Evidence map›Paper›PMID 35483614›Full record

ReviewOphthalmology. Retina2022

Analysis of the Long-term Visual Outcomes of ForeseeHome Remote Telemonitoring: The ALOFT Study.

Mariam Mathai, Shivani Reddy, Michael J Elman, Richard A Garfinkel, Byron Ladd, Alan L Wagner, George E Sanborn, Jennifer H Jacobs, Miguel A Busquets, Emily Y Chew and 1 more

Open access · hybridAbstract readReview
In one paragraph

Review in Ophthalmology. Retina, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.3field-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

7 citing papers in PubMed, 18 citations in OpenAlex.

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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

11 authors at 5 institutions in 1 country.

Mariam MathaiRetina Group of Washington, Greenbelt, Maryland. Electronic address: mmathai@rgw.com.
Shivani ReddyRetina Associates of Kentucky, Lexington, Kentucky.
Michael J ElmanElman Retina Group, Glen Burnie, Maryland.
Richard A GarfinkelRetina Group of Washington, Greenbelt, Maryland.
Byron LaddVirginia Eye Institute, Richmond, Virginia.
Alan L WagnerWagner Macula & Retina Center, Virginia Beach, Virginia.
George E SanbornNotal Vision Monitoring Center, Manassas, Virginia.
Jennifer H JacobsNotal Vision Monitoring Center, Manassas, Virginia.
Miguel A BusquetsRetina Associates of Kentucky, Lexington, Kentucky.
Emily Y ChewDivision of Epidemiology and Clinical Applications, National Eye Institute, National Institutes of Health, Bethesda, Maryland.
ALOFT study group
Elman Retina Group · USRetina Associates of Kentucky · USNational Institutes of Health · USThe Retina Center · USVirginia Eye Consultants · US

Funding

NEI Intramural Biorepository for Retinal Diseases (12-EI-0042)ZIAEY000514 · NEI · NATIONAL EYE INSTITUTE · PI KEENAN, TIARNAN · 2012 to 2025
$2.0M
Intramural NIH HHS Z99 EY999999
6 · The paper itself

Abstract

purposeTo evaluate long-term visual acuity (VA) and performance of a monitoring strategy with a self-operated artificial-intelligence-enabled home monitoring system in conjunction with standard care for early detection of neovascular age-related macular degeneration (nAMD).

designRetrospective review. SUBJECTS: Patients with dry-age-related macular degeneration from 5 referral clinics.

methodsClinical data of patients monitored with ForeseeHome (FSH) device from August 2010 to July 2020 were reviewed.

main outcome measuresVisual acuity at baseline, VA at diagnosis of nAMD for eyes that converted while monitored, and VA from the final study follow-up, weekly frequency of use, duration of monitoring, modality of conversion diagnosis (system alert vs. detection by other standard care means), and duration and number of treatments since conversion to final study follow-up were collected.

resultsWe reviewed 3334 eyes of 2123 patients with a mean (standard deviation [SD]) age of 74(8) years, monitored for a mean (SD) duration of 3.1 (2.4) years, with a total of 1 706 433 tests in 10 474 eye-monitoring years. The mean (SD) weekly use per patient was 5.2 (3.4), and it was persistent over the usage period. Two hundred eighty-five eyes converted while monitored at an annual rate of 2.72% and were treated with a mean (SD) 17.3 (16.5) injections over a mean (SD) 2.7 (2.0) years, with 6.4 (3.1) injections per year for eyes treated for > 1 year. The median VAs at baseline and at final follow-up for eyes that did not convert were 20/27 and 20/34 with a median change of 0.0 letters. The median VAs at baseline, conversion, and final follow-up for eyes that converted during the monitoring period were 20/30, 20/39, and 20/32 with a median change from baseline to conversion, baseline to recent, and conversion to recent of -4, -4, and 0 letters, respectively. Fifty-two percent of conversions detected had a system alert before conversion. Forty-eight percent of patients were detected by symptoms or routine visit. Patients experienced a non-nAMD alert on average every 4.6 years. At conversion and at final follow-up, the proportion (95% CI) of eyes that maintained ≥ 20/40 was 84% (78% to 88%) and 82% (76% to 86%), respectively.

conclusionsPatients in the FSH monitoring program showed excellent long-term VA years after conversion to nAMD.

Indexed as

Macular DegenerationRanibizumabAgedAngiogenesis InhibitorsFollicle Stimulating HormoneHumansIntravitreal InjectionsVascular Endothelial Growth Factor AAngiogenesis InhibitorsFollicle Stimulating HormoneRanibizumabVascular Endothelial Growth Factor AAnti-VEGFArtificial intelligenceHome monitoringMacular degenerationRetinaTelemedicine

Identifiers

PMID35483614
PMCPMC11407913
OpenAlexW4224885809

What OpenQuestion holds

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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.