Evidence map›Paper›PMID 30204303›Full record

ArticleJournal of diabetes investigation2019

Clinical preferences and trends of anti-vascular endothelial growth factor treatments for diabetic macular edema in Japan.

Masahiko Sugimoto, Hideyuki Tsukitome, Fumiki Okamoto, Tetsuro Oshika, Tetsuo Ueda, Masanori Niki, Yoshinori Mitamura, Hiroto Ishikawa, Fumi Gomi, Shigehiko Kitano and 10 more

Open access · goldAbstract read
In one paragraph

Article in Journal of diabetes investigation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
3.5field-weighted citation impact, top 8% 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

43 citing papers in PubMed, 58 citations in OpenAlex.

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  12. Anti-VEGF therapy for the long-term management of diabetic macular edema: a treat-to-target strategy based on macular morphology.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2024
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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

20 authors at 11 institutions in 1 country.

Masahiko SugimotoDepartment of Ophthalmology, Mie University Graduate School of Medicine, Tsu, Japan.ORCID http://orcid.org/0000-0001-5147-4183
Hideyuki TsukitomeDepartment of Ophthalmology, Mie University Graduate School of Medicine, Tsu, Japan.
Fumiki OkamotoDepartment of Ophthalmology, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
Tetsuro OshikaDepartment of Ophthalmology, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
Tetsuo UedaDepartment of Ophthalmology, Nara Medical University, Kashihara, Japan.
Masanori NikiDepartment of Ophthalmology, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.
Yoshinori MitamuraDepartment of Ophthalmology, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.
Hiroto IshikawaDepartment of Ophthalmology, Hyogo College of Medicine, Nishinomiya, Japan.
Fumi GomiDepartment of Ophthalmology, Hyogo College of Medicine, Nishinomiya, Japan.
Shigehiko KitanoDepartment of Ophthalmology, Tokyo Women's Medical University, Tokyo, Japan.
Hidetaka NomaDepartment of Ophthalmology, Tokyo Medical University Hachioji Medical Center, Hachioji, Japan.
Masahiko ShimuraDepartment of Ophthalmology, Tokyo Medical University Hachioji Medical Center, Hachioji, Japan.
Shozo SonodaDepartment of Ophthalmology, Kagoshima University Graduate School of Medical and Dental Sciences, Sakuragaoka, Japan.
Osamu SawadaDepartment of Ophthalmology, Shiga University of Medical Science, Otsu, Japan.
Masahito OhjiDepartment of Ophthalmology, Shiga University of Medical Science, Otsu, Japan.
Kozo HarimotoDepartment of Ophthalmology, National Defense Medical College, Tokorozawa, Japan.
Masaru TakeuchiDepartment of Ophthalmology, National Defense Medical College, Tokorozawa, Japan.
Yoshihiro TakamuraDepartment of Ophthalmology, Faculty of Medical Sciences, University of Fukui, Fukui, Japan.
Mineo KondoDepartment of Ophthalmology, Mie University Graduate School of Medicine, Tsu, Japan.
Taiji SakamotoDepartment of Ophthalmology, Kagoshima University Graduate School of Medical and Dental Sciences, Sakuragaoka, Japan.
Mie University · JPHyogo Medical University · JPKagoshima University · JPNational Defense Medical College · JPShiga University of Medical Science · JPTokushima University · JPTokyo Medical University Hachioji Medical Center · JPUniversity of Tsukuba · JPNara Medical University · JPTokyo Women's Medical University · JPUniversity of Fukui · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIMS/

introductionTo determine the current clinical preferences of anti-vascular endothelial growth factor (VEGF) treatment protocols for diabetic macular edema (DME) in Japan. MATERIALS AND

methodsThis was a descriptive cross-sectional study. Answers to a questionnaire consisting of 16 questions were obtained from 176 of 278 (63.3%) surveyed ophthalmologists.

resultsThe results showed that 81.2% preferred intravitreal injections of anti-VEGF antibodies as the first-line therapy. The most important indicators for beginning anti-VEGF therapy were: the best-corrected visual acuity in 44.3% and the retinal thickness in 30.7%. In the loading phase, 53.4% preferred a single injection, and in the maintenance phase, 75.0% preferred the pro re nata regimen. Financial limitation (85.8%) was reported as the most important difficulty in the treatment. For combination therapy with anti-VEGF treatment, panretinal photocoagulation, focal photocoagulations and a sub-Tenon steroid injection were preferred. The contraindications for anti-VEGF therapy were: prior cerebral infarction (72.7%). Regarding the use of both approved anti-VEGF agents in Japan, ranibizumab and aflibercept, 39.8% doctors used them appropriately.

conclusionsOur results present the current clinical preferences of anti-VEGF treatment for DME in Japan. The best-corrected visual acuity and the retinal thickness are important indicators to institute this therapy. The majority of the ophthalmologists use anti-VEGF treatment as first-line therapy and prefer the 1 + pro re nata regimen.

Indexed as

Angiogenesis InhibitorsClinical CompetenceCross-Sectional StudiesDiabetic RetinopathyDisease ManagementFollow-Up StudiesHumansIntravitreal InjectionsMacular EdemaOphthalmologistsPractice Patterns, Physicians'PrognosisRanibizumabReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsVascular Endothelial Growth Factor AafliberceptAngiogenesis InhibitorsRanibizumabReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsVascular Endothelial Growth Factor AVEGFA protein, humanClinical practice patternDiabetic macular edemaVascular endothelial growth factor

Identifiers

PMID30204303
PMCPMC6400162
OpenAlexW2890357764

What OpenQuestion holds

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LicenceCC BY-NC
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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.