Evidence map›Paper›PMID 30428856›Full record

ArticleBMC ophthalmology2018

The effect of ranibizumab and aflibercept treatment on the prevalence of outer retinal tubulation and its influence on retreatment in neovascular age-related macular degeneration.

Attila Kovacs, Timea Kiss, Ferenc Rarosi, Gabor M Somfai, Andrea Facsko, Rozsa Degi

Open access · goldAbstract read
In one paragraph

Article in BMC ophthalmology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 41% 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

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

  1. Pooled it
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  3. Review
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  7. Review
  8. A novel mutation ofInternational journal of ophthalmology · 2022
    Article
  9. Review
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

6 authors at 2 institutions in 1 country.

Attila KovacsDepartment of Ophthalmology, Faculty of Medicine, University of Szeged, 10-11 Koranyi fasor, Szeged, 6720, Hungary.
Timea KissDepartment of Ophthalmology, Faculty of Medicine, University of Szeged, 10-11 Koranyi fasor, Szeged, 6720, Hungary.
Ferenc RarosiDepartment of Medical Physics and Informatics, Faculty of Medicine, University of Szeged, Szeged, Hungary.
Gabor M SomfaiAugenzentrum Pallas Kliniken, Olten, Switzerland.
Andrea FacskoDepartment of Ophthalmology, Faculty of Medicine, University of Szeged, 10-11 Koranyi fasor, Szeged, 6720, Hungary.
Rozsa DegiDepartment of Ophthalmology, Faculty of Medicine, University of Szeged, 10-11 Koranyi fasor, Szeged, 6720, Hungary. degirozsa57@gmail.com.
University of Szeged · HUSemmelweis University · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe aimed to analyze the differences in the prevalence of outer retinal tubulation (ORT) in neovascular age-related macular degeneration (AMD) treated with anti-vascular endothelial growth factor (anti-VEGF) agents, either aflibercept or ranibizumab. Our further aim was to examine the changes in the frequency of injections of ranibizumab before and after ORT appearance.

methodsTwo hundred thirty six eyes of 230 patients were included in the study (184 eyes treated with ranibizumab by pro re nata regimen (PRN), 52 eyes with aflibercept bimonthly) and followed for 6-24 months. Using optical coherence tomography (OCT), the first appearance of ORT was documented, and fixed time point evaluations were also made every six months to determine the existence of ORT. The number of injections, the presence or absence of subretinal hyperreflective material (SHRM) at treatment initiation and visual acuity were also noted.

resultsThe survival analysis with Cox proportional hazard model showed no significant difference between the ranibizumab and aflibercept groups in relation to the development of ORT (p = 0.79, hazard ratio 0.92). In the PRN treated ranibizumab group the number of injections showed significant decrease after ORT development (p = 0.004). When SHRM was present at treatment initiation the chance of developing ORT was 2.75 and 11.14 times higher in the ranibizumab and aflibercept groups, respectively.

conclusionsThe prevalence of ORT increased over time independently from the chosen anti-VEGF drug. Our results suggest that upon the appearance of ORT a decrease in retreatments can be expected.

Indexed as

AgedAged, 80 and overAngiogenesis InhibitorsBiomarkersFemaleHumansMacular DegenerationMaleMiddle AgedPrevalenceRanibizumabReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsRetinaRetreatmentRetrospective StudiesafliberceptAngiogenesis InhibitorsBiomarkersRanibizumabReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsAfliberceptAnti-VEGFOuter retinal tubulationPrevalenceRetreatmentSubretinal hyperreflective material

Identifiers

PMID30428856
PMCPMC6236952
OpenAlexW2900493505

What OpenQuestion holds

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LicenceCC BY
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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.