Evidence map›Paper›PMID 32362554›Full record

SynthesisOphthalmology. Retina2020

Long-term Natural History of Atrophy in Eyes with Choroideremia-A Systematic Review and Meta-analysis of Individual-Level Data.

Liangbo L Shen, Aneesha Ahluwalia, Mengyuan Sun, Benjamin K Young, Holly K Grossetta Nardini, Lucian V Del Priore

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Ophthalmology. Retina, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 12% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Gene therapy for choroideremia: progress, potential and pitfalls.Expert opinion on biological therapy · 2025
    Review
  10. Long-term natural history of ellipsoid zone width inThe British journal of ophthalmology · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Choroideremia: The Endpoint Endgame.International journal of molecular sciences · 2023
    Review
  16. Article
  17. Article
  18. An In Silica Model for RPE Loss Patterns in Choroideremia.Investigative ophthalmology & visual science · 2021
    Article
  19. 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

6 authors at 1 institution in 1 country.

Liangbo L ShenDepartment of Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, Connecticut.
Aneesha AhluwaliaDepartment of Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, Connecticut.
Mengyuan SunDepartment of Molecular Biophysics and Biochemistry, Yale University, New Haven, Connecticut.
Benjamin K YoungDepartment of Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, Connecticut.
Holly K Grossetta NardiniHarvey Cushing/John Hay Whitney Medical Library, Yale University, New Haven, Connecticut.
Lucian V Del PrioreDepartment of Ophthalmology and Visual Science, Yale University School of Medicine, New Haven, Connecticut. Electronic address: lucian.delpriore@yale.edu.
Yale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale Study Support Suite (YES3): Dashboard and Web Portal Software Supporting Research Workflow through integrated, customizable REDCap External ModulesP30AG021342 · NIA · YALE UNIVERSITY · PI Denise Esserman · 2002 to 2026
$37.9M
Yale Core Grant for Vision ResearchP30EY026878 · NEI · YALE UNIVERSITY · PI In-Jung Kim · 2016 to 2026
$7.1M
NIA Short Term Research Training: Students in Health Professional SchoolsT35AG049685 · NIA · YALE UNIVERSITY · PI Sarwat I Chaudhry, Terri R. Fried · 2016 to 2026
$804k
NCATS NIH HHS UL1 TR001863NEI NIH HHS P30 EY026878NIA NIH HHS P30 AG021342NIA NIH HHS T35 AG049685
6 · The paper itself

Abstract

purposeTo conduct a systematic review and meta-analysis of the natural history of atrophy secondary to choroideremia (CHM). CLINICAL RELEVANCE: A sensitive and reliable anatomic measure to monitor disease progression is needed in treatment trials for CHM. However, the long-term natural history of the residual retinal pigment epithelium (RPE) is unclear, with reported RPE area decline rates varying widely among patients.

methodsWe searched in 7 literature databases up through July 17, 2019, to identify studies that assessed the residual RPE area in untreated eyes with CHM using fundus autofluorescence (FAF). We sought individual-eye data and investigated the RPE decline pattern using 3 models: the area linear model (ALM), radius linear model (RLM), and area exponential model (AEM), in which the area, radius, and log-transformed area of RPE change linearly with time, respectively. To account for different eyes' entry times into the studies, we added a horizontal translation factor to each dataset. The RPE decline rate was estimated using a 2-stage random-effects meta-analysis. We assessed the risk of bias using the Quality In Prognosis Studies tool.

resultsOf 807 articles screened, we included 9 articles containing cross-sectional data (257 eyes) from 6 studies and longitudinal data (229 visits from 68 eyes) from 5 studies. The residual RPE area followed a trend of exponential decay as a function of patient age. After the introduction of horizontal translation factors to longitudinal datasets of individual eyes, the datasets fit along a straight line in the AEM over nearly 60 years (r

conclusionsThe loss of residual RPE area in untreated eyes with CHM follows the AEM over approximately 60 years. Log-transformed residual RPE area measured by FAF can serve as an anatomic endpoint to monitor CHM.

Indexed as

Visual AcuityAtrophyChoroideremiaDisease ProgressionFluorescein AngiographyFollow-Up StudiesFundus OculiHumansRetinal Pigment EpitheliumTime FactorsTomography, Optical Coherence

Identifiers

PMID32362554
PMCPMC7415675
OpenAlexW3011844773

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.