Evidence map›Paper›PMID 32273676›Full record

ArticleClinical ophthalmology (Auckland, N.Z.)2020

Factors Affecting Compliance to Anti-Vascular Endothelial Growth Factor Treatment of Diabetic Macular Edema in a Cohort of Jordanian Patients.

Nakhleh E Abu-Yaghi, Alaa M Abed, Dana F Khlaifat, Mohammed B Nawaiseh, Laith O Emoush, Heba Z AlHajjaj, Ala M Abojaradeh, Mariana N Hattar, Sura K Abusaleem, Hashem M Sabbagh and 2 more

Open access · goldAbstract read
In one paragraph

Article in Clinical ophthalmology (Auckland, N.Z.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 17% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
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  4. Observational
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  6. Nonadherence to anti-VEGF intravitreal injections in patients with diabetic macular edema : The names of the authors.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
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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

12 authors at 1 institution in 1 country.

Nakhleh E Abu-YaghiDepartment of Special Surgery, Ophthalmology Division, The University of Jordan, Amman, Jordan.
Alaa M AbedDepartment of Special Surgery, Ophthalmology Division, The University of Jordan, Amman, Jordan.ORCID 0000-0002-7602-2690
Dana F KhlaifatSchool of Medicine, The University of Jordan, Amman, Jordan.
Mohammed B NawaisehSchool of Medicine, The University of Jordan, Amman, Jordan.ORCID 0000-0002-6252-5713
Laith O EmoushSchool of Medicine, The University of Jordan, Amman, Jordan.
Heba Z AlHajjajSchool of Medicine, The University of Jordan, Amman, Jordan.
Ala M AbojaradehSchool of Medicine, The University of Jordan, Amman, Jordan.
Mariana N HattarSchool of Medicine, The University of Jordan, Amman, Jordan.
Sura K AbusaleemSchool of Medicine, The University of Jordan, Amman, Jordan.
Hashem M SabbaghDepartment of Special Surgery, Ophthalmology Division, The University of Jordan, Amman, Jordan.
Yazan A Abu GharbiehDepartment of Special Surgery, Ophthalmology Division, The University of Jordan, Amman, Jordan.ORCID 0000-0002-9549-9910
Sura A QuaqazehSchool of Medicine, The University of Jordan, Amman, Jordan.
University of Jordan · JO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo determine compliance rates and characteristics and to investigate factors affecting patients' adherence to treatment with anti-vascular endothelial growth factors (anti-VEGFs) for diabetic macular edema (DME) in a cohort of Jordanian patients.

methodsA retrospective case series wherein the files of DME patients treated with anti-VEGFs were reviewed and analyzed for factors affecting treatment compliance was undertaken. Demographic, clinical and ocular characteristics were recorded. All patients were also interviewed by phone using a structured questionnaire. Univariate and multivariate analyses were performed to determine factors associated with compliance.

resultsA total of 117 patients (65 males 52 females) were included in this study with a mean age of 62.93 years (±9.75). Approximately, 85% of patients were compliant to their treatment and follow-up plan during the first year of management. Subjective perception of visual improvement after receiving three loading doses was the only independent variable with a unique statistically significant contribution to compliance. All other studied factors in this group of patients were not significantly associated with patient compliance.

conclusionVEGF suppression via the intravitreal route to treat DME is a long-term process that requires caregiver dedication but also proper patient compliance. Addressing real-life barriers in those patients may help guide future strategies to improve the treatment experience, lower the financial burden and contribute to better outcomes. Patients' perceptions of possible treatment outcomes at the short term may influence their long-term commitment to therapy.

Indexed as

anti-vascular endothelial growth factorcompliancediabetic macular edemaretinopathy

Identifiers

PMID32273676
PMCPMC7102883
OpenAlexW3012913714

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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.