Evidence map›Paper›PMID 27116423›Full record

ReviewAdvances in therapy2016

Guidelines for the Management of Wet Age-Related Macular Degeneration: Recommendations from a Panel of Greek Experts.

Sofia Androudi, Anna Dastiridou, Nikolaos Pharmakakis, Maria Stefaniotou, Christos Kalogeropoulos, Chrysanthos Symeonidis, Alexandros Charonis, Miltiadis Tsilimbaris

Abstract readReview
In one paragraph

Review in Advances in therapy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. Benefit of intravitreal injections in patients with sub-threshold baseline visual acuity: a retrospective single-centre study.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2023
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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

8 authors.

Sofia AndroudiDepartment of Ophthalmology, University of Thessaly, Larissa, Greece. androudi@otenet.gr.
Anna DastiridouDepartment of Ophthalmology, University of Thessaly, Larissa, Greece.
Nikolaos PharmakakisDepartment of Ophthalmology, University of Patras, Rion, Patras, Greece.
Maria StefaniotouDepartment of Ophthalmology, University of Ioannina, Epirus, Greece.
Christos KalogeropoulosDepartment of Ophthalmology, University of Ioannina, Epirus, Greece.
Chrysanthos Symeonidis2nd Department of Ophthalmology, Aristotle University, Thessaloníki, Greece.
Alexandros CharonisAthens Vision, Athens, Greece.
Miltiadis TsilimbarisDepartment of Ophthalmology, University of Crete, Heraklion, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo propose guidelines for the management of patients with wet age-related macular degeneration (wAMD), taking into account the results of large multicenter studies and clinical experience of retina experts.

methodA team of retina experts developed a consensus paper after three consecutive meetings. The group was focused on guidelines to help clinical decision-making around the definition of successful treatment and the definition of non-response to therapy.

resultsParameters suggestive of a successful response to treatments included: any gain in best corrected visual acuity (BCVA) or vision loss that is less than 5-10 Early Treatment Diabetic Retinopathy Study (ETDRS) letters, reduction of central retinal thickness, partial or complete absorption of subretinal fluid (SRF), reduction of intraretinal fluid, reduction of pigment epithelial detachment or restoration of the anatomy of outer retinal layers. Non-response to current treatment was considered in the case of loss of BCVA greater than 10 ETDRS letters, increased retinal edema or increase of SRF as evidenced by optical coherence tomography or new bleeding in biomicroscopy.

conclusionThe introduction of anti-VEGF agents revolutionized the treatment of wAMD. Given the complexity of the disease, the emerging new agents and the difference of cases recruited in clinical trials compared to those appearing in every-day practice, it is essential to individualize treatment options taking into account the results of clinical trials.

Indexed as

Wet Macular DegenerationAgedAngiogenesis InhibitorsDisease ManagementDisease ProgressionGreeceHumansPractice Guidelines as TopicTomography, Optical CoherenceVascular Endothelial Growth Factor AAngiogenesis InhibitorsVascular Endothelial Growth Factor AAge-related macular degenerationConsensusOphthalmologyRecommendations

Identifiers

PMID27116423
PMCPMC4882369

What OpenQuestion holds

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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 OpenQuestion graph.