Evidence map›Paper›PMID 30926932›Full record

ArticleEye (London, England)2019

Action on neovascular age-related macular degeneration (nAMD): recommendations for management and service provision in the UK hospital eye service.

Richard P Gale, Sajjad Mahmood, Helen Devonport, Praveen J Patel, Adam H Ross, Gavin Walters, Louise Downey, Samer El-Sherbiny, Mary Freeman, Simon Berry and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Eye (London, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
8.7field-weighted citation impact, top 2% 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

37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 64 citations in OpenAlex.

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  15. Hospital to community in Wales: What is the value of optometrists playing a greater role in managing neovascular AMD and glaucoma in primary care?Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2025
    Article
  16. Development of Biosimilar Aflibercept SDZ-AFL.Current therapeutic research, clinical and experimental · 2025
    Review
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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

11 authors at 6 institutions in 1 country.

Richard P GaleThe Action on nAMD Group, Birmingham, UK. Richard.Gale@york.nhs.uk.
Sajjad MahmoodThe Action on nAMD Group, Birmingham, UK.
Helen DevonportThe Action on nAMD Group, Birmingham, UK.
Praveen J PatelThe Action on nAMD Group, Birmingham, UK.
Adam H RossThe Action on nAMD Group, Birmingham, UK.
Gavin WaltersThe Action on nAMD Group, Birmingham, UK.
Louise DowneyThe Action on nAMD Group, Birmingham, UK.
Samer El-SherbinyThe Action on nAMD Group, Birmingham, UK.
Mary FreemanThe Action on nAMD Group, Birmingham, UK.
Simon BerryThe Action on nAMD Group, Birmingham, UK.
Nitin JainThe Action on nAMD Group, Birmingham, UK.
Action for ME · GBBayer (United Kingdom) · GBHarrogate and District NHS Foundation Trust · GBHull and East Yorkshire Hospitals NHS Trust · GBMoorfields Eye Hospital NHS Foundation Trust · GBUniversity Hospitals Bristol NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This report by a group of UK retina specialists and health professionals considers best practice recommendations for the management of sight-threatening neovascular age-related macular degeneration (nAMD), based on collective experience and expertise in routine clinical practice. The authors provide an update for ophthalmologists, allied healthcare professionals and commissioners on practice principles for optimal patient care and service provision standards. Refinement of care pathways for nAMD has improved access to intravitreal anti-vascular endothelial growth factor therapy but there are still variations in care and reported outcomes between clinic centres. Innovative organisational models of service provision allow providers to better match capacity with increasing demand. The authors review the recent NICE guideline for diagnosis and management of AMD, considerations for switching therapies and stopping treatment and need for regular monitoring of non-affected fellow eyes in patients with unilateral nAMD. Actions for delivery of high-quality care and to improve long-term patient outcomes are discussed. Local pathways need to detail nAMD target time to treat, maintenance of review intervals to ensure proactive treatment regimens are delivered on time and appropriate discharge for patients deemed low risk or no longer benefiting from treatment. Actual visual acuity outcomes achieved and maintenance of the level of vision when disease stability is achieved are considered good measures for judging the quality of care in the treatment of patients with nAMD. Robust community referral pathways must be in place for suspected reactivation of choroidal neovascularisation and rapid referral for second eye involvement. Practical considerations for intravitreal injection therapy are outlined.

Indexed as

AftercareAgedAged, 80 and overAngiogenesis InhibitorsCommunity Health ServicesDelivery of Health CareDrug SubstitutionFemaleHospitalizationHumansMacular DegenerationMaleMiddle AgedPractice Guidelines as TopicPractice Patterns, Physicians'Quality of Health CareAngiogenesis InhibitorsVascular Endothelial Growth Factor A

Identifiers

PMID30926932
PMCPMC6474281
OpenAlexW2934725373

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.