Evidence map›Paper›PMID 33008558›Full record

ArticleOphthalmology. Glaucoma

Smoking Is Associated with Higher Intraocular Pressure Regardless of Glaucoma: A Retrospective Study of 12.5 Million Patients Using the Intelligent Research in Sight (IRIS®) Registry.

Cecilia S Lee, Julia P Owen, Ryan T Yanagihara, Alice Lorch, Suzann Pershing, Leslie Hyman, Joan W Miller, Julia A Haller, Michael F Chiang, Flora Lum and 1 more

Abstract readComparative StudyMulticenter Study
In one paragraph

Article in Ophthalmology. Glaucoma. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
–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

31 citing papers in PubMed.

  1. Article
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  7. Modeling complex age-related eye disease.Progress in retinal and eye research · 2024
    Review
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  11. Review
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  15. Article
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  18. Genetic Associations Between Smoking- and Glaucoma-Related Traits.Translational vision science & technology · 2023
    Article
  19. Article
  20. 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

11 authors.

Cecilia S LeeDepartment of Ophthalmology, University of Washington, Seattle, Washington.
Julia P OwenDepartment of Ophthalmology, University of Washington, Seattle, Washington.
Ryan T YanagiharaDepartment of Ophthalmology, University of Washington, Seattle, Washington.
Alice LorchDepartment of Ophthalmology, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts.
Suzann PershingByers Eye Institute, Stanford University, and VA Palo Alto Health Care System, Palo Alto, California.
Leslie HymanDepartment of Ophthalmology, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania.
Joan W MillerDepartment of Ophthalmology, Massachusetts Eye and Ear, Harvard Medical School, Boston, Massachusetts.
Julia A HallerDepartment of Ophthalmology, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania.
Michael F ChiangCasey Eye Institute, Oregon Health and Science University, Portland, Oregon.
Flora LumAmerican Academy of Ophthalmology, San Francisco, California.
Aaron Y LeeDepartment of Ophthalmology, University of Washington, Seattle, Washington; eScience Institute, University of Washington, Seattle, Washington. Electronic address: leeay@uw.edu.

Funding

Aging eyes and aging brains in studying alzheimer's disease: Modern ophthalmic data collection in the adult changes in thought (ACT) studyR01AG060942 · NIA · WASHINGTON UNIVERSITY · PI Cecilia Sungmin Lee · 2019 to 2026
$39.4M
Proteomics CoreP30EY010572 · NEI · OREGON HEALTH & SCIENCE UNIVERSITY · PI John Peter Campbell · 1995 to 2026
$19.4M
Epidemiology and clinical outcomes of diabetic macular edemaK23EY029246 · NEI · UNIVERSITY OF WASHINGTON · PI LEE, AARON · 2018 to 2022
$1.1M
The ocular surface microbiome in potentially infectious ophthalmic diseaseK23EY024921 · NEI · UNIVERSITY OF WASHINGTON · PI LEE, CECILIA SUNGMIN · 2015 to 2019
$991k
NEI NIH HHS K23 EY024921NEI NIH HHS K23 EY029246NEI NIH HHS P30 EY010572NIA NIH HHS R01 AG060942
6 · The paper itself

Abstract

purposeTo compare the average intraocular pressure (IOP) among smokers, past smokers, and never smokers using the American Academy of Ophthalmology Intelligent Research in Sight (IRIS®) Registry.

designRetrospective database study of the IRIS® Registry data.

participantsIntelligent Research in Sight Registry patients who were seen by an eye care provider during 2017.

methodsPatients were divided into current smoker, past smoker, and never smoker categories. The IOP was based on an average measurement, and separate analyses were performed in patients with and without a glaucoma diagnosis based on International Classification of Diseases (Ninth Edition and Tenth Edition) codes. Stratified, descriptive statistics by glaucoma status were determined, and the relationship between smoking and IOP was assessed with a multivariate linear regression model.

main outcome measuresMean IOP.

resultsA total of 12 535 013 patients were included. Compared with never smokers, current and past smokers showed a statistically significantly higher IOP by 0.92 mmHg (95% confidence interval [CI], 0.88-0.95 mmHg) and 0.77 mmHg (95% CI, 0.75-0.79 mmHg), respectively, after adjusting for age, gender, glaucoma, age-related macular degeneration, diabetic retinopathy, cataract, glaucoma surgery, cataract surgery, and first-order interactions. In addition, the difference in IOP between current and never smokers was the highest in the fourth decade, regardless of the glaucoma status (glaucoma group, 1.14 mmHg [95% CI, 1.00-1.29 mmHg]; without glaucoma group, 0.68 mmHg [95% CI, 0.65-0.71 mmHg]).

conclusionsCurrent smokers and past smokers have higher IOP than patients who never smoked. This difference is higher in patients with an underlying glaucoma diagnosis.

Indexed as

RegistriesAdultAgedAged, 80 and overBiomedical ResearchData ManagementFemaleGlaucomaHumansIncidenceIntraocular PressureMaleMiddle AgedRetrospective StudiesRisk AssessmentSmoking

Identifiers

PMID33008558
PMCPMC7532983

What OpenQuestion holds

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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.