Evidence map›Paper›PMID 29511811›Full record

ReviewDer Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft2019

[Structural endpoints for glaucoma studies].

A Popa-Cherechenau, D Schmidl, G Garhöfer, L Schmetterer

Abstract readReview
PubMed Publisher
In one paragraph

Review in Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 47% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
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

4 authors at 2 institutions in 1 country.

A Popa-CherechenauUniversitätsklinik für Klinische Pharmakologie, Medizinische Universität Wien, Wien, Österreich.
D SchmidlUniversitätsklinik für Klinische Pharmakologie, Medizinische Universität Wien, Wien, Österreich.
G GarhöferUniversitätsklinik für Klinische Pharmakologie, Medizinische Universität Wien, Wien, Österreich.
L SchmettererUniversitätsklinik für Klinische Pharmakologie, Medizinische Universität Wien, Wien, Österreich. leopold.schmetterer@seri.com.sg.
Medical University of Vienna · ATUniversitätszahnklinik Wien · AT

Funding

Austrian Science Fund FWF P 26157
6 · The paper itself

Abstract

backgroundStructural endpoints have been discussed as surrogate endpoints for the approval of neuroprotective drugs in glaucoma.

objectiveIs the evidence strong enough to establish structural endpoints as surrogate endpoints? MATERIAL AND

methodsReview of current understanding between structure and function in glaucoma.

resultsThe introduction of optical coherence tomography has revolutionized imaging in glaucoma patients. Clinically either the nerve fiber layer thickness can be measured along a circle centered in the optic nerve head or the ganglion cell layer thickness can be assessed in the macular region, the latter being quantified in combination with other inner retinal layers. On a microscopic level there is a strong correlation between structural and functional loss but this relation can only partially be described with currently available clinical methods. This is particularly true for longitudinal course of the disease in glaucoma patients. Novel imaging techniques that are not yet used clinically may have the potential to increase our understanding between structure and function in glaucoma but further research in this field is required.

conclusionThe current evidence does not allow the establishment of structural endpoints as surrogate endpoints for phase 3 studies in glaucoma. Neuroprotective drugs have to be approved on the basis of visual field data because this is the patient-relevant endpoint. Structural endpoints can, however, play an important role in phase 2 and proof of concept studies.

Indexed as

GlaucomaOptic DiskCross-Sectional StudiesHumansIntraocular PressureRetinal Ganglion CellsTomography, Optical CoherenceVisual Field TestsApproval studiesNeuroprotective substancesOptical coherence tomogaphyRetinal imagingSurrogate endpoints

Identifiers

PMID29511811
OpenAlexW2790680206

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.