Evidence map›Paper›PMID 28257378›Full record

Trial reportRetina (Philadelphia, Pa.)2018

CLINICAL EVIDENCE OF THE MULTIFACTORIAL NATURE OF DIABETIC MACULAR EDEMA.

Usha Chakravarthy, Yit Yang, Andrew Lotery, Faruque Ghanchi, Clare Bailey, Frank G Holz, Louise Downey, Michel Weber, Nicole Eter, Pravin U Dugel

Registry-linked trialOpen access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Retina (Philadelphia, Pa.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03583242 (Multimodal Image Study of Retinal Inflammation Markers After Corticoid and Antiangiogenic Treatment in Pacients With Diabetic Macular Edema), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.1field-weighted citation impact, top 14% 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.

NCT03583242 unknown statusnot on this map

Multimodal Image Study of Retinal Inflammation Markers After Corticoid and Antiangiogenic Treatment in Pacients With Diabetic Macular Edema

TypeobservationalSponsorFundació Institut de Recerca de l'Hospital de la Santa Creu i Sant PauRan2018 to 2019Enrolled80ConditionsDiabetic Macular EdemaArmsAntiangiogenic Agents, Corticosteroid
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 20 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

10 authors at 8 institutions in 3 countries.

Usha ChakravarthySchool of Medicine, Dentistry, and Biomedical Sciences, The Queen's University of Belfast, Belfast, United Kingdom.
Yit YangRoyal Wolverhampton Hospitals NHS Trust, Wolverhampton, United Kingdom.
Andrew LoteryClinical and Experimental Sciences, University of Southampton, Southampton, England.
Faruque GhanchiBradford Teaching Hospitals NHS Foundation Trust, Bradford, United Kingdom.
Clare BaileySchool of clinical Sciences, Research and Treatment Unit at Bristol Eye Hospital, University of Bristol, Bristol, United Kingdom.
Frank G HolzDepartment of Ophthalmology, University of Bonn, Bonn, Germany.
Louise DowneyHull and East Yorkshire Eye Hospital NHS Trust, Hull, United Kingdom.
Michel WeberDepartment of Ophthalmology, University of Nantes, Nantes, France.
Nicole EterDepartment of Ophthalmology, University of Muenster Medical Center, Muenster, Germany.
Pravin U DugelRetinal Consultants of Arizona, Phoenix, Arizona and USC Roski Eye Institute, Keck School of Medicine, University of Southern California, Los Angeles, California.
Bradford Teaching Hospitals NHS Foundation Trust · GBHull and East Yorkshire Hospitals NHS Trust · GBNantes Université · FRQueen's University Belfast · GBThe Royal Wolverhampton NHS Trust · GBUniversity of Bonn · DEUniversity of Bristol · GBUniversity of Southampton · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo report functional and morphologic outcomes, based on diabetic macular edema (DME) chronicity and baseline best-corrected visual acuity (BCVA), from a subanalysis of the fluocinolone acetonide for macular edema (FAME) trials.

methodsPatients were categorized by DME duration (nonchronic [ncDME] or chronic [cDME] DME) and three nonexclusive baseline vision strata. Anatomic and visual acuity VA outcomes of these cohorts were compared with treatment assignment.

resultsFor all patients with ncDME and cDME who received sham control, 27.8% and 13.4%, respectively, gained ≥15 BCVA letters, whereas 22.3% and 34.0% of 0.2 μg/day fluocinolone acetonide (FAc)-treated patients, respectively, gained ≥15 BCVA letters. Among patients with ncDME who received sham control, as baseline vision decreased, the percentage gaining ≥15 BCVA letters increased; however, among those with cDME, the percentage gaining ≥15 BCVA letters did not change as baseline vision decreased. Conversely, among 0.2 μg/day FAc-treated patients, the percentage gaining ≥15 BCVA letters increased with decreasing baseline vision, regardless of DME chronicity. Anatomical outcomes were similar within treatment arms, regardless of the DME duration.

conclusionPatients with cDME and poor baseline vision who were exposed to low-dose FAc experienced BCVA improvements that were not observed in a similar group from the sham-control arm. These data support the multifactorial pathogenesis of cDME.

Indexed as

AgedAngiogenesis InhibitorsDiabetic RetinopathyDouble-Blind MethodDrug ImplantsFemaleFluocinolone AcetonideGlucocorticoidsHumansIntravitreal InjectionsLaser CoagulationMacular EdemaMaleMiddle AgedTomography, Optical CoherenceTreatment OutcomeAngiogenesis InhibitorsDrug ImplantsFluocinolone AcetonideGlucocorticoidsVascular Endothelial Growth Factor A

Identifiers

PMID28257378
PMCPMC5841861
OpenAlexW2593764745

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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.