Evidence map›Paper›PMID 33626362›Full record

ArticleAmerican journal of ophthalmology2021

Comparison of Patient-Reported Functional Recovery From Different Types of Ophthalmic Surgery.

Amanda K Bicket, Aleksandra Mihailovic, Chengjie Zheng, Michael Saheb Kashaf, Niranjani Nagarajan, Andy S Huang, Sagar Chapagain, Joseph Da, Pradeep Y Ramulu

Open access · greenAbstract readComparative Study
In one paragraph

Article in American journal of ophthalmology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 38% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

9 authors at 1 institution in 1 country.

Amanda K BicketFrom the Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.. Electronic address: abicket@med.umich.edu.
Aleksandra MihailovicFrom the Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Chengjie ZhengFrom the Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Michael Saheb KashafFrom the Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Niranjani NagarajanFrom the Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Andy S HuangFrom the Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Sagar ChapagainFrom the Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Joseph DaFrom the Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Pradeep Y RamuluFrom the Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Johns Hopkins University · US

Funding

Wilmer Inst. Mentored Clinical Research Scholar ProgramK12EY015025 · NEI · JOHNS HOPKINS UNIVERSITY · PI James T Handa, Harry Alan Quigley · 2003 to 2026
$8.6M
NEI NIH HHS K12 EY015025
6 · The paper itself

Abstract

purposeTo characterize and compare patient-reported recovery of function after cataract or glaucoma surgery using a novel visual analog scale.

designProspective observational cohort study.

methodsDaily for 2 weeks and weekly thereafter, patients recovering from trabeculectomy, tube shunt implantation, or cataract extraction (CE) completed a diary-style questionnaire including visual analog scales (VASs; scored 0-100) grading pain and global function. Clinical examination data and medical histories were collected. Generalized estimating equation models evaluated associations between VAS function scores and pain or visual acuity (VA) and compared scores between surgery types.

resultsAmong 51 participants followed for 12 weeks, tube shunt placement reduced postoperative day 1 (POD1) function by 47 of 100 points vs CE (P = .006), while trabeculectomy did not reduce POD1 function vs CE (P = .33). After CE, trabeculectomy, and tube shunt placement, average VAS function scores increased 13.94 per week for 2 weeks (P < .001), 4.18 per week for 4 weeks (P = .02), and 7.76 per week for 7 weeks (P < .001), respectively. After those timepoints, there was no further significant change. Beyond 2 weeks, pain levels plateaued, and VA returned to baseline across surgery types; function was inversely related to pain or VA only for the first 2 or 4 weeks, respectively.

conclusionsPatients recovering from cataract and glaucoma surgery report reduced function in the postoperative period. Tube shunt implantation causes greater morbidity than trabeculectomy, and both are associated with slower improvement than CE. Early postoperative function is associated with VA and pain, but neither fully explains reported impairment. A VAS for function may efficiently capture postoperative recovery.

Indexed as

Glaucoma Drainage ImplantsPhacoemulsificationTrabeculectomyAgedAged, 80 and overCataractFemaleGlaucomaHumansIntraocular PressureLens Implantation, IntraocularMaleMiddle AgedPatient Reported Outcome MeasuresProspective StudiesRecovery of Function

Identifiers

PMID33626362
PMCPMC8386507
OpenAlexW3131760539

What OpenQuestion holds

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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.