Evidence map›Paper›PMID 31230012›Full record

ArticleBMJ open2019

One- and two-year visual outcomes from the Moorfields age-related macular degeneration database: a retrospective cohort study and an open science resource.

Katrin Fasler, Gabriella Moraes, Siegfried Wagner, Karsten U Kortuem, Reena Chopra, Livia Faes, Gabriella Preston, Nikolas Pontikos, Dun Jack Fu, Praveen Patel and 4 more

Abstract readComparative Study
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

23 citing papers in PubMed.

  1. Article
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  17. Review
  18. Neovascular age-related macular degeneration presenting at extremities of age: a comparative study.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2020
    Article
  19. Article
  20. 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

14 authors.

Katrin FaslerNIHR Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust, London, UK.ORCID 0000-0002-0348-961X
Gabriella MoraesNIHR Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust, London, UK.
Siegfried WagnerNIHR Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust, London, UK.
Karsten U KortuemNIHR Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust, London, UK.
Reena ChopraNIHR Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust, London, UK.
Livia FaesNIHR Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust, London, UK.
Gabriella PrestonNIHR Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust, London, UK.
Nikolas PontikosNIHR Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust, London, UK.
Dun Jack FuNIHR Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust, London, UK.
Praveen PatelNIHR Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust, London, UK.
Adnan TufailNIHR Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust, London, UK.
Aaron Y LeeDepartment of Ophthalmology, University of Washington, Seattle, Washington, USA.
Konstantinos BalaskasNIHR Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust, London, UK.
Pearse A KeaneNIHR Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust, London, UK.

Funding

Epidemiology and clinical outcomes of diabetic macular edemaK23EY029246 · NEI · UNIVERSITY OF WASHINGTON · PI LEE, AARON · 2018 to 2022
$1.1M
Department of Health CS-2014-14-023
6 · The paper itself

Abstract

objectivesTo analyse treatment outcomes and share clinical data from a large, single-centre, well-curated database (8174 eyes/6664 patients with 120 756 single entries) of patients with neovascular age-related macular degeneration (AMD) treated with anti-vascular endothelial growth factor (VEGF). By making our depersonalised raw data openly available, we aim to stimulate further research in AMD, as well as set a precedent for future work in this area.

settingRetrospective, comparative, non-randomised electronic medical record (EMR) database cohort study of the UK Moorfields AMD database with data extracted between 2008 and 2018.

participantsIncluding one eye per patient, 3357 eyes/patients (61% female). Extraction criteria were ≥1 ranibizumab or aflibercept injection, entry of 'AMD' in the diagnosis field of the EMR and a minimum of 1 year of follow-up. Exclusion criteria were unknown date of first injection and treatment outside of routine clinical care at Moorfields before the first recorded injection in the database.

main outcome measuresPrimary outcome measure was change in VA at 1 and 2 years from baseline as measured in Early Treatment Diabetic Retinopathy Study letters. Secondary outcomes were the number of injections and predictive factors for VA gain.

resultsMean VA gain at 1 year and 2 years were +5.5 (95% CI 5.0 to 6.0) and +4.9 (95% CI 4.2 to 5.6) letters, respectively. Fifty-four per cent of eyes gained ≥5 letters at 2 years, 63% had stable VA (±≤14 letters), 44% of eyes maintained good VA (≥70 letters). Patients received a mean of 7.7 (95% CI 7.6 to 7.8) injections during year 1 and 13.0 (95% CI 12.8 to 13.2) injections over 2 years. Younger age, lower baseline VA and more injections were associated with higher VA gain at 2 years.

conclusionThis study benchmarks high quality EMR study results of real life AMD treatment and promotes open science in clinical AMD research by making the underlying data publicly available.

Indexed as

AgedAngiogenesis InhibitorsElectronic Health RecordsFemaleFollow-Up StudiesHumansIntravitreal InjectionsMaleRanibizumabReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsRetrospective StudiesTime FactorsTreatment OutcomeVascular Endothelial Growth Factor AVisual AcuityafliberceptAngiogenesis InhibitorsRanibizumabReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsVascular Endothelial Growth Factor Aage-related macular degenerationanti-vegfchoroidal neovascularizationelectronic medical recordreal-worldvisual outcome

Identifiers

PMID31230012
PMCPMC6596999

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.