Evidence map›Paper›PMID 35673897›Full record

ArticleActa ophthalmologica2022

Functional and structural efficacy of a novel combinational therapy of aflibercept and timely focal/grid photocoagulation in diabetic macular oedema: do clinical study results compare favourably with a standard-of-care treated real-world population?

Mathias M Jørgensen, Anders H Vestergaard, Søren L Blindbaek, Tunde Peto, Jakob Grauslund

Open access · hybridAbstract read
In one paragraph

Article in Acta ophthalmologica, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 43% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Subthreshold micropulse laser combined with anti-vascular endothelial growth factor therapy for diabetic macular edema: a systematic review and meta-analysis.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2024
    Pooled it
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

5 authors at 3 institutions in 2 countries.

Mathias M JørgensenDepartment of Ophthalmology, Odense University Hospital, Odense.ORCID https://orcid.org/0000-0001-7119-949X
Anders H VestergaardDepartment of Ophthalmology, Odense University Hospital, Odense.ORCID https://orcid.org/0000-0003-1687-4899
Søren L BlindbaekDepartment of Ophthalmology, Odense University Hospital, Odense.ORCID https://orcid.org/0000-0003-0628-684X
Tunde PetoDepartment of Clinical Research, Faculty of Health Sciences, University of Southern Denmark, Odense.ORCID https://orcid.org/0000-0001-6265-0381
Jakob GrauslundDepartment of Ophthalmology, Odense University Hospital, Odense.ORCID https://orcid.org/0000-0001-5019-0736
University of Southern Denmark · DKQueen's University Belfast · GBSteno Diabetes Centers · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate treatment efficacy in diabetic macular oedema (DME) comparing a study population receiving combined intravitreal vascular endothelial growth factor (VEGF) inhibition and focal/grid photocoagulation with a matched, real-world population receiving standard of care treatment.

methodsIn an exploratory study, we included 43 eyes from 32 patients from a previously published study as well as 46 eyes from 38 standard-of-care patients. The study population had received a loading dose of three monthly aflibercept injections followed by focal/grid photocoagulation and additional aflibercept pro re nata. Principal measurements at 12 months were numbers of intravitreal injections, best corrected visual acuity (BCVA) and central retinal thickness (CRT).

resultsAt baseline, there were no differences between groups regarding age, sex, body mass index, haemoglobin A

conclusionIn comparison to a matched, real-world DME-population, patients in combined treatment with intravitreal aflibercept and postloading focal/grid photocoagulation obtained a better functional outcome despite having received fewer intravitreal injections. Future randomized studies are needed to evaluate the long-term efficacy of this combined treatment regimen.

Indexed as

Diabetes MellitusDiabetic RetinopathyMacular EdemaAdultAngiogenesis InhibitorsHumansIntravitreal InjectionsLaser CoagulationRanibizumabReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsVascular Endothelial Growth Factor AYoung AdultafliberceptAngiogenesis InhibitorsRanibizumabReceptors, Vascular Endothelial Growth FactorRecombinant Fusion ProteinsVascular Endothelial Growth Factor Aafliberceptdiabetes complicationsdiabetic retinopathymacular oedemaranibizumabreal worldregistry based

Identifiers

PMID35673897
PMCPMC9796545
OpenAlexW4281720444

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.