Evidence map›Paper›PMID 30237693›Full record

ArticleClinical ophthalmology (Auckland, N.Z.)2018

Initiation and maintenance of a Treat-and-Extend regimen for ranibizumab therapy in wet age-related macular degeneration: recommendations from the UK Retinal Outcomes Group.

Winfried Amoaku, Konstantinos Balaskas, Tomas Cudrnak, Louise Downey, Markus Groppe, Sajjad Mahmood, Hemal Mehta, Quresh Mohamed, Bushra Mushtaq, Philip Severn and 3 more

Open access · goldAbstract readEditorial
In one paragraph

Article in Clinical ophthalmology (Auckland, N.Z.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
3.7field-weighted citation impact, top 7% 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

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Efficacy and Safety of Intravitreal Faricimab in Neovascular Age-Related Macular Degeneration, Diabetic Macular Edema, and Retinal Vein Occlusion: A Meta-Analysis.Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde · 2024
    Pooled it
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  14. Trends in Real-World Neovascular AMD Treatment Outcomes in the UK.Clinical ophthalmology (Auckland, N.Z.) · 2020
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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

13 authors at 13 institutions in 1 country.

Winfried AmoakuAcademic Ophthalmology, Division of Clinical Neuroscience, University of Nottingham, Nottingham, UK.
Konstantinos BalaskasNIHR Biomedical Research Centre at Moorfields Eye Hospital NHS Foundation Trust and University College of London Institute of Ophthalmology, London, UK.
Tomas CudrnakRoyal Eye Infirmary, University Hospitals Plymouth NHS Trust, Plymouth, UK.
Louise DowneyHull and East Yorkshire Eye Hospital, Hull and East Yorkshire Hospitals NHS Trust, Hull, UK.
Markus GroppeOphthalmology, Stoke Mandeville, Buckinghamshire Healthcare NHS Trust, Aylesbury, UK.
Sajjad MahmoodManchester Royal Eye Hospital, Manchester University NHS Foundation Trust, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.
Hemal MehtaRoyal Free London NHS Foundation Trust, London, UK.
Quresh MohamedGloucestershire Eye Unit, Cheltenham General Hospital, Gloucestershire Hospitals NHS Foundation Trust, Gloucester, UK.
Bushra MushtaqBirmingham and Midland Eye Centre, Sandwell and West Birmingham NHS Trust, Birmingham, UK.
Philip SevernSouth Tees Hospitals NHS Foundation Trust, Middlesbrough, UK.
Athanasios VardarinosEye Treatment Centre, West Suffolk Hospital, West Suffolk NHS Foundation Trust, Bury St Edmunds, UK.
Yit YangWolverhampton Eye Infirmary, The Royal Wolverhampton NHS Trust, Wolverhampton, UK, yit.yang@nhs.net.
Saad YounisOphthalmology, Western Eye Hospital, Imperial College Healthcare NHS Trust, London, UK.
Birmingham and Midland Eye Centre · GBBuckinghamshire Healthcare NHS Trust · GBCheltenham General Hospital · GBHull and East Yorkshire Hospitals NHS Trust · GBImperial College Healthcare NHS Trust · GBManchester Academic Health Science Centre · GBMoorfields Eye Hospital NHS Foundation Trust · GBRoyal Free London NHS Foundation Trust · GBSouth Tees Hospitals NHS Foundation Trust · GBThe Royal Wolverhampton NHS Trust · GBUniversity Hospitals Plymouth NHS Trust · GBUniversity of Nottingham · GBWest Suffolk NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The treatment of neovascular (wet) age-related macular degeneration (AMD) with ranibizumab is now very well established in terms of efficacy and safety. Recent clinical trials and real-world studies have demonstrated the advantages of a Treat-and-Extend (T&E) regimen, and many hospital departments are now in the process of adopting this new regimen in favor of the pro re nata regimen for initiating and continuing ranibizumab therapy for patients with wet AMD. The comprehensive spectrum of issues related to implementation of the regimen is covered qualitatively in ten didactic topics provided by a group of clinicians with direct experience of this regimen in their department. The topics include definition, new and previously treated eyes, management of high-frequency injections, maximum extensions, discontinuing T&E, bilateral cases, clerical, audit, and patient counseling. This article aims to provide a useful resource for the implementation of the T&E regimen. A quantitative summary of the visual outcomes in key publications is also provided in this article. This article should be a valuable resource for staff training.

Indexed as

age-related macular degenerationanti-VEGF treatmentnAMDranibizumabTreat and Extend

Identifiers

PMID30237693
PMCPMC6136415
OpenAlexW2890345521

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.