Evidence map›Paper›PMID 32832210›Full record

ArticleTranslational vision science & technology2020

Computerized Adaptive Tests: Efficient and Precise Assessment of the Patient-Centered Impact of Diabetic Retinopathy.

Eva K Fenwick, John Barnard, Alfred Gan, Bao Sheng Loe, Jyoti Khadka, Konrad Pesudovs, Ryan Man, Shu Yen Lee, Gavin Tan, Tien Y Wong and 1 more

Abstract read
In one paragraph

Article in Translational vision science & technology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Quality of life item banks for type 2 diabetes: psychometric evaluation and computerized adaptive testing simulations.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Measurement of visual functioning following first and second eye cataract surgery using Vision-Related Activity Limitation Item Bank.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Frontiers in diabetic retinal disease.Journal of diabetes and its complications · 2023
    Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Identifying the content for an item bank and computerized adaptive testing system to measure the impact of age-related macular degeneration on health-related quality of life.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
    Article
  18. Optimizing measurement of vision-related quality of life: a computerized adaptive test for the impact of vision impairment questionnaire (IVI-CAT).Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2020
    Article
  19. Review
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

11 authors.

Eva K FenwickSingapore Eye Research Institute, Singapore National Eye Centre, Singapore.
John BarnardExcel Psychological & Educational Consultancy, Melbourne, Australia.
Alfred GanSingapore Eye Research Institute, Singapore National Eye Centre, Singapore.
Bao Sheng LoeThe Psychometrics Centre, University of Cambridge, Cambridge, UK.
Jyoti KhadkaInstitute for Choice, University of South Australia, Adelaide, Australia.
Konrad PesudovsUniversity of New South Wales, Sydney, Australia.
Ryan ManSingapore Eye Research Institute, Singapore National Eye Centre, Singapore.
Shu Yen LeeSingapore Eye Research Institute, Singapore National Eye Centre, Singapore.
Gavin TanSingapore Eye Research Institute, Singapore National Eye Centre, Singapore.
Tien Y WongSingapore Eye Research Institute, Singapore National Eye Centre, Singapore.
Ecosse L LamoureuxSingapore Eye Research Institute, Singapore National Eye Centre, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Evaluate efficiency, precision, and validity of RetCAT, which comprises ten diabetic retinopathy (DR) quality of life (QoL) computerized adaptive tests (CATs). Methods: In this cross-sectional clinical study, 183 English and/or Mandarin-speaking participants with DR (mean age ± standard deviation [SD] 56.4 ± 11.9 years; 38% proliferative DR [worse eye]) were recruited from retinal clinics in Singapore. Participants answered the RetCAT tests (Symptoms, Activity Limitation, Mobility, Emotional, Health Concerns, Social, Convenience, Economic, Driving, and Lighting), which were capped at seven items each, and other questionnaires, and underwent eye tests. Our primary evaluation focused on RetCAT efficiency (i.e. standard error of measurement [SEM] ± SD achieved and time needed to complete each CAT). Secondary evaluations included an assessment of RetCAT's test precision and validity. Results: Mean SEM across all RetCAT tests was 0.351, ranging from 0.272 ± 0.130 for Economic to 0.484 ± 0.130 for Emotional. Four tests (Mobility, Social, Convenience, and Driving) had a high level of measurement error. The median time to take each RetCAT test was 1.79 minutes, ranging from 1.12 (IQR [interquartile range] 1.63) for Driving to 3.28 (IQR 2.52) for Activity Limitation. Test precision was highest for participants at the most impaired end of the spectrum. Most RetCAT tests displayed expected correlations with other scales (convergent/divergent validity) and were sensitive to DR and/or vision impairment severity levels (criterion validity). Conclusions: RetCAT can provide efficient, precise, and valid measurement of DR-related QoL impact. Future application of RetCAT will employ a stopping rule based on SE rather than number of items to ensure that all tests can detect meaningful differences in person abilities. Responsiveness of RetCAT to treatment interventions must also be determined. Translational Relevance: RetCAT may be useful for measuring the patient-centered impact of DR severity and disease progression and evaluating the effectiveness of new therapies.

Indexed as

Diabetes MellitusDiabetic RetinopathyCross-Sectional StudiesHumansPatient-Centered CareQuality of LifeSingaporecomputerized adaptive testingdiabetic retinopathyitem banksquality of lifevision impairment

Identifiers

PMID32832210
PMCPMC7414626

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.