Evidence map›Paper›PMID 28752837›Full record

Trial reportEye (London, England)2018

An international comparison of retinopathy of prematurity grading performance within the Benefits of Oxygen Saturation Targeting II trials.

B W Fleck, C Williams, E Juszczak, K Cocker, B J Stenson, B A Darlow, S Dai, G A Gole, G E Quinn, D K Wallace and 12 more

Open access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Eye (London, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
4.5field-weighted citation impact, top 5% 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

28 citing papers in PubMed, 57 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Retinopathy of prematurity classification updates: possible implications for treatment.Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus · 2022
    Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Practice Guidelines for Ocular Telehealth-Diabetic Retinopathy, Third Edition.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2020
    Article
  17. Telemedicine for Retinopathy of Prematurity.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2020
    Review
  18. Artificial Intelligence in Retinopathy of Prematurity Diagnosis.Translational vision science & technology · 2020
    Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 12 institutions in 5 countries.

B W FleckDepartment of Child Life and Health, University of Edinburgh, Edinburgh, UK.
C WilliamsDepartment of Paediatric Ophthalmology, School of Social and Community Medicine, University of Bristol, Bristol, UK.
E JuszczakClinical Trials Unit, National Perinatal Epidemiology Unit, University of Oxford, Oxford, UK.
K CockerDepartment of Ophthalmology, Princess Alexandra Eye Pavilion, Edinburgh, UK.
B J StensonNeonatal Unit, Royal Infirmary of Edinburgh, Edinburgh, UK.
B A DarlowCure Kids Professor of Paediatric Research, Department of Paediatrics, University of Otago, Christchurch, New Zealand.
S DaiDepartment of Paediatric Ophthalmology, Starship Children's Hospital, University of Auckland, Auckland, New Zealand.
G A GoleDepartment of Ophthalmology, University of Queensland, Brisbane, Australia.
G E QuinnDepartment of Pediatric Ophthalmology, Children's Hospital of Philadelphia, Philadelphia, USA.
D K WallaceDepartment of Pediatric Ophthalmology, Duke University, Durham, USA.
A EllsDepartment of Ophthalmology, University of Calgary, Alberta, Canada.
S CardenDepartment of Ophthalmology, Royal Children's Hospital, Victoria, Australia.
L ButlerDepartment of Paediatric Ophthalmology, Birmingham and Midlands Eye Centre, Birmingham, UK.
D ClarkDepartment of Ophthalmology, Aintree University Hospital, Liverpool, UK.
J ElderDepartment of Ophthalmology, Royal Children's Hospital, Melbourne, Australia.
C WilsonDepartment of Ophthalmology, Chelsea and Westminster Hospital, London, UK.
S BiswasDepartment of Paediatric Ophthalmology, Manchester Royal Eye Hospital, Central Manchester Foundation Trust and Manchester Academic Health Sciences Centre, Manchester, UK.
A ShafiqDepartment of Ophthalmology, Newcastle Eye Centre, Newcastle, UK.
A KingClinical Trials Unit, National Perinatal Epidemiology Unit, University of Oxford, Oxford, UK.
P BrocklehurstClinical Trials Unit, National Perinatal Epidemiology Unit, University of Oxford, Oxford, UK.
A R FielderDepartment of Ophthalmology, Division of Optometry and Visual Sciences, City University, London, UK.
BOOST II Retinal Image Digital Analysis (RIDA) Group
Royal Children's Hospital · AUChildren's Hospital of Philadelphia · USCity, University of London · GBManchester Royal Eye Hospital · GBPrincess Alexandra Eye Pavilion · GBUniversity of Auckland · NZUniversity of Bristol · GBUniversity of Oxford · GBEdinburgh Royal Infirmary · GBUniversity of Calgary · CAUniversity of Edinburgh · GBUniversity of Liverpool · GB

Funding

Medical Research Council G0400415
6 · The paper itself

Abstract

PurposeTo investigate whether the observed international differences in retinopathy of prematurity (ROP) treatment rates within the Benefits of Oxygen Saturation Targeting (BOOST) II trials might have been caused by international variation in ROP disease grading.MethodsGroups of BOOST II trial ophthalmologists in UK, Australia, and New Zealand (ANZ), and an international reference group (INT) used a web based system to grade a selection of RetCam images of ROP acquired during the BOOST II UK trial. Rates of decisions to treat, plus disease grading, ROP stage grading, ROP zone grading, inter-observer variation within groups and intra-observer variation within groups were measured.ResultsForty-two eye examinations were graded. UK ophthalmologists diagnosed treat-requiring ROP more frequently than ANZ ophthalmologists, 13.9 (3.49) compared to 9.4 (4.46) eye examinations, P=0.038. UK ophthalmologists diagnosed plus disease more frequently than ANZ ophthalmologists, 14.1 (6.23) compared to 8.5 (3.24) eye examinations, P=0.021. ANZ ophthalmologists diagnosed stage 2 ROP more frequently than UK ophthalmologists, 20.2 (5.8) compared to 12.7 (7.1) eye examinations, P=0.026. There were no other significant differences in the grading of ROP stage or zone. Inter-observer variation was higher within the UK group than within the ANZ group. Intra-observer variation was low in both groups.ConclusionsWe have found evidence of international variation in the diagnosis of treatment-requiring ROP. Improved standardisation of the diagnosis of treatment-requiring ROP is required. Measures might include improved training in the grading of ROP, using an international approach, and further development of ROP image analysis software.

Indexed as

Infant, PrematureAustraliaCanadaFemaleFollow-Up StudiesGestational AgeHumansIncidenceInfant, NewbornMaleNew ZealandOphthalmoscopyOxygenOxygen ConsumptionOxygen Inhalation TherapyProspective StudiesOxygen

Identifiers

PMID28752837
PMCPMC5669461
OpenAlexW2741822194

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.