomizoDepartment of Endocrinology and Diabetes, Fukuoka University School of Medicine, Japan.
Hironori FukumotoDepartment of Neurosurgery, Fukuoka University School of Medicine, Japan.
Shizuhide NakayamaDepartment of Orthopedic Surgery, Fukuoka University School of Medicine, Japan.
Hiroko MutaDepartment of Pathology, Fukuoka University School of Medicine, Japan.
Mikiko AokiDepartment of Pathology, Fukuoka University School of Medicine, Japan.
Hiroshi AbeDepartment of Neurosurgery, Fukuoka University School of Medicine, Japan.
Takuaki YamamotoDepartment of Orthopedic Surgery, Fukuoka University School of Medicine, Japan.
Makoto HamasakiDepartment of Pathology, Fukuoka University School of Medicine, Japan.
Daiji KawanamiDepartment of Endocrinology and Diabetes, Fukuoka University School of Medicine, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tumor-induced osteomalacia (TIO) is a rare paraneoplastic syndrome that results from tumors that secrete fibroblast growth factor 23 (FGF23). This leads to chronic hypophosphatemia. Burosumab, an anti-FGF23 antibody, is an effective treatment when surgery is not possible; however, it complicates FGF23 measurements and postoperative monitoring. We describe the first case report of TIO in which the responsible tumors were discovered during burosumab therapy and successfully resected. Despite tumor removal, the serum FGF23 levels remained elevated. In the postoperative monitoring of patients treated with burosumab, physicians should focus on the serum and urine levels of phosphate rather than FGF23.

Indexed as

Antibodies, Monoclonal, HumanizedNeoplasms, Connective TissueOsteomalaciaParaneoplastic SyndromesFibroblast Growth Factor-23Fibroblast Growth FactorsHumansAntibodies, Monoclonal, HumanizedburosumabFGF23 protein, humanFibroblast Growth Factor-23Fibroblast Growth Factorsburosumabfibroblast growth factor 23postoperative monitoringtumor-induced osteomalacia

Identifiers

PMID40058863
PMCPMC12463426

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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.