Evidence map›Paper›PMID 35951503›Full record

ArticlePloS one2022

Understanding patient preferences in anti-VEGF treatment options for age-related macular degeneration.

Semra Ozdemir, Eric Finkelstein, Jia Jia Lee, Issac Horng Khit Too, Kelvin Yi Chong Teo, Anna Chen Sim Tan, Tien Yin Wong, Gemmy Chui Ming Cheung

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 3% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Efficacy of switching treatment to faricimab in recalcitrant neovascular age related macular degeneration - 6 month results after completion of the loading phase.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Article
  7. Observational
  8. Article
  9. Article
  10. A cost-minimization analysis of anti-VEGFs for the treatment of neovascular age-related macular degeneration in the Netherlands.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Italian Patient Satisfaction with wAMD Management: SWAN Study Results.Clinical ophthalmology (Auckland, N.Z.) · 2024
    Article
  19. Article
  20. 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 at 4 institutions in 2 countries.

Semra OzdemirSignature Programme in Health Services and Systems Research, Duke-NUS Medical School, Singapore, Singapore.
Eric FinkelsteinSignature Programme in Health Services and Systems Research, Duke-NUS Medical School, Singapore, Singapore.
Jia Jia LeeSignature Programme in Health Services and Systems Research, Duke-NUS Medical School, Singapore, Singapore.ORCID 0000-0001-7821-9131
Issac Horng Khit TooMedical Affairs, Novartis Singapore Private Limited, Singapore, Singapore.
Kelvin Yi Chong TeoMedical Retina, Ophthalmology, Singapore National Eye Centre, Singapore, Singapore.
Anna Chen Sim TanMedical Retina, Ophthalmology, