Osteoporosis, bone & mineral

Pain, Quality of Life, and Mental Health in Adults with X-linked Hypophosphatemia: A Cross-sectional Study

J Clin Endocrinol MetabPublished Cross-sectional study

Authors' conclusion

Our results suggest that using patient-reported outcomes is important to understand the pain phenotype and mental health in patients with XLH and can be helpful to dictate treatment aimed at improving their pain and quality of life.

Study context

Population
Adults with X-linked hypophosphatemia (XLH) and healthy sex- and age-matched controls
Participants
49 vs 42
Exposure
Adults with XLH vs healthy matched controls
  • XLHn = 49
  • Controlsn = 42reference
Outcome
Pain sensitivity (pressure algometry) and patient-reported pain, QoL and mental health
Methodological detailssex- and age-matched healthy controls
  • Sex- and age-matched healthy controls

Main finding

As reported in the abstract

  • Altered skin but not bone mechanical pressure pain thresholds in XLH
  • Significantly higher pain scores in XLH, correlating with depression scores
  • XLH: decreased QoL and mental health, increased pain catastrophizing and anxiety

Observational data: associations, not effects.

Original publication

Pain, Quality of Life, and Mental Health in Adults with X-linked Hypophosphatemia: A Cross-sectional Study. J Clin Endocrinol Metab. Published 19 February 2025. doi:10.1210/clinem/dgaf104

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