Evidence map›Paper›PMID 33795837›Full record

ReviewEye (London, England)2021

Fluid as a critical biomarker in neovascular age-related macular degeneration management: literature review and consensus recommendations.

Laurent Kodjikian, Mariacristina Parravano, Andreas Clemens, Rosa Dolz-Marco, Frank G Holz, Marion R Munk, Massimo Nicolò, Federico Ricci, Rufino Silva, S James Talks and 3 more

Open access · hybridAbstract readReviewConsensus Statement
In one paragraph

Review in Eye (London, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
6.7field-weighted citation impact, top 2% 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

24 citing papers in PubMed, 45 citations in OpenAlex.

  1. A randomized, open-label, multicenter study of switching to brolucizumab with or without a loading dose for patients with suboptimal anatomically controlled neovascular age-related macular degeneration-the FALCON study.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2022
    Trial
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  12. Analysis of OCT Scanning Parameters in AMD and RVO.Diagnostics (Basel, Switzerland) · 2024
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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

13 authors at 12 institutions in 7 countries.

Laurent KodjikianDepartment of Ophthalmology, Croix-Rousse University Hospital, Hospices Civils de Lyon, Lyon, France.
Mariacristina ParravanoIRCCS - Fondazione Bietti, Rome, Italy.
Andreas ClemensNovartis Pharma AG, Basel, Switzerland.ORCID http://orcid.org/0000-0001-6192-1557
Rosa Dolz-MarcoMacula Unit, Oftalvist Clinic, Valencia, Spain.
Frank G HolzDepartment of Ophthalmology, University of Bonn, Bonn, Germany.
Marion R MunkDepartment of Ophthalmology, Inselspital, University Hospital Bern, Bern, Switzerland.
Massimo NicolòUniversity Eye Clinic of Genoa DINOGMI, Ospedale Policlinico San Martino - IRCCS, Genoa, Italy.
Federico RicciDepartment of Experimental Medicine, University Tor Vergata, Rome, Italy.
Rufino SilvaCoimbra Institute for Clinical and Biomedical Research, Faculty of Medicine, University of Coimbra (ICBR-FMUC), Coimbra, Portugal.ORCID http://orcid.org/0000-0001-8676-0833
S James TalksNewcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Rohini Kumar VermaNovartis Pharma AG, Basel, Switzerland.
Javier Zarranz-VenturaHospital Clínic de Barcelona, Barcelona, Spain.ORCID http://orcid.org/0000-0003-2338-8143
Sandrine A ZweifelDepartment of Ophthalmology, University Hospital Zurich, Zurich, Switzerland. Sandrine.Zweifel@usz.ch.ORCID http://orcid.org/0000-0001-7431-1774
Novartis (Switzerland) · CHFondazione G.B. Bietti · ITHospitais da Universidade de Coimbra · PTHospital Clínic de Barcelona · ESIVI Valencia Clinic · ESNewcastle upon Tyne Hospitals NHS Foundation Trust · GBOspedale Policlinico San Martino · ITUniversité Claude Bernard Lyon 1 · FRUniversity Hospital of Bern · CHUniversity of Bonn · DEUniversity of Rome Tor Vergata · ITZurich University of Applied Sciences in Business Administration · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Current guidelines on the management of patients with neovascular age-related macular degeneration (nAMD) lack clear recommendations on the interpretation of fluid as seen on optical coherence tomography (OCT) imaging and the incorporation of this information into an ongoing disease treatment strategy. Our objective was to review current guidelines and scientific evidence on the role of fluid as a biomarker in the management of nAMD, and develop a clinically oriented, practical algorithm for diagnosis and management based on a consensus of expert European retinal specialists. PubMed was searched for articles published since 2006 relating to the role of fluid in nAMD. A total of 654 publications were screened for relevance and 66 publications were included for review. Of these, 14 were treatment guidelines, consensus statements and systematic reviews or meta-analyses, in which OCT was consistently recommended as an important tool in the initial diagnosis and ongoing management of nAMD. However, few guidelines distinguished between types of fluid when providing recommendations. A total of 52 publications reported primary evidence from clinical trials, studies, and chart reviews. Observations from these were sometimes inconsistent, but trends were observed with regard to features reported as being predictive of visual outcomes. Based on these findings, diagnostic recommendations and a treatment algorithm based on a treat-and-extend (T&E) regimen were developed. These provide guidance on the diagnosis of nAMD as well as a simple treatment pathway based on the T&E regimen, with treatment decisions made according to the observations of fluid as a critical biomarker for disease activity.

Indexed as

Macular DegenerationWet Macular DegenerationAngiogenesis InhibitorsBiomarkersHumansTomography, Optical CoherenceAngiogenesis InhibitorsBiomarkers

Identifiers

PMID33795837
PMCPMC8302650
OpenAlexW3144902576

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.