Evidence map›Paper›PMID 31068690›Full record

ArticleNature reviews. Nephrology2019

Clinical practice recommendations for the diagnosis and management of X-linked hypophosphataemia.

Dieter Haffner, Francesco Emma, Deborah M Eastwood, Martin Biosse Duplan, Justine Bacchetta, Dirk Schnabel, Philippe Wicart, Detlef Bockenhauer, Fernando Santos, Elena Levtchenko and 10 more

Open access · hybridAbstract readConsensus Statement
In one paragraph

Article in Nature reviews. Nephrology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 266 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
266citing papers in PubMed, 7 pooled it
37.6field-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

266 citing papers in PubMed, 7 syntheses or guidelines pooled it, 517 citations in OpenAlex.

  1. Pooled it
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  5. Guideline
  6. Guideline
  7. Osteomalacia as a Complication of Intravenous Iron Infusion: A Systematic Review of Case Reports.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2022
    Pooled it
  8. Trial
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  12. Review
  13. Article
  14. Observational
  15. Article
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  18. Refractory Rickets: Evaluation and Management.Indian journal of pediatrics · 2026
    Review
  19. Article
  20. Article

206 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

20 authors at 13 institutions in 8 countries.

Dieter HaffnerDepartment of Pediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School, Hannover, Germany. Haffner.Dieter@mh-hannover.de.ORCID 0000-0002-9601-7813
Francesco EmmaDepartment of Pediatric Subspecialties, Division of Nephrology, Children's Hospital Bambino Gesù - IRCCS, Rome, Italy.
Deborah M EastwoodDepartment of Orthopaedics, Great Ormond St Hospital for Children, Orthopaedics, London, UK.
Martin Biosse DuplanDental School, Université Paris Descartes Sorbonne Paris Cité, Montrouge, France.
Justine BacchettaDepartment of Pediatric Nephrology, Rheumatology and Dermatology, University Children's Hospital, Lyon, France.
Dirk SchnabelCenter for Chronic Sick Children, Pediatric Endocrinology, Charitè, University Medicine, Berlin, Germany.
Philippe WicartAPHP, Reference Center for Rare Diseases of Calcium and Phosphate Metabolism, and Filière OSCAR, Paris, France.
Detlef BockenhauerUniversity College London, Centre for Nephrology and Great Ormond Street Hospital for Children NHS Foundation Trust, London, UK.ORCID 0000-0001-5878-941X
Fernando SantosHospital Universitario Central de Asturias (HUCA), University of Oviedo, Oviedo, Spain.
Elena LevtchenkoDepartment of Pediatric Nephrology and Development and Regeneration, University Hospitals Leuven, University of Leuven, Leuven, Belgium.
Pol HarvengtRVRH-XLH, French Patient Association for XLH, Suresnes, France.
Martha KirchhoffPhosphatdiabetes e.V., German Patient Association for XLH, Lippstadt, Germany.
Federico Di RoccoPediatric Neurosurgery, Hôpital Femme Mère Enfant, Centre de Référence Craniosténoses, Université de Lyon, Lyon, France.
Catherine ChaussainDental School, Université Paris Descartes Sorbonne Paris Cité, Montrouge, France.
Maria Louisa BrandiMetabolic Bone Diseases Unit, Department of Surgery and Translational Medicine, University of Florence, Florence, Italy.
Lars SavendahlPediatric Endocrinology Unit, Karolinska University Hospital, Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0003-1067-4976
Karine BriotAPHP, Reference Center for Rare Diseases of Calcium and Phosphate Metabolism, and Filière OSCAR, Paris, France.
Peter KamenickyAPHP, Reference Center for Rare Diseases of Calcium and Phosphate Metabolism, and Filière OSCAR, Paris, France.
Lars RejnmarkDepartment of Endocrinology and Internal Medicine, Aarhus University Hospital, Aarhus, Denmark.ORCID 0000-0002-2152-4247
Agnès LinglartAPHP, Reference Center for Rare Diseases of Calcium and Phosphate Metabolism, and Filière OSCAR, Paris, France.
Délégation Paris 5 · FRUniversité Paris-Sud · FRAarhus University Hospital · DKBambino Gesù Children's Hospital · ITCharité - Universitätsmedizin Berlin · DEGreat Ormond Street Hospital · GBGreat Ormond Street Hospital for Children NHS Foundation Trust · GBKarolinska University Hospital · SEKU Leuven · BEMedizinische Hochschule Hannover · DEUniversidad de Oviedo · ESUniversité Claude Bernard Lyon 1 · FRUniversity of Florence · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

X-linked hypophosphataemia (XLH) is the most common cause of inherited phosphate wasting and is associated with severe complications such as rickets, lower limb deformities, pain, poor mineralization of the teeth and disproportionate short stature in children as well as hyperparathyroidism, osteomalacia, enthesopathies, osteoarthritis and pseudofractures in adults. The characteristics and severity of XLH vary between patients. Because of its rarity, the diagnosis and specific treatment of XLH are frequently delayed, which has a detrimental effect on patient outcomes. In this Evidence-Based Guideline, we recommend that the diagnosis of XLH is based on signs of rickets and/or osteomalacia in association with hypophosphataemia and renal phosphate wasting in the absence of vitamin D or calcium deficiency. Whenever possible, the diagnosis should be confirmed by molecular genetic analysis or measurement of levels of fibroblast growth factor 23 (FGF23) before treatment. Owing to the multisystemic nature of the disease, patients should be seen regularly by multidisciplinary teams organized by a metabolic bone disease expert. In this article, we summarize the current evidence and provide recommendations on features of the disease, including new treatment modalities, to improve knowledge and provide guidance for diagnosis and multidisciplinary care.

Indexed as

AlgorithmsAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedArnold-Chiari MalformationBiomarkersBone and BonesBone Density Conservation AgentsContinuity of Patient CareCraniosynostosesDelphi TechniqueDental CareFamilial Hypophosphatemic RicketsFibroblast Growth Factor-23Growth HormoneHearing LossHumansAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedBiomarkersBone Density Conservation AgentsburosumabFGF23 protein, humanFibroblast Growth Factor-23Growth HormoneImmunologic FactorsPHEX Phosphate Regulating Neutral EndopeptidasePHEX protein, humanPhosphatesVitamin D

Identifiers

PMID31068690
PMCPMC7136170
OpenAlexW2943902317

What Socratic holds

Textmetadata
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 Socratic graph.