Evidence map›Paper›PMID 28712657›Full record

SynthesisOphthalmology2017

Prevalence of Age-Related Macular Degeneration in Europe: The Past and the Future.

Johanna M Colijn, Gabriëlle H S Buitendijk, Elena Prokofyeva, Dalila Alves, Maria L Cachulo, Anthony P Khawaja, Audrey Cougnard-Gregoire, Bénédicte M J Merle, Christina Korb, Maja G Erke and 19 more

Abstract readMeta-Analysis
In one paragraph

Synthesis in Ophthalmology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 263 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
263citing papers in PubMed, 4 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

263 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
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  9. Repurposing biosimilars, rethinking costs: a framework for sustainable drug pricing for repurposed bevacizumab for intravitreal injections.The European journal of health economics : HEPAC : health economics in prevention and care · 2026
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  16. Clinical course of non-exudative macular neovascularisations in sustained unilateral neovascular age-related macular degeneration.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
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203 more citing papers are in PubMed but not listed here.

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

29 authors.

Johanna M ColijnDepartment of Ophthalmology, Erasmus Medical Center, Rotterdam, Netherlands; Department of Epidemiology, Erasmus Medical Center, Rotterdam, Netherlands.
Gabriëlle H S BuitendijkDepartment of Ophthalmology, Erasmus Medical Center, Rotterdam, Netherlands; Department of Epidemiology, Erasmus Medical Center, Rotterdam, Netherlands.
Elena ProkofyevaScientific Institute of Public Health (WIV-ISP), Brussels, Belgium; Federal Agency for Medicines and Health Products, Brussels, Belgium.
Dalila AlvesAssociation for Innovation and Biomedical Research on Light and Image (AIBILI), Coimbra, Portugal.
Maria L CachuloFaculty of Medicine, University of Coimbra (FMUC), Coimbra, Portugal; Department of Ophthalmology, Coimbra Hospital and University Center (CHUC), Coimbra, Portugal; Association for Innovation and Biomedical Research on Light and Image (AIBILI), Coimbra, Portugal.
Anthony P KhawajaDepartment of Public Health and Primary Care, Institute of Public Health, University of Cambridge School of Clinical Medicine, Cambridge, United Kingdom; NIHR Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, United Kingdom.
Audrey Cougnard-GregoireUniversity Bordeaux, Inserm, Bordeaux Population Health Research Center, Team LEHA, Bordeaux, France.
Bénédicte M J MerleUniversity Bordeaux, Inserm, Bordeaux Population Health Research Center, Team LEHA, Bordeaux, France.
Christina KorbDepartment of Ophthalmology, University Medical Center Mainz, Mainz, Germany.
Maja G ErkeDepartment of Ophthalmology, Oslo University Hospital, Oslo, Norway.
Alain BronDepartment of Ophthalmology, University Hospital, Eye and Nutrition Research Group, Dijon, France.
Eleftherios AnastasopoulosDepartment of Ophthalmology, Aristotle University of Thessaloniki AHEPA Hospital, Thessaloniki, Greece.
Magda A Meester-SmoorDepartment of Ophthalmology, Erasmus Medical Center, Rotterdam, Netherlands; Department of Epidemiology, Erasmus Medical Center, Rotterdam, Netherlands.
Tatiana SegatoDepartment of Ophthalmology, University of Padova, Padova, Italy.
Stefano PiermarocchiDepartment of Ophthalmology, University of Padova, Padova, Italy.
Paulus T V M de JongDepartment of Epidemiology, Erasmus Medical Center, Rotterdam, Netherlands; Netherlands Institute of Neurosciences (NIN), Institute of the Royal Netherlands Academy of Arts and Sciences (KNAW), Department of Ophthalmology, AMC, Amsterdam and LUMC, Leiden, Netherlands.
Johannes R VingerlingDepartment of Ophthalmology, Erasmus Medical Center, Rotterdam, Netherlands.
Fotis TopouzisDepartment of Ophthalmology, Aristotle University of Thessaloniki AHEPA Hospital, Thessaloniki, Greece.
Catherine Creuzot-GarcherDepartment of Ophthalmology, University Hospital, Eye and Nutrition Research Group, Dijon, France.
Geir BertelsenUiT The Arctic University of Norway/University Hospital of North Norway, Tromsø, Norway.
Norbert PfeifferDepartment of Ophthalmology, University Medical Center Mainz, Mainz, Germany.
Astrid E FletcherFaculty of Epidemiology & Population Health, London School of Hygiene & Tropical Medicine, London, United Kingdom.
Paul J FosterNIHR Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology, London, United Kingdom; Integrative Epidemiology, UCL Institute of Ophthalmology, London, United Kingdom.
Rufino SilvaFaculty of Medicine, University of Coimbra (FMUC), Coimbra, Portugal; Department of Ophthalmology, Coimbra Hospital and University Center (CHUC), Coimbra, Portugal; Association for Innovation and Biomedical Research on Light and Image (AIBILI), Coimbra, Portugal.
Jean-François KorobelnikUniversity Bordeaux, Inserm, Bordeaux Population Health Research Center, Team LEHA, Bordeaux, France; CHU de Bordeaux, Service d'Ophtalmologie, Bordeaux, France.
Cécile DelcourtUniversity Bordeaux, Inserm, Bordeaux Population Health Research Center, Team LEHA, Bordeaux, France.
Caroline C W KlaverDepartment of Ophthalmology, Erasmus Medical Center, Rotterdam, Netherlands; Department of Epidemiology, Erasmus Medical Center, Rotterdam, Netherlands; Department of Ophthalmology, Radboud University Medical Center, Nijmegen, Netherlands. Electronic address: c.c.w.klaver@erasmusmc.nl.
EYE-RISK consortium
European Eye Epidemiology (E3) consortium

