Evidence map›Paper›PMID 31998798›Full record

ArticleBioMed research international2020

How Have Intravitreal Anti-VEGF and Dexamethasone Implant Been Used in Italy? A Multiregional, Population-Based Study in the Years 2010-2016.

Giulia Scondotto, Janet Sultana, Valentina Ientile, Ylenia Ingrasciotta, Andrea Fontana, Massimiliano Copetti, Eliana Mirabelli, Costantino J Trombetta, Carlo Rapisarda, Michele Reibaldi and 15 more

Abstract read
In one paragraph

Article in BioMed research international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Observational
  4. Observational
  5. Observational
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

25 authors.

Giulia ScondottoUnit of Clinical Pharmacology, A.O.U. "G. Martino", Messina, Italy.
Janet SultanaDepartment of Biomedical and Dental Sciences and Morpho-functional Imaging, University of Messina, Messina, Italy.
Valentina IentileUnit of Clinical Pharmacology, A.O.U. "G. Martino", Messina, Italy.
Ylenia IngrasciottaDepartment of Biomedical and Dental Sciences and Morpho-functional Imaging, University of Messina, Messina, Italy.
Andrea FontanaUnit of Biostatistics, Fondazione IRCCS "Casa Sollievo Della Sofferenza", San Giovanni Rotondo FG, Italy.
Massimiliano CopettiUnit of Biostatistics, Fondazione IRCCS "Casa Sollievo Della Sofferenza", San Giovanni Rotondo FG, Italy.
Eliana MirabelliDepartment of Biomedical and Dental Sciences and Morpho-functional Imaging, University of Messina, Messina, Italy.
Costantino J TrombettaDepartment of Biomedical and Dental Sciences and Morpho-functional Imaging, University of Messina, Messina, Italy.
Carlo RapisardaDepartment of Ophthalmology, A. O. U. Policlinic-Vittorio Emanuele, Catania, Italy.
Michele ReibaldiDepartment of Ophthalmology, A. O. U. Policlinic-Vittorio Emanuele, Catania, Italy.ORCID https://orcid.org/0000-0003-1368-6729
Teresio AvitabileDepartment of Ophthalmology, A. O. U. Policlinic-Vittorio Emanuele, Catania, Italy.
Antonio LongoDepartment of Ophthalmology, A. O. U. Policlinic-Vittorio Emanuele, Catania, Italy.ORCID https://orcid.org/0000-0002-9525-1800
Patricia Ibanez ToroAssistance and Pharmaceutical Services Office, Personal Policies Department, Basilicata Region, Potenza, Italy.
Maria VadalàInstitute of European and Mediterranean Science and Technology (IEMEST), Palermo, Italy.
Salvatore CillinoDepartment of Biomedicine, Neuroscience and Advanced Diagnostic, Ophthalmology Section, University of Palermo, Palermo, Italy.ORCID https://orcid.org/0000-0002-5721-6772
Gianni VirgiliDepartment of Translational Surgery and Medicine, Eye Clinic, University of Florence, Florence, Italy.
Rosa GiniAgenzia Regionale di Sanità Della Toscana, Florence, Italy.
Olivia LeoniRegional Pharmacovigilance Center of Lombardy, Milan, Italy.
Sebastiano Walter Pollina AddarioDepartment of Epidemiologic Observatory, Health Department of Sicily, Palermo, Italy.
Pasquale CananziSicilian Regional Centre of Pharmacovigilance, Servizio 7-Farmaceutica, Health Department of Sicily, Palermo, Italy.
Claudia La CaveraSicilian Regional Centre of Pharmacovigilance, Servizio 7-Farmaceutica, Health Department of Sicily, Palermo, Italy.
Maria Rosalia PuzoAssistance and Pharmaceutical Services Office, Personal Policies Department, Basilicata Region, Potenza, Italy.
Giovambattista De SarroDepartment of Health Sciences, "Magna Graecia" University of Catanzaro, Catanzaro, Italy.
Adele De FrancescoA.O.U. "Mater Domini", Catanzaro, Italy.
Gianluca TrifiròUnit of Clinical Pharmacology, A.O.U. "G. Martino", Messina, Italy.ORCID https://orcid.org/0000-0003-1147-7296

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo describe intravitreal anti-VEGF drug and dexamethasone use in four Italian regions.

methodsFour regional claims databases were used to measure drug prevalence, compare dosing intervals to those recommended in the summary of product characteristics (SPC), and identify switchers. Bilateral treatment and diabetic macular edema (DME) coding algorithms were validated, linking claims with a sample of prospectively collected ophthalmological data.

resultsOverall, 41,836 patients received ≥1 study drug in 2010-2016 (4.8 per 10,000 persons). In 2016, anti-VEGF drug use ranged from 0.8 (Basilicata) to 5.7 (Lombardy) per 10,000 persons while intravitreal dexamethasone use ranged from 0.2 (Basilicata) to 1.4 (Lombardy) per 10,000 persons. Overall, 40,815 persons were incident users of study drugs. Among incident users with ≥1 year of follow-up (

conclusionStudy drug use increased over time in Lombardy, Basilicata, Calabria, and Sicily, despite a large heterogeneity in prevalence of use across regions. Drug treatment appeared to be partly in line with SPC, suggesting that improvement in clinical practice may be needed to maximize drug benefits.

Indexed as

AgedAged, 80 and overAngiogenesis InhibitorsDexamethasoneDiabetic RetinopathyDrug ImplantsFemaleHumansInsurance Claim ReviewItalyMacular EdemaMaleMiddle AgedVascular Endothelial Growth Factor AAngiogenesis InhibitorsDexamethasoneDrug ImplantsVascular Endothelial Growth Factor AVEGFA protein, human

Identifiers

PMID31998798
PMCPMC6977336

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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.