Evidence map›Paper›PMID 30614902›Full record

ArticleCornea2019

Global Consensus on Definition, Classification, Diagnosis, and Staging of Limbal Stem Cell Deficiency.

Sophie X Deng, Vincent Borderie, Clara C Chan, Reza Dana, Francisco C Figueiredo, José A P Gomes, Graziella Pellegrini, Shigeto Shimmura, Friedrich E Kruse, and The International Limbal Stem Cell Deficiency Working Group

Registry-linked trialAbstract readConsensus Statement
In one paragraph

Article in Cornea, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04995926 (Efficiency and Safety of Labial Mucosal Epithelium Grafting for Corneal Reepithelization in Patients With Bilateral Non-immunogenic Limbal Stem Cell Deficiency), which is not on this map. Cited by 160 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
160citing papers in PubMed, 3 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.

NCT04995926 naunknown statusnot on this mapstarted 2021, after this paper: background citation

Efficiency and Safety of Labial Mucosal Epithelium Grafting for Corneal Reepithelization in Patients With Bilateral Non-immunogenic Limbal Stem Cell Deficiency

TypeinterventionalSponsorThe S.N. Fyodorov Eye Microsurgery State InstitutionRan2021 to 2025Enrolled20ConditionsLimbal Stem-cell DeficiencyArmsLabial mucosal epithelium grafting for corneal limbus substitution
3 · Its place in the literature

Who cites it

160 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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100 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Sophie X DengCornea Division, Stein Eye Institute, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA.
Vincent BorderieQuinze-Vingts National Eye Hospital, Faculté de Médecine Sorbonne Université, Paris, France.
Clara C ChanDepartment of Ophthalmology & Vision Sciences Toronto, University of Toronto, ON, Canada.
Reza DanaMassachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA.
Francisco C FigueiredoDepartment of Ophthalmology, Royal Victoria Infirmary and Institute of Genetic Medicine, Newcastle University, Newcastle upon Tyne, United Kingdom.
José A P GomesDepartment of Ophthalmology and Visual Sciences, Escola Paulista de Medicina, Universidade Federal de São Paulo (EPM/UNIFESP), Brazil.
Graziella PellegriniHolostem Terapie Avanzate, Centre for Regenerative Medicine, University of Modena and Reggio Emilia, Modena, Italy.
Shigeto ShimmuraDepartment of Ophthalmology, Keio University School of Medicine, Tokyo, Japan.
Friedrich E KruseDepartment of Ophthalmology, University Hospital Erlangen and Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany.
and The International Limbal Stem Cell Deficiency Working Group

Funding

Ex Vivo Expansion of Human Limbal Stem Cells for TransplantationR01EY021797 · NEI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Sophie Deng · 2012 to 2026
$5.1M
Department of Health PB-PG-1215-20037Medical Research Council G0900879Medical Research Council MR/S035826/1NEI NIH HHS R01 EY021797
6 · The paper itself

Abstract

purposeDespite extensive knowledge gained over the last 3 decades regarding limbal stem cell deficiency (LSCD), the disease is not clearly defined, and there is lack of agreement on the diagnostic criteria, staging, and classification system among treating physicians and research scientists working on this field. There is therefore an unmet need to obtain global consensus on the definition, classification, diagnosis, and staging of LSCD.

methodsA Limbal Stem Cell Working Group was first established by The Cornea Society in 2012. The Working Group was divided into subcommittees. Four face-to-face meetings, frequent email discussions, and teleconferences were conducted since then to obtain agreement on a strategic plan and methodology from all participants after a comprehensive literature search, and final agreement was reached on the definition, classification, diagnosis, and staging of LSCD. A writing group was formed to draft the current manuscript, which has been extensively revised to reflect the consensus of the Working Group.

resultsA consensus was reached on the definition, classification, diagnosis, and staging of LSCD. The clinical presentation and diagnostic criteria of LSCD were clarified, and a staging system of LSCD based on clinical presentation was established.

conclusionsThis global consensus provides a comprehensive framework for the definition, classification, diagnosis, and staging of LSCD. The newly established criteria will aid in the correct diagnosis and formulation of an appropriate treatment for different stages of LSCD, which will facilitate a better understanding of the condition and help with clinical management, research, and clinical trials in this area.

Indexed as

Corneal DiseasesEpithelium, CornealHumansLimbus CorneaeStem Cells

Identifiers

PMID30614902
PMCPMC6363877

What OpenQuestion holds

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Registered trials

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.