Evidence map›Paper›PMID 35508721›Full record

ArticleEye (London, England)2023

Changes in 12-month outcomes over time for age-related macular degeneration, diabetic macular oedema and retinal vein occlusion.

Sanjeeb Bhandari, Vuong Nguyen, Adrian Hunt, Pierre-Henry Gabrielle, Francesco Viola, Hemal Mehta, Les Manning, David Squirrell, Jennifer Arnold, Ian L McAllister and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Eye (London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.2field-weighted citation impact, top 24% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
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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

12 authors at 5 institutions in 6 countries.

Sanjeeb BhandariThe University of Sydney, Sydney Medical School, Discipline of Ophthalmology and Eye Health, Save Sight Institute, Sydney, NSW, Australia. sbha5189@uni.sydney.edu.au.ORCID 0000-0002-4110-4274
Vuong NguyenThe University of Sydney, Sydney Medical School, Discipline of Ophthalmology and Eye Health, Save Sight Institute, Sydney, NSW, Australia.
Adrian HuntThe University of Sydney, Sydney Medical School, Discipline of Ophthalmology and Eye Health, Save Sight Institute, Sydney, NSW, Australia.ORCID 0000-0002-6261-4679
Pierre-Henry GabrielleThe University of Sydney, Sydney Medical School, Discipline of Ophthalmology and Eye Health, Save Sight Institute, Sydney, NSW, Australia.ORCID 0000-0002-9688-4845
Francesco ViolaFondazione Cà Granda Ospedale Maggiore Policlinico, University of Milan, Milan, Italy.
Hemal MehtaThe University of Sydney, Sydney Medical School, Discipline of Ophthalmology and Eye Health, Save Sight Institute, Sydney, NSW, Australia.
Les ManningCentral Brisbane Eye Clinic, Brisbane, QLD, Australia.
David SquirrellAuckland District Health Board, Auckland, New Zealand.
Jennifer ArnoldMarsden Eye Specialists, Sydney, NSW, Australia.
Ian L McAllisterLions Eye Institute, The University of Western Australia, Nedlands, WA, Western Australia.
Daniel BarthelmesThe University of Sydney, Sydney Medical School, Discipline of Ophthalmology and Eye Health, Save Sight Institute, Sydney, NSW, Australia.
Mark GilliesThe University of Sydney, Sydney Medical School, Discipline of Ophthalmology and Eye Health, Save Sight Institute, Sydney, NSW, Australia.
The University of Sydney · AUAuckland District Health Board · NZCity Eye Centre · AULions Eye Institute · AUUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo identify whether the outcomes of neovascular age-related macular degeneration (nAMD), diabetic macular oedema (DMO) and retinal vein occlusion (RVO) in routine clinical practice have changed over time.

methodsWe analysed 12-month outcomes in treatment-naïve eyes that started aflibercept or ranibizumab for nAMD (3802 eyes), DMO (975 eyes), Branch RVO (BRVO, 357 eyes), Central RVO (CRVO, 371 eyes) and Hemi-RVO (HRVO, 54 eyes) from 2015 and 2019 tracked in the prospectively designed observational Fight Retinal Blindness! Registry.

resultsThe mean VA change at 12-month for each year between 2015 and 2019 remained stable or otherwise showed no discernible trends over time in eyes with nAMD (+3.3 to +6 letters), DMO (+3.6 to +6.7 letters) and RVO (+10.3 to +11.7 letters for BRVO, +5.9 to +17.7 letters for CRVO and 10.2 to 20.7 letters for HRVO). The median number of VEGF-inhibitor injections in eyes that completed 12-month follow-up also remained stable at 8-9 for nAMD, 6-7 for DMO, 7-9 for RVO. Fewer eyes (<one-fourth) that started treatment between 2015 and 2018 and more eyes starting in 2019 did not complete 12-month's follow-up visit. The mean VA in non-completers at their last visit was higher than that of their baseline visit.

conclusionsTreatment patterns and outcomes for nAMD, DMO and RVO in routine clinical practice have stabilised over the past 5 years at levels inferior to those reported by the pivotal phase 3 studies. A conscious effort to treat these conditions more intensively, or with longer lasting agents, would likely improve outcomes further in our patients.

Indexed as

Diabetes MellitusDiabetic RetinopathyMacular DegenerationMacular EdemaRetinal Vein OcclusionAngiogenesis InhibitorsHumansIntravitreal InjectionsRanibizumabRetrospective StudiesVascular Endothelial Growth Factor AAngiogenesis InhibitorsRanibizumabVascular Endothelial Growth Factor A

Identifiers

PMID35508721
PMCPMC9066999
OpenAlexW4225373595

What Socratic holds

Textmetadata
LicenceCC BY
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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.