Evidence map›Paper›PMID 37206185›Full record

ArticleInternational journal of ophthalmology2023

Guidelines from an expert panel for the management of diabetic macular edema in the Malaysian population.

Nor Fariza Ngah, Nor Asiah Muhamad, Shelina Oli Mohamed, Roslin Azni Abdul Aziz, Nur Hasnah Ma'amor, Nor Azita Ahmad Tarmidzi, Hanizasurana Hashim, Hamisah Ishak, Wan Norliza Wan Muda, Rosiah Muda and 6 more

Abstract read
In one paragraph

Article in International journal of ophthalmology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
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

16 authors.

Nor Fariza NgahInstitute for Clinical Research, National Institutes of Health, Ministry of Health, Selangor 40170, Malaysia.
Nor Asiah MuhamadSector for Evidence-based Healthcare, National Institutes of Health, Ministry of Health, Selangor 40170, Malaysia.
Shelina Oli MohamedDepartment of Ophthalmology, Shah Alam Hospital, Ministry of Health, Selangor 40000, Malaysia.
Roslin Azni Abdul AzizDepartment of Ophthalmology, Shah Alam Hospital, Ministry of Health, Selangor 40000, Malaysia.
Nur Hasnah Ma'amorSector for Evidence-based Healthcare, National Institutes of Health, Ministry of Health, Selangor 40170, Malaysia.
Nor Azita Ahmad TarmidziDepartment of Ophthalmology, Kuala Lumpur Hospital, Ministry of Health, Federal Territory 50586, Malaysia.
Hanizasurana HashimDepartment of Ophthalmology, Selayang Hospital, Ministry of Health, Selangor 61800, Malaysia.
Hamisah IshakDepartment of Ophthalmology, Kuala Lumpur Hospital, Ministry of Health, Federal Territory 50586, Malaysia.
Wan Norliza Wan MudaDepartment of Ophthalmology, Tengku Ampuan Afzan Hospital, Ministry of Health, Pahang 25100, Malaysia.
Rosiah MudaDepartment of Ophthalmology, Sultanah Nur Zahirah Hospital, Ministry of Health, Kuala Terengganu 20400, Malaysia.
Azian AdnanKPJ Selangor Specialist Hospital, Selangor 40300, Malaysia.
Rafidah Md SalehSultan Abdul Aziz Shah Hospital, Selangor 43400, Malaysia.
Hon Seng WongGleneagles Kuala Lumpur, Federal Territory 50450, Malaysia.
Nurfahzura Mohd JamilDepartment of Ophthalmology, Sungai Buloh Hospital, Ministry of Health, Selangor 47000, Malaysia.
Tara Mary GeorgeSunway Medical Centre, Selangor 47500, Malaysia.
Adrian KohCamden Medical Centre, Singapore 248649, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo derive a Malaysia guideline and consensus as part of the Malaysia Retina Group's efforts for diagnosis, treatment, and best practices of diabetic macular edema (DME). The experts' panel suggests that the treatment algorithm to be divided into groups according to involvement the central macula. The purpose of DME therapy is to improve edema and achieve the best visual results with the least amount of treatment load.

methodsOn two different occasions, a panel of 14 retinal specialists from Malaysia, together with an external expert, responded to a questionnaire on management of DME. A consensus was sought by voting after compiling, analyzing and discussion on first-phase replies on the round table discussion. A recommendation was deemed to have attained consensus when 12 out of the 14 panellists (85%) agreed with it.

resultsThe terms target response, adequate response, nonresponse, and inadequate response were developed when the DME patients' treatment responses were first characterized. The panelists reached agreement on a number of DME treatment-related issues, including the need to classify patients prior to treatment, first-line treatment options, the right time to switch between treatment modalities, and side effects associated with steroids. From this agreement, recommendations were derived and a treatment algorithm was created.

conclusionA detail and comprehensive treatment algorithm by Malaysia Retina Group for the Malaysian population provides guidance for treatment allocation of patients with DME.

Indexed as

consensusdiabetic macular edemadiabetic retinopathyguidelinesMalaysia

Identifiers

PMID37206185
PMCPMC10172084

What Socratic holds

Textmetadata
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.