Evidence map›Paper›PMID 33141357›Full record

ArticleJournal of ophthalmic inflammation and infection2020

Increased incidence of glaucoma medication usage in middle-aged Australian males taking antiretroviral medication - a population-based study.

Wen-Shen Lee, Shaun Parsons, Dean Cugley, Sophie Rogers, Lyndell L Lim, Anthony Hall

Open access · goldAbstract read
In one paragraph

Article in Journal of ophthalmic inflammation and infection, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 35% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. 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

6 authors at 4 institutions in 1 country.

Wen-Shen LeeOphthalmology, The Alfred Hospital, Alfred Health, Melbourne, Australia.
Shaun ParsonsOphthalmology, The Alfred Hospital, Alfred Health, Melbourne, Australia.
Dean CugleyOphthalmology, Royal Victorian Eye and Ear Hospital, Melbourne, Australia.
Sophie RogersCentre for Eye Research Australia, Royal Victorian Eye and Ear Hospital, Melbourne, Australia.
Lyndell L LimCentre for Eye Research Australia, Royal Victorian Eye and Ear Hospital, Melbourne, Australia.
Anthony HallOphthalmology, The Alfred Hospital, Alfred Health, Melbourne, Australia. anthonyhall@bigpond.com.au.ORCID http://orcid.org/0000-0003-1760-3759
The Alfred Hospital · AUCentre for Eye Research Australia · AUThe Royal Victorian Eye & Ear Hospital · AUThe University of Melbourne · AU

Funding

Alfred Hospital Ophthalmology Department Special Purposes Fund Y 3158
6 · The paper itself

Abstract

backgroundTo investigate a possible association between glaucoma and the use of anti-retroviral therapy (ART) for HIV in the Australian population.

methodsA retrospective review of Australian Pharmaceutical Benefits Scheme data was undertaken from July 2012 to December 2016, inclusive. Three patient groups were compared: those on both topical intraocular pressure (IOP) -lowering medication and ART, those on ART only, and those on IOP-lowering medication only, using the 2016 Australian resident population to estimate prevalence. Odds ratios (95% confidence intervals, [CI]) with Fishers exact test for p values were calculated stratified by age and gender.

resultsThe number of prescriptions for topical glaucoma medications in the general Australian population increased progressively by age with a peak prevalence in those aged 80 years and above. Prevalence of ART was highest in males aged 40-49 and 50-59 years (0.41% [CI 0.40, 0.42] and 0.44% [CI 0.43, 0.45], respectively). Our analysis identified an increase in the prescription of IOP-lowering medication in males on ART aged 30-39 (OR 2.23 [CI 1.32, 3.75], p = 0.007) and 40-49 (OR 1.86 [CI 1.42, 2.43], p < 0.001), compared to those not on ART. There were no statistically significant increased odds for females or males aged 50 years or more.

conclusionCompared with the known increase in glaucoma prevalence with age in the general Australian population, a statistically significant increased prevalence in use of IOP-lowering medications was found in males on ART aged 30-49 years. The mechanism for this is yet to be determined, but possible causes include sequelae of HIV infection, a drug-induced side effect, or increased medical surveillance.

Indexed as

Acquired immune deficiency syndromeAntiretroviralGlaucomaGlaucomatous optic neuropathyHuman immunodeficiency virusIntraocular pressureOcular hypertension

Identifiers

PMID33141357
PMCPMC7609505
OpenAlexW3097925244

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.