Evidence map›Paper›PMID 31932091›Full record

ArticleOphthalmology2020

Factors Predictive of Remission of Chronic Anterior Uveitis.

Lucia Sobrin, Maxwell Pistilli, Kurt Dreger, Srishti Kothari, Naira Khachatryan, Pichaporn Artornsombudh, Siddharth S Pujari, C Stephen Foster, Douglas A Jabs, Robert B Nussenblatt and 8 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Ophthalmology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

15 citing papers in PubMed, 23 citations in OpenAlex.

  1. Review
  2. Systemic immunosuppressive therapy in idiopathic non-infectious uveitis and scleritis: disease remission, discontinuation, and relapse patterns.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
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  14. Decreased risk of non-infectious anterior uveitis with statin therapy in a large healthcare claims database.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2021
    Article
  15. Article
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

18 authors at 8 institutions in 2 countries.

Lucia SobrinDepartment of Ophthalmology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts; Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts. Electronic address: Lucia_Sobrin@meei.harvard.edu.
Maxwell PistilliDepartment of Ophthalmology, The Perelman School of Medicine, The University of Pennsylvania, Philadelphia, Pennsylvania.
Kurt DregerDepartment of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD; Department of Ophthalmology, The Johns Hopkins School of Medicine, Baltimore, Maryland.
Srishti KothariDepartment of Ophthalmology, Harvard Medical School, Boston, Massachusetts; Department of Ophthalmology, The Perelman School of Medicine, The University of Pennsylvania, Philadelphia, Pennsylvania; Department of Ophthalmology, Boston Children's Hospital, Boston, Massachusetts; Massachusetts Eye Research and Surgery Institution, Waltham, Massachusetts.
Naira KhachatryanDepartment of Ophthalmology, The Perelman School of Medicine, The University of Pennsylvania, Philadelphia, Pennsylvania; Massachusetts Eye Research and Surgery Institution, Waltham, Massachusetts.
Pichaporn ArtornsombudhDepartment of Ophthalmology, The Perelman School of Medicine, The University of Pennsylvania, Philadelphia, Pennsylvania; Massachusetts Eye Research and Surgery Institution, Waltham, Massachusetts; Department of Ophthalmology, Somdech Phra Pinkloa Hospital, Royal Thai Navy, Bangkok, Thailand; Department of Ophthalmology, Chulalongkorn University, Bangkok, Thailand.
Siddharth S PujariDepartment of Ophthalmology, The Perelman School of Medicine, The University of Pennsylvania, Philadelphia, Pennsylvania; Massachusetts Eye Research and Surgery Institution, Waltham, Massachusetts; Siddharth Netralaya, Belgaum, Karnataka, India.
C Stephen FosterDepartment of Ophthalmology, Harvard Medical School, Boston, Massachusetts; Massachusetts Eye Research and Surgery Institution, Waltham, Massachusetts.
Douglas A JabsDepartments of Ophthalmology and Medicine, The Icahn School of Medicine at Mount Sinai, New York, New York; Department of Epidemiology, The Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland.
Robert B NussenblattLaboratory of Immunology, National Eye Institute, National Institutes of Health, Bethesda, Maryland.
James T RosenbaumDepartment of Ophthalmology, Oregon Health and Science University, Portland, Oregon; Department of Medicine, Oregon Health and Science University, Portland, Oregon; Legacy Devers Eye Institute, Portland, Oregon.
Grace A Levy-ClarkeLaboratory of Immunology, National Eye Institute, National Institutes of Health, Bethesda, Maryland; The Tampa Bay Uveitis Center, St. Petersburg, Florida.
H Nida SenLaboratory of Immunology, National Eye Institute, National Institutes of Health, Bethesda, Maryland.
Eric B SuhlerDepartment of Ophthalmology, Oregon Health and Science University, Portland, Oregon; Department of Ophthalmology, Portland Veteran's Affairs Medical Center, Portland, Oregon.
Jennifer E ThorneDepartment of Ophthalmology, The Johns Hopkins School of Medicine, Baltimore, Maryland; Department of Epidemiology, The Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland.
Nirali P BhattDepartment of Ophthalmology, The Perelman School of Medicine, The University of Pennsylvania, Philadelphia, Pennsylvania.
John H KempenDepartment of Ophthalmology, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts; Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts; MCM Eye Unit, MyungSung Christian Medical Center and MyungSung Medical School, Addis Ababa, Ethiopia.
Systemic Immunosuppressive Therapy for Eye Diseases Cohort Study Research Group
Massachusetts Eye and Ear Infirmary · USJohns Hopkins University · USNational Institutes of Health · USPenn Presbyterian Medical Center · USUniversity of Pennsylvania · USChulalongkorn University · THLegacy Health · USOregon Health & Science University · US

