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This integrative review sought to review, appraise, and synthesize the clinical manifestations faced by adults with OI. Four electronic bibliographic databases were searched. Published quantitative, qualitative, and mixed\u2010methods studies, as well as case reports from 2000 to March 2019, addressing a clinical manifestation in adulthood, were reviewed. Eligible studies and case reports were subsequently appraised using the Mixed Methods Appraisal Tool and Case Report Checklist, respectively. Twenty quantitative studies and 88 case reports were included for review regardless of the varying methodological quality score. These studies collectively included 2,510 adults with different OI types. Several clinical manifestations were studied, and included: hearing loss, cardiac diseases, pregnancy complications, cerebrovascular manifestations, musculoskeletal manifestations, respiratory manifestations, vision impairment, and other clinical manifestations. Increased awareness may optimize prevention, treatment, and follow\u2010up. Opportunities to enhance the methodological quality of research including better design and methodology, multisite collaborations, and larger and diverse sampling will optimize the generalizability and transferability of findings.<\/jats:p>","DOI":"10.1002\/ajmg.a.61497","type":"journal-article","created":{"date-parts":[[2020,2,24]],"date-time":"2020-02-24T11:49:30Z","timestamp":1582544970000},"page":"842-865","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Clinical manifestations of osteogenesis imperfecta in adulthood: An integrative review of quantitative studies and case reports"],"prefix":"10.1002","volume":"182","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9181-2316","authenticated-orcid":false,"given":"Khadidja","family":"Chougui","sequence":"first","affiliation":[{"name":"Nursing Research Shriners Hospitals for Children\u2014Canada  Montreal Quebec Canada"},{"name":"Psychology Universite de Montreal  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