Evidence map›Paper›PMID 32610609›Full record

ArticleJournal of clinical medicine2020

Association of Systemic Comorbidities with Dry Eye Disease.

Motoko Kawashima, Masakazu Yamada, Chika Shigeyasu, Kazuhisa Suwaki, Miki Uchino, Yoshimune Hiratsuka, Norihiko Yokoi, Kazuo Tsubota, For The Decs-J For The Decs-J

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 10% 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, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Impact of gender-affirming hormone therapy on dry eye.Journal of clinical & translational endocrinology · 2026
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  9. Impact of signs and symptoms of dry eye disease on health-related quality of life: a cross-sectional population study among older adults.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 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

9 authors at 5 institutions in 1 country.

Motoko KawashimaDepartment of Ophthalmology, Keio University School of Medicine, Tokyo 1608582, Japan.ORCID 0000-0001-7650-7180
Masakazu YamadaDepartment of Ophthalmology, Kyorin University School of Medicine, Tokyo 1818611, Japan.
Chika ShigeyasuDepartment of Ophthalmology, Kyorin University School of Medicine, Tokyo 1818611, Japan.ORCID 0000-0003-3037-8744
Kazuhisa SuwakiDepartment of Japan Medical Affairs, Santen Pharmaceutical Co., Ltd., Osaka 5308552, Japan.
Miki UchinoDepartment of Ophthalmology, Keio University School of Medicine, Tokyo 1608582, Japan.
Yoshimune HiratsukaDepartment of Ophthalmology, Juntendo University Graduate School of Medicine, Tokyo 1138431, Japan.ORCID 0000-0001-8934-9396
Norihiko YokoiDepartment of Ophthalmology, Kyoto Prefectural University of Medicine, Kyoto 6020841, Japan.
Kazuo TsubotaDepartment of Ophthalmology, Keio University School of Medicine, Tokyo 1608582, Japan.ORCID 0000-0002-8874-7111
For The Decs-J For The Decs-JDepartment of Ophthalmology, Keio University School of Medicine, Tokyo 1608582, Japan.
Keio University · JPKyorin University · JPJuntendo University · JPKyoto Prefectural University of Medicine · JPSanten (Japan) · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We investigated the association between dry eye disease and systemic comorbidities, including dry eye subtype, quality of life (QOL) and health utility among patients with dry eye disease. This cross-sectional, observational study enrolled 449 patients with dry eye disease (386 females; mean age, 62.6 ± 15.7 [range, 21-90] years). Ophthalmic examination findings included tear film break-up time (TBUT), Schirmer I value and keratoconjunctival staining score. QOL and health utility were evaluated using the Dry Eye-Related Quality-of-Life Score (DEQS) and Human Utility Index Mark 3 (HUI-3), respectively. Background information, including systemic comorbidities, was obtained. Prevalence of systemic comorbidities was 48.8% (219/449). No significant difference occurred between DEQS and systemic comorbidity. However, patients with dry eye disease and systemic comorbidities (depression and insomnia) exhibited significantly worse ocular surface parameters, particularly regarding TBUT, than those without. Dry eye disease with insomnia or depression comorbidity significantly correlated with friction-related diseases (including conjunctivochalasis or lid wiper epitheliopathy). A high prevalence of several systemic comorbidities occurred in patients with dry eye disease. This study shows an association between ocular signs and systemic comorbidities, particularly depression and insomnia. Ophthalmologists should be aware of patients' systemic comorbidities in the diagnosis and management of dry eye disease.

Indexed as

cross-sectional studydry eye diseasesystemic comorbidity

Identifiers

PMID32610609
PMCPMC7408955
OpenAlexW3037272530

What OpenQuestion holds

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LicenceCC BY
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.