Evidence map›Paper›PMID 30922350›Full record

Observational studyBMC ophthalmology2019

A real-world study of effectiveness of intravitreal bevacizumab and ranibizumab injection for treating retinal diseases in Thailand.

Suthasinee Kumluang, Lily Ingsrisawang, Sermsiri Sangroongruangsri, Usa Chaikledkaew, Tanapat Ratanapakorn, Paisan Ruamviboonsuk, Wongsiri Taweebanjongsin, Janejit Choovuthayakorn, Somanus Thoongsuwan, Prut Hanutsaha and 5 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMC ophthalmology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 14% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Intravitreal injection of peptides PnPa11 and PnPa13, derivatives ofThe journal of venomous animals and toxins including tropical diseases · 2020
    Article
  7. Review
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

15 authors at 10 institutions in 1 country.

Suthasinee KumluangHealth Intervention and Technology Assessment Program (HITAP), Ministry of Public Health, Nonthaburi, Thailand.
Lily IngsrisawangDepartment of Statistics, Faculty of Science, Kasetsart University, Bangkok, Thailand. fscilli@ku.ac.th.ORCID http://orcid.org/0000-0001-6177-1587
Sermsiri SangroongruangsriHealth Intervention and Technology Assessment Program (HITAP), Ministry of Public Health, Nonthaburi, Thailand.
Usa ChaikledkaewHealth Intervention and Technology Assessment Program (HITAP), Ministry of Public Health, Nonthaburi, Thailand.
Tanapat RatanapakornDepartment of Ophthalmology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Paisan RuamviboonsukDepartment of Ophthalmology, Rajavithi Hospital, Bangkok, Thailand.
Wongsiri TaweebanjongsinDepartment of Ophthalmology, Mettapracharak (Wat Rai Khing) Hospital, Nakornprathom, Thailand.
Janejit ChoovuthayakornDepartment of Ophthalmology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Somanus ThoongsuwanDepartment of Ophthalmology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Prut HanutsahaDepartment of Ophthalmology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Kittisak KulvichitVitreo-Retina Research Unit, Department of Ophthalmology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Thitiporn RatanapojnardDepartment of Ophthalmology, Phramongkutklao Hospital, Phramongkutklao College of Medicine, Bangkok, Thailand.
Warapat WongsawadDepartment of Ophthalmology, Mettapracharak (Wat Rai Khing) Hospital, Nakornprathom, Thailand.
Pattara LeelahavarongHealth Intervention and Technology Assessment Program (HITAP), Ministry of Public Health, Nonthaburi, Thailand.
Yot TeerawattananonHealth Intervention and Technology Assessment Program (HITAP), Ministry of Public Health, Nonthaburi, Thailand.
Ministry of Public Health · THNakornping Hospital · THChiang Mai University · THChulalongkorn University · THKasetsart University · THKhon Kaen University · THMahidol University · THPhramongkutklao Hospital · THRajavithi Hospital · THSiriraj Hospital · TH

Funding

Health Systems Research Institute (TH) HSRI. 59-005Thailand Research Fund (TH) RTA 5980011The Royal Golden Jubilee Ph.D. Program PHD/0180/2554
6 · The paper itself

Abstract

backgroundTo evaluate the effectiveness of intravitreal bevacizumab (IVB) and intravitreal ranibizumab (IVR) in actual practice for treating patients with retinal diseases in Thailand.

methodsA prospective, multi-centre, observational study was conducted among eight hospitals in their ophthalmology outpatient departments. Participants consisted of patients who had previously not received any IVB or IVR treatment between 2013 and 2014. The primary outcome measurement was the change in best-corrected visual acuity (BCVA) at the end of the follow-up period compared to baseline.

resultsThere were 1629 treatment-naïve patients for the pro re nata (PRN) treatment pattern and 226 treatment-naive patients for the three-injections (3Inj) treatment pattern. BCVA improvements were found in 35% of the PRN group and 47% of the 3Inj group; however, it was not clinically meaningful between the IVB and IVR groups (P-value = 0.568 for PRN, P-value = 0.103 for 3Inj). A multivariable logistic regression (using the propensity score) showed that positive factors associated with vision improvement for the PRN pattern were the number of drug injections, having retinal vein occlusion, and under 60 years of age, while good BCVA at baseline was a negative predictive factor. For the 3Inj pattern, under 60 years of age and baseline BCVA were statistically significant predictors. Nonetheless, diabetes mellitus (DM) without other comorbidities was a statistically significant predictor of low response to vision improvement compared to DM with other comorbidities.

conclusionsThis study was the first observational, prospective study to evaluate the real-life effectiveness of IVB and IVR in Thailand. The majority of participants who used IVB or IVR showed improvements in BCVA after treatment. Further evaluation such as long-term follow-ups and subsequent comparison of effectiveness between IVB and IVR should be investigated due to the limited sample of IVR patients.

trial registrationThai Clinical Trial Registry TCTR20141002001 . Registered 02 October 2014 (retrospectively registered).

Indexed as

AgedAngiogenesis InhibitorsBevacizumabFemaleHumansIntravitreal InjectionsLogistic ModelsMiddle AgedProspective StudiesRanibizumabRetinal DiseasesThailandTomography, Optical CoherenceVascular Endothelial Growth Factor AVisual AcuityAngiogenesis InhibitorsBevacizumabRanibizumabVascular Endothelial Growth Factor ABevacizumabRanibizumabReal worldRetinal diseasesVision improvement

Identifiers

PMID30922350
PMCPMC6439979
OpenAlexW2944305013

What Socratic holds

Textmetadata
LicenceCC BY
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.