Evidence map›Paper›PMID 34865654›Full record

ArticleInternational journal of retina and vitreous2021

Early neurovascular retinal changes detected by swept-source OCT in type 2 diabetes and association with diabetic kidney disease.

Monica Oliveira da Silva, Anne Elise Cruz do Carmo Chaves, Glauber Corrêa Gobbato, Mateus Augusto Dos Reis, Fabio Lavinsky, Beatriz D'Agord Schaan, Daniel Lavinsky

Open access · goldAbstract read
In one paragraph

Article in International journal of retina and vitreous, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

10 citing papers in PubMed, 15 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Deep learning in optical coherence tomography: Where are the gaps?Clinical & experimental ophthalmology · 2023
    Review
  5. Article
  6. Article
  7. Frontiers in endocrinology · 2023
    Article
  8. Article
  9. Article
  10. Review
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 2 institutions in 1 country.

Monica Oliveira da SilvaRetina and Vitreous Research Center, Hospital de Clinicas de Porto Alegre, Porto Alegre, Brazil. cebio.monica@gmail.com.ORCID http://orcid.org/0000-0002-5268-2520
Anne Elise Cruz do Carmo ChavesRetina and Vitreous Research Center, Hospital de Clinicas de Porto Alegre, Porto Alegre, Brazil.
Glauber Corrêa GobbatoRetina and Vitreous Research Center, Hospital de Clinicas de Porto Alegre, Porto Alegre, Brazil.
Mateus Augusto Dos ReisDepartment of Endocrinology, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Fabio LavinskyRetina and Vitreous Research Center, Hospital de Clinicas de Porto Alegre, Porto Alegre, Brazil.
Beatriz D'Agord SchaanDepartment of Endocrinology, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
Daniel LavinskyDepartment of Ophthalmology, Hospital de Clinicas de Porto Alegre, Federal University of Rio Grande do Sul, UFRGS, Porto Alegre, Brazil.
Universidade Federal do Rio Grande do Sul · BRHospital de Clínicas de Porto Alegre · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate retinal thickness and capillary density in patients with type 2 diabetes (T2D) and their association with diabetic kidney disease (DKD) using swept-source optical coherence tomography (SS-OCT).

methodsA cross-sectional study was conducted with T2D patients with mild or no diabetic retinopathy (DR) and nondiabetic controls. Inner retinal layer thickness was measured with SS-OCT. Retinal capillary density and the foveal avascular zone (FAZ) were measured with SS-OCT angiography (OCTA). SS-OCT parameters were compared in patients with and without diabetic kidney disease (DKD) and nondiabetic controls.

results131 DKD eyes showed decreased ganglion cell layer plus (GCL+) (p = 0.005 TI; p = 0.022 I), retinal nerve fiber layer (RNFL) (p = 0.003), and central retinal thickness (CRT) (p = 0.032), as well as foveal avascular zone (FAZ) enlargement (p = 0.003) and lower capillary density in the superficial vascular plexus (p = 0.016, central quadrant), compared to controls. No statistically significant changes were found between diabetic patients without significant DKD and controls.

conclusionOur findings suggest early neurovascular damage in patients with T2D; these changes were more significant in patients with DKD. Larger longitudinal studies are warranted to determine the role of early neurovascular damage in the pathophysiology of severe DR.

Indexed as

Diabetes mellitus type 2Diabetic retinopathyGlomerular filtration rateOptical coherence tomographyRetinal neurodegeneration

Identifiers

PMID34865654
PMCPMC8647413
OpenAlexW4200352719

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.