Evidence map›Paper›PMID 33024222›Full record

ArticleScientific reports2020

Predictive factors of selective mineralocorticoid receptor antagonist treatment in chronic central serous chorioretinopathy.

Róbert Gergely, Illés Kovács, Zsuzsanna Récsán, Gábor László Sándor, Cecília Czakó, Zoltán Zsolt Nagy, Mónika Ecsedy

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 41% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Trial
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

7 authors at 1 institution in 1 country.

Róbert GergelyDepartment of Ophthalmology, Semmelweis University, 26 Üllői Street, 1085, Budapest, Hungary. gergelyrobert.dr@gmail.com.
Illés KovácsDepartment of Ophthalmology, Semmelweis University, 26 Üllői Street, 1085, Budapest, Hungary.
Zsuzsanna RécsánDepartment of Ophthalmology, Semmelweis University, 26 Üllői Street, 1085, Budapest, Hungary.
Gábor László SándorDepartment of Ophthalmology, Semmelweis University, 26 Üllői Street, 1085, Budapest, Hungary.
Cecília CzakóDepartment of Ophthalmology, Semmelweis University, 26 Üllői Street, 1085, Budapest, Hungary.
Zoltán Zsolt NagyDepartment of Ophthalmology, Semmelweis University, 26 Üllői Street, 1085, Budapest, Hungary.
Mónika EcsedyDepartment of Ophthalmology, Semmelweis University, 26 Üllői Street, 1085, Budapest, Hungary.
Semmelweis University · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To compare the macular morphology of good and poor responders to eplerenone treatment in chronic central serous chorioretinopathy (CSCR) patients. Thirty eyes of 29 patients with chronic CSCR were treated with 50 mg/day oral eplerenone and followed up for 1 year. The integrity of outer retinal layers at baseline was assessed using optical coherence tomography. Patients who showed complete resolution of subretinal fluid at 1 year were assigned to the good responder group (Group 1), whilst those who showed moderate or no resolution were classified as poor responders (Group 2). Ellipsoid zone interruption, ELM interruption and hyperreflective foci in outer segment (OS) and outer nuclear layer (ON layer) was significantly more frequent in Group 2 than in Group 1 (p < 0.05 for all parameteres). Outer segment elongation was significantly more frequently seen in Group 1 than in Group 2 (p < 0.05) Multivariable regression analysis showed that intact ellipsoid zone at baseline is an independent predictor of good therapeutic response, with an odds ratio of 26.00 (95% CI 3.69-183.45; p = 0.001) after controlling for the effect of hyperreflective foci and ELM integrity. There is higher chance of the resolution of subretinal fluid after eplerenone treatment in CSCR patients with intact outer retinal layers at baseline. Baseline morphologic evaluation of the outer retinal layers on OCT scans can be useful in predicting the response to mineralocorticoid antagonist therapy in these patients.

Indexed as

AdultAgedCentral Serous ChorioretinopathyChronic DiseaseEplerenoneFemaleFollow-Up StudiesForecastingHumansMaleMiddle AgedMineralocorticoid Receptor AntagonistsTomography, Optical CoherenceTreatment OutcomeEplerenoneMineralocorticoid Receptor Antagonists

Identifiers

PMID33024222
PMCPMC7538998
OpenAlexW3092270931

What OpenQuestion holds

Textmetadata
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.