Evidence map›Paper›PMID 29201458›Full record

ArticleJournal of ophthalmology2017

Switch to Aflibercept in the Treatment of Neovascular AMD: Long-Term Results.

Pedro Neves Cardoso, Ana Fernanda Pinheiro, Jorge Meira, Ana Catarina Pedrosa, Manuel S Falcão, João Pinheiro-Costa, Fernando Falcão-Reis, Ângela M Carneiro

Abstract read
In one paragraph

Article in Journal of ophthalmology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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

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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.

Pedro Neves CardosoDepartment of Ophthalmology, Centro Hospitalar de São João, University of Porto, Porto, Portugal.ORCID 0000-0002-2161-4680
Ana Fernanda PinheiroFaculty of Medicine, University of Porto, Porto, Portugal.
Jorge MeiraDepartment of Ophthalmology, Centro Hospitalar de São João, University of Porto, Porto, Portugal.
Ana Catarina PedrosaDepartment of Ophthalmology, Centro Hospitalar de São João, University of Porto, Porto, Portugal.ORCID 0000-0001-6831-5488
Manuel S FalcãoFaculty of Medicine, University of Porto, Porto, Portugal.
João Pinheiro-CostaDepartment of Ophthalmology, Centro Hospitalar de São João, University of Porto, Porto, Portugal.
Fernando Falcão-ReisDepartment of Ophthalmology, Centro Hospitalar de São João, University of Porto, Porto, Portugal.
Ângela M CarneiroDepartment of Ophthalmology, Centro Hospitalar de São João, University of Porto, Porto, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo report the long-term clinical outcomes after switching from intravitreal bevacizumab or ranibizumab to aflibercept therapy in eyes with AMD.

methodsRetrospective analysis of changes in BCVA, SD-OCT image, and frequency of injections after 1, 2, and 3 years of follow-up.

results164 eyes were analyzed, 101 eyes switched from bevacizumab (group 1) and 63 from ranibizumab (group 2). One year after the switch, there was an overall nonsignificant mean decrease of 2 ETDRS letters in BCVA. Three years after, there was an overall mean decrease of 7 ETDRS letters, which was statistically significant. A significant improvement in the mean CRT was found at 1, 2, and 3 years. There was a significant decrease in the mean number of injections per year (7.8 to 6.5,

conclusionAflibercept can be useful in the management of refractory neovascular AMD, with a good morphological response. However, in the long-term, BCVA stabilization was not achieved.

Identifiers

PMID29201458
PMCPMC5671733

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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.