Evidence map›Paper›PMID 34830624›Full record

ArticleJournal of clinical medicine2021

Clinical Outcome and Drug Expenses of Intravitreal Therapy for Diabetic Macular Edema: A Retrospective Study in Sardinia, Italy.

Chiara Altana, Matthew Gavino Donadu, Stefano Dore, Giacomo Boscia, Gabriella Carmelita, Stefania Zanetti, Francesco Boscia, Antonio Pinna

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. 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

8 authors.

Chiara AltanaHospital Pharmacy, Azienda Ospedaliero Universitaria di Sassari, 07100 Sassari, Italy.
Matthew Gavino DonaduHospital Pharmacy, Azienda Ospedaliero Universitaria di Sassari, 07100 Sassari, Italy.ORCID 0000-0001-7681-6194
Stefano DoreOphthalmology Unit, Azienda Ospedaliero Universitaria di Sassari, 07100 Sassari, Italy.
Giacomo BosciaDepartment of Medical, Surgical and Experimental Sciences, University of Sassari, 07100 Sassari, Italy.ORCID 0000-0002-8768-899X
Gabriella CarmelitaHospital Pharmacy, Azienda Ospedaliero Universitaria di Sassari, 07100 Sassari, Italy.
Stefania ZanettiDepartment of Biomedical Sciences, University of Sassari, 07100 Sassari, Italy.
Francesco BosciaSection of Ophthalmology, Department of Basic Medical Science, Neuroscience and Sense Organs, University of Bari, 70124 Bari, Italy.
Antonio PinnaOphthalmology Unit, Azienda Ospedaliero Universitaria di Sassari, 07100 Sassari, Italy.ORCID 0000-0003-3052-2662

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDiabetic macular edema (DME) is a leading cause of visual loss in working-age adults. The purpose of this retrospective study was to perform an epidemiological analysis on DME patients treated with intravitreal drugs in a tertiary hospital. The clinical outcome, adverse drug reactions (ADRs), and intravitreal drug expenses were assessed.

methodsAll DME patients treated with Ranibizumab, Aflibercept, Dexamethasone implant, and Fluocinolone Acetonide implant at the Sassari University Hospital, Italy, between January 2017 and June 2020 were included. Central macular thickness (CMT) and best corrected visual acuity (BCVA) were measured. ADRs and drug expenses were analyzed.

resultsTwo-hundred thirty-one DME patients (mean age: 65 years) received intravitreal agents. Mean CMT and BCVA were 380 μm and 0.5 LogMAR at baseline, 298 μm and 0.44 logMAR after one year (

conclusionResults confirm that Ranibizumab, Aflibercept, and Dexamethasone implant are effective and safe in DME treatment. A switch to Dexamethasone implant for patients receiving Aflibercept or Ranibizumab with minimal/no clinical benefit should be considered.

Indexed as

adverse drug reactionsbest corrected visual acuitycentral retinal thicknessdiabetic macular edemaintravitreal agentsintravitreal drug expenses

Identifiers

PMID34830624
PMCPMC8619487

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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.