Evidence map›Paper›PMID 35790079›Full record

SynthesisActa ophthalmologica2023

The management of neovascular age-related macular degeneration: A systematic literature review of patient-reported outcomes, patient mental health and caregiver burden.

Richard P Gale, Robert P Finger, Bora Eldem, Tariq Aslam, Jane Barratt, Vincent Daien, Laurent Kodjikian, Anat Loewenstein, Mali Okada, Tien Yin Wong and 2 more

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Acta ophthalmologica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
6.5field-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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Article
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  4. Review
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  6. Article
  7. Article
  8. Perceived stress levels among patients treated for neovascular age-related macular degeneration with anti-VEGF injections.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Article
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  14. Anti-vascular endothelial growth factor therapies in ophthalmology.Medical hypothesis, discovery & innovation ophthalmology journal · 2025
    Review
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  19. Article
  20. 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

12 authors at 12 institutions in 10 countries.

Richard P GaleYork and Scarborough Teaching Hospital NHS Foundation Trust, York, UK.
Robert P FingerDepartment of Ophthalmology, University of Bonn, Bonn, Germany.
Bora EldemHacettepe University, Ankara, Turkey.
Tariq AslamManchester Royal Eye Hospital, Manchester, UK.
Jane BarrattInternational Federation on Ageing, Toronto, ON, Canada.
Vincent DaienDepartment of Ophthalmology, University Hospital of Montpellier, Montpellier, France.
Laurent KodjikianUniversity of Lyon, Lyon, France.
Anat LoewensteinTel Aviv Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Mali OkadaRoyal Victorian Eye and Ear Hospital, Melbourne, Vic., Australia.
Tien Yin WongSingapore National Eye Centre, Singapore Eye Research Institute, Singapore, Singapore.
Michelle SylvanowiczBayer Consumer Care, Basel, Switzerland.
Francisco J RodríguezDepartment of Ophthalmology, Fundación Oftalmológica Nacional and Universidad del Rosario School of Medicine, Bogotá, Colombia.
Bayer (Switzerland) · CHCentre Hospitalier Universitaire de Montpellier · FRDuke-NUS Medical School · SGHacettepe University · TRHospices Civils de Lyon · FRInternational Federation on Ageing · CATel Aviv University · ILThe Royal Victorian Eye & Ear Hospital · AUUniversidad del Rosario · COUniversity of Bonn · DEUniversity of Manchester · GBYork Teaching Hospital NHS Foundation Trust · GB

Funding

Bayer Consumer Care AG
6 · The paper itself

Abstract

purposeThe aim of this systematic literature review was to describe patient-reported outcomes, mental health and caregiver burden in patients with neovascular age-related macular degeneration (nAMD) treated with anti-vascular endothelial growth factor (VEGF) agents in routine clinical practice.

methodsElectronic searches were conducted in Embase and MEDLINE according to pre-defined criteria.

resultsOf 856 records identified, 63 met inclusion criteria. Depression or depressive symptoms were reported in up to 42% of patients with nAMD. Of 25/63 (40%) studies evaluating quality of life (QoL) and using various tools, eight studies reported composite National Eye Institute Visual Functioning Questionnaire scores following anti-VEGF treatment. Of these, seven reported a statistically significant improvement at the earliest time point measured (Month 3-12) and approximately 50% reported sustained QoL benefits at 12 months. In studies comparing the attributed or different regimens, the most important factor from the patient's perspective was the likelihood that a particular regimen would maintain vision. There was a preference towards treat and extend, which was associated with a perceived reduction in patient and caregiver burden, compared to fixed dosing.

conclusionsA coordinated holistic approach to patient care is key to optimizing patient well-being as well as visual outcomes. Further research regarding the patient-reported impact of nAMD management outside the trial setting (particularly international longitudinal studies) is warranted. Standardization of QoL studies would assist in establishing whether sustained QoL improvement, rather than prevention of QoL decline, should be a realistic expectation of treatment of nAMD in the longer term.

Indexed as

Macular DegenerationWet Macular DegenerationAngiogenesis InhibitorsCaregiver BurdenHumansIntravitreal InjectionsMental HealthPatient Reported Outcome MeasuresQuality of LifeRanibizumabTreatment OutcomeVascular Endothelial Growth Factor AVisual AcuityAngiogenesis InhibitorsRanibizumabVascular Endothelial Growth Factor Aintravitreal injectionsmental healthneovascular age-related macular degenerationpatient carequality of life

Identifiers

PMID35790079
PMCPMC10084380
OpenAlexW4283814594

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.