Funding

Medical Research Council MR/K023721/1
6 · The paper itself

Abstract

purposeAge-related macular degeneration (AMD) is a frequent, complex disorder in elderly of European ancestry. Risk profiles and treatment options have changed considerably over the years, which may have affected disease prevalence and outcome. We determined the prevalence of early and late AMD in Europe from 1990 to 2013 using the European Eye Epidemiology (E3) consortium, and made projections for the future.

designMeta-analysis of prevalence data.

participantsA total of 42 080 individuals 40 years of age and older participating in 14 population-based cohorts from 10 countries in Europe.

methodsAMD was diagnosed based on fundus photographs using the Rotterdam Classification. Prevalence of early and late AMD was calculated using random-effects meta-analysis stratified for age, birth cohort, gender, geographic region, and time period of the study. Best-corrected visual acuity (BCVA) was compared between late AMD subtypes; geographic atrophy (GA) and choroidal neovascularization (CNV).

main outcome measuresPrevalence of early and late AMD, BCVA, and number of AMD cases.

resultsPrevalence of early AMD increased from 3.5% (95% confidence interval [CI] 2.1%-5.0%) in those aged 55-59 years to 17.6% (95% CI 13.6%-21.5%) in those aged ≥85 years; for late AMD these figures were 0.1% (95% CI 0.04%-0.3%) and 9.8% (95% CI 6.3%-13.3%), respectively. We observed a decreasing prevalence of late AMD after 2006, which became most prominent after age 70. Prevalences were similar for gender across all age groups except for late AMD in the oldest age category, and a trend was found showing a higher prevalence of CNV in Northern Europe. After 2006, fewer eyes and fewer ≥80-year-old subjects with CNV were visually impaired (P = 0.016). Projections of AMD showed an almost doubling of affected persons despite a decreasing prevalence. By 2040, the number of individuals in Europe with early AMD will range between 14.9 and 21.5 million, and for late AMD between 3.9 and 4.8 million.

conclusionWe observed a decreasing prevalence of AMD and an improvement in visual acuity in CNV occuring over the past 2 decades in Europe. Healthier lifestyles and implementation of anti-vascular endothelial growth factor treatment are the most likely explanations. Nevertheless, the numbers of affected subjects will increase considerably in the next 2 decades. AMD continues to remain a significant public health problem among Europeans.

Indexed as

AgedAged, 80 and overAge DistributionEuropeFemaleForecastingGeographic AtrophyHumansMaleMiddle AgedPrevalenceRisk FactorsSex DistributionVisual AcuityWet Macular DegenerationWhite People

Identifiers

PMID28712657
PMCPMC5755466

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.