Evidence map›Paper›PMID 26491550›Full record

ReviewJournal of ophthalmology2015

Individualized Therapy with Ranibizumab in Wet Age-Related Macular Degeneration.

Alfredo García-Layana, Marta S Figueroa, Luis Arias, Javier Araiz, José María Ruiz-Moreno, José García-Arumí, Francisco Gómez-Ulla, María Isabel López-Gálvez, Francisco Cabrera-López, José Manuel García-Campos and 4 more

Open access · goldAbstract readReview
In one paragraph

Review in Journal of ophthalmology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

12 citing papers in PubMed, 24 citations in OpenAlex.

  1. Efficacy and safety of a fixed bimonthly ranibizumab treatment regimen in eyes with neovascular age-related macular degeneration: results from the RABIMO trial.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2017
    Trial
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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

14 authors at 6 institutions in 1 country.

Alfredo García-LayanaClínica Universidad de Navarra, Avenida de Pío XII 36, 31008 Pamplona, Spain ; Sociedad Española de Retina y Vítreo (SERV), C/ Xosé Chao Rego 8, 15705 Santiago de Compostela, Spain ; RETICS OFTARED (RD12/0034) "Prevention Early Detection and Treatment of the Prevalent Degenerative and Chronic Ocular Pathology", Institute of Health Carlos III, C/ Sinesio Delgado 4, 28029 Madrid, Spain.
Marta S FigueroaSociedad Española de Retina y Vítreo (SERV), C/ Xosé Chao Rego 8, 15705 Santiago de Compostela, Spain ; RETICS OFTARED (RD12/0034) "Prevention Early Detection and Treatment of the Prevalent Degenerative and Chronic Ocular Pathology", Institute of Health Carlos III, C/ Sinesio Delgado 4, 28029 Madrid, Spain ; Hospital Universitario Ramon y Cajal, Carretera de Colmenar, km 9, 28034 Madrid, Spain ; Vissum Madrid, Santa Hortensia 58, 28002 Madrid, Spain.
Luis AriasSociedad Española de Retina y Vítreo (SERV), C/ Xosé Chao Rego 8, 15705 Santiago de Compostela, Spain ; RETICS OFTARED (RD12/0034) "Prevention Early Detection and Treatment of the Prevalent Degenerative and Chronic Ocular Pathology", Institute of Health Carlos III, C/ Sinesio Delgado 4, 28029 Madrid, Spain ; Hospital de Bellvitge, C/ Feixa Llarga s/n, L'Hospitalet de Llobregat, 08907 Barcelona, Spain.
Javier AraizSociedad Española de Retina y Vítreo (SERV), C/ Xosé Chao Rego 8, 15705 Santiago de Compostela, Spain ; RETICS OFTARED (RD12/0034) "Prevention Early Detection and Treatment of the Prevalent Degenerative and Chronic Ocular Pathology", Institute of Health Carlos III, C/ Sinesio Delgado 4, 28029 Madrid, Spain ; Hospital de San Eloy, Avenida Antonio Miranda 5, 48902 Baracaldo, Spain.
José María Ruiz-MorenoSociedad Española de Retina y Vítreo (SERV), C/ Xosé Chao Rego 8, 15705 Santiago de Compostela, Spain ; RETICS OFTARED (RD12/0034) "Prevention Early Detection and Treatment of the Prevalent Degenerative and Chronic Ocular Pathology", Institute of Health Carlos III, C/ Sinesio Delgado 4, 28029 Madrid, Spain ; Hospital Universitario de Albacete, Avenida de Almansa s/n, 02006 Albacete, Spain.
José García-ArumíSociedad Española de Retina y Vítreo (SERV), C/ Xosé Chao Rego 8, 15705 Santiago de Compostela, Spain ; RETICS OFTARED (RD12/0034) "Prevention Early Detection and Treatment of the Prevalent Degenerative and Chronic Ocular Pathology", Institute of Health Carlos III, C/ Sinesio Delgado 4, 28029 Madrid, Spain ; Hospital Vall D'Hebron, Passeig de la Vall d'Hebron 119-129, 08035 Barcelona, Spain.
Francisco Gómez-UllaSociedad Española de Retina y Vítreo (SERV), C/ Xosé Chao Rego 8, 15705 Santiago de Compostela, Spain ; RETICS OFTARED (RD12/0034) "Prevention Early Detection and Treatment of the Prevalent Degenerative and Chronic Ocular Pathology", Institute of Health Carlos III, C/ Sinesio Delgado 4, 28029 Madrid, Spain ; Instituto Oftalmológico Gómez-Ulla, Calle Maruja Mallo 3, 15706 Santiago de Compostela, Spain.
