Evidence map›Paper›PMID 30638823›Full record

ArticleJournal of cataract and refractive surgery2019

Visual outcomes after cataract surgery in patients with type 2 diabetes.

Liyan Liu, Lisa J Herrinton, Stacey Alexeeff, Andrew J Karter, Laura B Amsden, James Carolan, Neal H Shorstein

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of cataract and refractive surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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.

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. Trial
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Liyan LiuDivision of Research, Kaiser Permanente Northern California, Oakland, USA.
Lisa J HerrintonDivision of Research, Kaiser Permanente Northern California, Oakland, USA. Electronic address: lisa.herrinton@kp.org.
Stacey AlexeeffDivision of Research, Kaiser Permanente Northern California, Oakland, USA.
Andrew J KarterDivision of Research, Kaiser Permanente Northern California, Oakland, USA.
Laura B AmsdenDivision of Research, Kaiser Permanente Northern California, Oakland, USA.
James CarolanDepartment of Ophthalmology, Kaiser Permanente, San Rafael, California, USA.
Neal H ShorsteinDepartments of Ophthalmology and Quality, Kaiser Permanente, Walnut Creek, California, USA.

Funding

Predicting final visual acuity following cataract surgeryR01EY027329 · NEI · KAISER FOUNDATION RESEARCH INSTITUTE · PI HERRINTON, LISA J · 2017 to 2018
$743k
Comparative Effectiveness of Prophylaxis in Cataract SurgeryR21EY022989 · NEI · KAISER FOUNDATION RESEARCH INSTITUTE · PI HERRINTON, LISA J · 2013 to 2014
$432k
NEI NIH HHS R01 EY027329NEI NIH HHS R21 EY022989
6 · The paper itself

Abstract

purposeTo assess the relation between diabetic retinopathy (DR) severity, duration of diabetes, insulin dependence, and preoperative hemoglobin A

settingKaiser Permanente Northern California, USA.

designRetrospective case series.

methodsInformation was obtained from the electronic medical record for patients, June 1, 2010, through May 31, 2015. Confounding factors and clustering of eyes within patients were controlled for using linear mixed-effects regression models for continuous outcomes and general estimating equations for dichotomous outcomes.

resultsThe study included 65 370 patients; 28% had type 2 diabetes without DR, 5% nonproliferative DR, and 1.2% proliferative DR. Patients with diabetes and no DR were as likely as those without diabetes to achieve a corrected distance visual acuity (CDVA) of 20/20 (odds ratio, 1.01; 95% confidence interval, 0.94-1.10). The odds of a postoperative CDVA of 20/25 or worse increased with the severity of retinopathy duration of diabetes and insulin dependence, but not with the preoperative HbA

conclusionPatients with DR and cataracts were less likely to achieve a CDVA of 20/20 vision but gained as many lines of CDVA from phacoemulsification as patients without diabetes, showing no evidence that cataract surgery should be delayed in diabetic patients with elevated HbA

Indexed as

Visual AcuityAgedAged, 80 and overCataractCataract ExtractionDiabetes Mellitus, Type 2Diabetic RetinopathyFemaleFollow-Up StudiesHumansMalePostoperative PeriodRetrospective StudiesTreatment Outcome

Identifiers

PMID30638823
PMCPMC6481649

What OpenQuestion holds

Textmetadata
LicenceTDM
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.