Funding

Scientific TransparencyP30EY001583 · NEI · UNIVERSITY OF PENNSYLVANIA · PI Qi N Cui · 1985 to 2026
$19.5M
Incidence of remission and of cataract in ocular inflammatory diseasesR21EY026717 · NEI · MASSACHUSETTS EYE AND EAR INFIRMARY · PI KEMPEN, JOHN H · 2017 to 2018
$495k
NEI NIH HHS P30 EY001583NEI NIH HHS R21 EY026717
6 · The paper itself

Abstract

purposeTo estimate the incidence of medication-free remission of chronic anterior uveitis and identify predictors thereof.

designRetrospective cohort study.

participantsPatients diagnosed with anterior uveitis of longer than 3 months' duration followed up at United States tertiary uveitis care facilities.

methodsEstimation of remission incidence and identification of associated predictors used survival analysis.

main outcome measuresIncidence of medication-free remission. For the primary analysis, remission was defined as inactive uveitis while off treatment at all visits spanning an interval of at least 90 days or-for patients who did not return for follow-up after 90 days-remaining inactive without receiving suppressive medications at all of the last visits. Association of factors potentially predictive of medication-free remission was also studied.

resultsTwo thousand seven hundred ninety-five eyes of 1634 patients with chronic anterior uveitis were followed up over 7936 eye-years (4676 person-years). The cumulative medication-free, person-year remission incidence within 5 years was 32.7% (95% confidence interval [CI], 30.4%-35.2%). Baseline clinical factors predictive of reduced remission incidence included longer duration of uveitis at presentation (for 2 to 5 years vs. less than 6 months: adjusted hazard ratio [aHR], 0.61; 95% CI, 0.44-0.83), bilateral uveitis (aHR, 0.75; 95% CI, 0.59-0.96), prior cataract surgery (aHR, 0.70; 95% CI 0.56-0.88), and glaucoma surgery (aHR, 0.63; 95% CI, 0.45-0.90). Two time-updated characteristics were also predictive of reduced remission incidence: keratic precipitates (aHR, 0.36; 95% CI, 0.21-0.60) and synechiae (aHR, 0.62; 95% CI, 0.41-0.93). Systemic diagnosis with juvenile idiopathic arthritis and spondyloarthropathy were also associated with reduced remission incidence. Older age at presentation was associated with higher incidence of remission (for age ≥40 years vs. <40 years: aHR, 1.29; 95% CI, 1.02-1.63).

conclusionsApproximately one third of patients with chronic anterior uveitis remit within 5 years. Longer duration of uveitis, younger age, bilateral uveitis, prior cataract surgery, glaucoma surgery, presence of keratic precipitates and synechiae, and systemic diagnoses of juvenile idiopathic arthritis and spondyloarthropathy predict reduced remission incidence; patients with these factors should be managed taking into account the higher probability of a longer disease course.

Indexed as

Administration, OphthalmicAdministration, OralAdultChronic DiseaseFemaleFollow-Up StudiesGlucocorticoidsHumansImmunosuppressive AgentsIncidenceMaleMiddle AgedOphthalmic SolutionsRemission InductionRetrospective StudiesRisk FactorsGlucocorticoidsImmunosuppressive AgentsOphthalmic Solutions

Identifiers

PMID31932091
PMCPMC7246152
OpenAlexW2991435685

What OpenQuestion holds

Textmetadata
LicenceTDM
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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.