Osteoporosis, bone & mineral

Healthcare Resource Use Associated With Tumor-Induced Osteomalacia: A Literature Review

J Clin Endocrinol MetabPublished Targeted literature review

Authors' conclusion

TIO is associated with a substantial healthcare resource burden. Improvements in the diagnostic process could lead to better management of TIO, thereby benefiting patients and reducing that burden.

Study context

Population
Published patients with tumor-induced osteomalacia (TIO), an ultra-rare paraneoplastic syndrome caused by FGF23-secreting tumors414 publications · 376 case reports
Participants
621 patients
Outcome
Healthcare resource use and disease characteristics in TIO

Main finding

As reported in the abstract

Disease characteristics and healthcare resource use (case-report patients)
Age, mean (SD)
46.3 (15.8) years
Male
57.6%
Time from first symptoms to diagnosis, mean (SD)
4.6 (4.7) years
Imaging procedures per patient, mean (SD), where reported
4.1 (2.7)
Tumor resection attempted
81.0%
Tumor resection successful
67.0%
Fracture reported
49.3%

Further findings

Association analyses

Longer time to diagnosis associated with poorer tumor resection outcomes and higher probability of tumor recurrence
Unfavorable tumor resection outcomes associated with greater use of pharmacologic treatment and greater likelihood of orthopedic surgery

Original publication

Healthcare Resource Use Associated With Tumor-Induced Osteomalacia: A Literature Review. J Clin Endocrinol Metab. Published 24 June 2024. doi:10.1210/clinem/dgae431

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