Evidence map›Paper›PMID 31496558›Full record

ArticleJournal of current glaucoma practice

Peak, Fluctuation, or Mean? A Correlation Analysis of Long-term Intraocular Pressure Variation Parameters in Patients with Stable Glaucoma.

Ana Luiza B Scoralick, Carolina Pb Gracitelli, Diego T Dias, Izabela Almeida, Michele Ushida, Syril Dorairaj, Fábio N Kanadani, Augusto Paranhos, Tiago S Prata

Abstract read
In one paragraph

Article in Journal of current glaucoma practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

9 authors.

Ana Luiza B ScoralickGlaucoma Service, Department of Ophthalmology and Visual Science, Federal University of São Paulo, São Paulo, Brazil; Glaucoma Unit, Hospital Medicina dos Olhos, Osasco, Brazil; Department of Ophthalmology, Instituto de Olhos Ciências Médicas, Belo Horizonte, Brazil.
Carolina Pb GracitelliGlaucoma Service, Department of Ophthalmology and Visual Science, Federal University of São Paulo, São Paulo, Brazil.
Diego T DiasGlaucoma Service, Department of Ophthalmology and Visual Science, Federal University of São Paulo, São Paulo, Brazil; Glaucoma Unit, Hospital Medicina dos Olhos, Osasco, Brazil.
Izabela AlmeidaGlaucoma Service, Department of Ophthalmology and Visual Science, Federal University of São Paulo, São Paulo, Brazil; Glaucoma Unit, Hospital Medicina dos Olhos, Osasco, Brazil.
Michele UshidaGlaucoma Unit, Hospital Medicina dos Olhos, Osasco, Brazil.
Syril DorairajDepartment of Ophthalmology, Mayo Clinic, Jacksonville, Florida, USA.
Fábio N KanadaniGlaucoma Service, Department of Ophthalmology and Visual Science, Federal University of São Paulo, São Paulo, Brazil.
Augusto ParanhosDepartment of Ophthalmology, Instituto de Olhos Ciências Médicas, Belo Horizonte, Brazil.
Tiago S PrataGlaucoma Service, Department of Ophthalmology and Visual Science, Federal University of São Paulo, São Paulo, Brazil; Glaucoma Unit, Hospital Medicina dos Olhos, Osasco, Brazil; Department of Ophthalmology, Mayo Clinic, Jacksonville, Florida, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo perform a correlation analysis between long-term intraocular pressure (IOP) variation parameters (mean, peak, and fluctuation) in patients with stable open-angle glaucoma (OAG). MATERIALS AND

methodsA cross-sectional observational study was carried out, in which patients with stable OAG were consecutively enrolled. All patients had to have glaucomatous optic neuropathy and characteristic visual field (VF) defects. Key inclusion criteria were ≥5 VF tests, ≥3 disc photographs, and ≥3 years of follow-up without any changes in current medical regimen. Stable OAG was defined as nonprogressive VF results and absence of anatomical changes for at least 3 years. Long-term IOP variation parameters were obtained from isolated IOP measurements from each visit (minimum of five IOP measurements). The main outcome measure was the correlation between these IOP variation parameters.

resultsOf the 63 patients studied, 37 (59%) were women, and the mean age was 61 ± 12 years. Among all the analyses, IOP mean and peak had the strongest correlation (

conclusionMost long-term IOP variation parameters evaluated seem to be highly correlated. Notably, the correlation between mean IOP and IOP peak was the strongest one. We believe this fact should be taken into consideration as their inclusion as individual variables in a multiple regression model could lead to misinterpretation of the data. CLINICAL SIGNIFICANCE: Different well-designed studies are conflicting regarding which long-term IOP variation parameter is more clinically relevant. Our findings suggest that collinearity issues could explain in part the discrepant results among these studies evaluating the relationship between long-term IOP variation parameters and glaucoma prognosis. HOW TO CITE THIS ARTICLE: Scoralick ALB, Gracitelli CPB,

Indexed as

Intraocular pressure fluctuationIntraocular pressure peakStable glaucoma

Identifiers

PMID31496558
PMCPMC6710932

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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.