Evidence map›Paper›PMID 32463436›Full record

ArticleJAMA ophthalmology2020

Longitudinal Microperimetric Changes of Macular Sensitivity in Stargardt Disease After 12 Months: ProgStar Report No. 13.

Etienne M Schönbach, Rupert W Strauss, Beatriz Muñoz, Yulia Wolfson, Mohamed A Ibrahim, David G Birch, Eberhart Zrenner, Janet S Sunness, Michael S Ip, SriniVas R Sadda and 3 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in JAMA ophthalmology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
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

20 citing papers in PubMed, 30 citations in OpenAlex.

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  12. [Gene therapy in ophthalmology].Die Ophthalmologie · 2023
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  18. Clinical Perspectives and Trends: Microperimetry as a Trial Endpoint in Retinal Disease.Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde · 2021
    Review
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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

13 authors at 8 institutions in 5 countries.

Etienne M SchönbachWilmer Eye Institute, Johns Hopkins University, Baltimore, Maryland.
Rupert W StraussWilmer Eye Institute, Johns Hopkins University, Baltimore, Maryland.
Beatriz MuñozWilmer Eye Institute, Johns Hopkins University, Baltimore, Maryland.
Yulia WolfsonWilmer Eye Institute, Johns Hopkins University, Baltimore, Maryland.
Mohamed A IbrahimWilmer Eye Institute, Johns Hopkins University, Baltimore, Maryland.
David G BirchRetina Foundation of the Southwest, Dallas, Texas.
Eberhart ZrennerCenter for Ophthalmology, Eberhard Karls Universität, Tübingen, Germany.
Janet S SunnessHoover Low Vision Rehabilitation Services, Greater Baltimore Medical Center, Baltimore, Maryland.
Michael S IpDoheny Eye Institute, Los Angeles, California.
SriniVas R SaddaDoheny Eye Institute, Los Angeles, California.
Sheila K WestWilmer Eye Institute, Johns Hopkins University, Baltimore, Maryland.
Hendrik P N SchollWilmer Eye Institute, Johns Hopkins University, Baltimore, Maryland.
ProgStar Study Group
Johns Hopkins University · USDoheny Eye Institute · USCase Western Reserve University · USGreater Baltimore Medical Center · USMoorfields Eye Hospital · GBRetina Foundation of the Southwest · USSmith-Kettlewell Eye Research Institute · USUniversity of Tübingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Importance: Functional end points for clinical trials investigating the efficacy of emerging treatments for Stargardt disease type 1 (STGD1) are needed. Objective: To assess the yearly rate of change of macular function in patients with STGD1 using microperimetry. Design, Setting, and Participants: This multicenter prospective cohort study was conducted in an international selection of tertiary referral centers from October 21, 2013, to February 15, 2017. The study included participants with ABCA4-related STGD1 who were enrolled in the Natural History of the Progression of Atrophy Secondary to Stargardt Disease (ProgStar) study at baseline. Data were analyzed from February 16, 2017, to December 1, 2019. Exposure: ABCA4-related STGD1 with a minimum lesion size on fundus autofluorescence and a minimum visual acuity. Main Outcomes and Measures: Changes in overall macular sensitivity (MS), deep scotoma count, number of points that tested normal, and location-specific sensitivity changes. Results: Among the 359 eyes from 200 patients (87 [43.5%] men; mean [SD] age, 33.3 [15.2] years) who underwent microperimetry examination graded at baseline and month 12, the mean (SD) yearly change in MS was -0.68 (2.04) dB (95% CI, -0.89 to -0.47 dB; P < .001), and deep scotoma points increased by a mean (SD) of 1.56 (5.74) points per year. The points with sensitivity of 12 dB or higher decreased in sensitivity by a mean (SD) of -3.01 (9.84) dB (95% CI, -4.03 to -1.99 dB; P < .001). The mean (SD) yearly change in MS was not significantly different between the eyes with a grading of good or fair pattern placement at both visits (-0.67 [2.1] dB) and the eyes with a poor pattern placement during at least 1 visit (-0.64 [2.2] dB) (P = .91). Conclusions and Relevance: This study showed that MS and the number of deep scotoma points had measurably changed after follow-up of approximately 1 year. Microperimetry may serve as a useful functional outcome parameter for clinical trials aimed at slowing the progression of STGD1.

Indexed as

Visual AcuityAdultDisease ProgressionFemaleFluorescein AngiographyFollow-Up StudiesFundus OculiHumansMacula LuteaMaleProspective StudiesRetinal Pigment EpitheliumStargardt DiseaseTime FactorsTomography, Optical CoherenceVisual Fields

Identifiers

PMID32463436
PMCPMC7256863
OpenAlexW3029997309

What OpenQuestion holds

Textmetadata
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.