María Isabel López-GálvezSociedad Española de Retina y Vítreo (SERV), C/ Xosé Chao Rego 8, 15705 Santiago de Compostela, Spain ; RETICS OFTARED (RD12/0034) "Prevention Early Detection and Treatment of the Prevalent Degenerative and Chronic Ocular Pathology", Institute of Health Carlos III, C/ Sinesio Delgado 4, 28029 Madrid, Spain ; IOBA, Hospital Clínico Universitario de Valladolid, Paseo de Belén 17, 47011 Valladolid, Spain.
Francisco Cabrera-LópezSociedad Española de Retina y Vítreo (SERV), C/ Xosé Chao Rego 8, 15705 Santiago de Compostela, Spain ; Complejo Hospitalario Universitario Insular Materno Infantil de Gran Canaria, Avenida Marítima del Sur s/n, 35016 Las Palmas de Gran Canaria, Spain.
José Manuel García-CamposSociedad Española de Retina y Vítreo (SERV), C/ Xosé Chao Rego 8, 15705 Santiago de Compostela, Spain ; Hospital Universitario Virgen de la Victoria, Campus de Teatinos s/n, 29010 Málaga, Spain.
Jordi MonésSociedad Española de Retina y Vítreo (SERV), C/ Xosé Chao Rego 8, 15705 Santiago de Compostela, Spain ; Institut de la Macula i de la Retina, Carrer de Vilana 12, 08022 Barcelona, Spain.
Enrique CerveraSociedad Española de Retina y Vítreo (SERV), C/ Xosé Chao Rego 8, 15705 Santiago de Compostela, Spain ; Hospital General de Valencia, Avenida Tres Cruces 2, 46014 Valencia, Spain.
Felix ArmadáSociedad Española de Retina y Vítreo (SERV), C/ Xosé Chao Rego 8, 15705 Santiago de Compostela, Spain ; Hospital la Paz, Paseo de la Castellana 261, 28046 Madrid, Spain.
Roberto Gallego-PinazoSociedad Española de Retina y Vítreo (SERV), C/ Xosé Chao Rego 8, 15705 Santiago de Compostela, Spain ; Hospital la Fe, Avenida de Fernando Abril Martorell 106, 46026 Valencia, Spain.
Instituto de Salud Carlos III · ESHospital Clínico Universitario Virgen de la Victoria · ESHospital General Universitario De Valencia · ESHospital Universitario Insular de Gran Canaria · ESHospital Universitario La Paz · ESInstitut Català de Retina · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Individualized treatment regimens may reduce patient burden with satisfactory patient outcomes in neovascular age-related macular degeneration. Intravitreal anti-VEGF drugs are the current gold standard. Fixed monthly injections offer the best visual outcome but this regimen is not commonly followed outside clinical trials. A PRN regimen requires monthly visits where the patient is treated in the presence of signs of lesion activity. Therefore, an early detection of reactivation of the disease with immediate retreatment is crucial to prevent visual acuity loss. Several trials suggest that "treat and extend" and other proactive regimens provide a reasonable approach. The rationale of the proactive regimens is to perform treatment anticipating relapses or recurrences and therefore avoid drops in vision while individualizing patient followup. Treat and extend study results in significant direct medical cost savings from fewer treatments and office visits compared to monthly treatment. Current data suggest that, for one year, PRN is less expensive, but treat and extend regimen would likely be less expensive for subsequent years. Once a patient is not a candidate to continue with treatment, he/she should be sent to an outpatient unit with adequate resources to follow nAMD patients in order to reduce the burden of specialized ophthalmologist services.

Identifiers

PMID26491550
PMCPMC4600506
OpenAlexW2106282913

What OpenQuestion holds

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Registered trials

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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 OpenQuestion graph.