Evidence map›Paper›PMID 26705092›Full record

Observational studyAmerican journal of ophthalmology2016

Predictors of Response to Intravitreal Anti-Vascular Endothelial Growth Factor Treatment of Age-Related Macular Degeneration.

Anjali R Shah, Steven Williams, Caroline R Baumal, Bernard Rosner, Jay S Duker, Johanna M Seddon

Open access · greenAbstract readObservational Study
In one paragraph

Observational study in American journal of ophthalmology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
6.0field-weighted citation impact, top 4% 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

19 citing papers in PubMed, 41 citations in OpenAlex.

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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

6 authors at 4 institutions in 1 country.

Anjali R ShahKellogg Eye Center, University of Michigan Health System, Ann Arbor, Michigan.
Steven WilliamsCalifornia Pacific Medical Center, Department of Ophthalmology, San Francisco, California.
Caroline R BaumalNew England Eye Center, Tufts Medical Center, Tufts University School of Medicine, Boston, Massachusetts.
Bernard RosnerChanning Division of Network Medicine, Harvard University, Boston, Massachusetts.
Jay S DukerNew England Eye Center, Tufts Medical Center, Tufts University School of Medicine, Boston, Massachusetts.
Johanna M SeddonNew England Eye Center, Tufts Medical Center, Tufts University School of Medicine, Boston, Massachusetts. Electronic address: jseddon@tuftsmedicalcenter.org.
Tufts Medical Center · USCalifornia Pacific Medical Center · USHarvard University · USMichigan Medicine · US

Funding

ETIOLOGIC STUDIES OF AGE-RELATED MACULAR DEGENERATIONR01EY011309 · NEI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI SEDDON, JOHANNA M · 2003 to 2017
$9.3M
NEI NIH HHS R01 EY011309NEI NIH HHS R01-EY11309
6 · The paper itself

Abstract

purposeTo identify factors that influence visual and anatomic response to treatment with intravitreal anti-vascular endothelial growth factor (VEGF) for neovascular age-related macular degeneration (AMD).

designObservational cohort study.

methodsSeventy-two patients were included in this study. Best-corrected Snellen visual acuity (VA) and central foveal thickness measured on optical coherence tomography (OCT) at time of treatment and post-treatment follow-up visits were recorded. Associations between demographic, behavioral, and genetic risk factors and the 2 outcomes were analyzed using mixed-effects linear regression models. Two loci in complement factor H (CFH) were included in a risk score to determine the association between CFH risk and improvement in VA and central foveal thickness.

resultsThere was a small improvement in VA following anti-VEGF treatment (mean: 3.7 ± 3.0 letters), which was not statistically significant. Significant improvement in VA was observed for the nonrisk CFH Y402H genotype (P < .001) and for a low CFH risk score (P = .019). Regarding the outcome of change in central foveal thickness, improvement was noted in all genotype groups, but reduction after treatment was significantly higher in the low CFH risk score group (P = .033). A significant improvement in mean VA was seen among smokers (P < .001), but this relationship was not observed for central foveal thickness.

conclusionAfter anti-VEGF therapy, significant improvement in VA was observed for low-risk CFH genotypes and subjects with a low risk score. There was a statistically significant reduction in central foveal thickness overall, and subjects with a low CFH risk score improved more than the high-risk group.

Indexed as

AgedAged, 80 and overAngiogenesis InhibitorsBevacizumabChoroidal NeovascularizationCohort StudiesComplement Factor HFemaleGenotypeHumansIntravitreal InjectionsMaleMiddle AgedPolymorphism, Single NucleotideRanibizumabRetinaAngiogenesis InhibitorsBevacizumabCFH protein, humanComplement Factor HRanibizumabVascular Endothelial Growth Factor AVEGFA protein, human

Identifiers

PMID26705092
PMCPMC6609150
OpenAlexW2200716086

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.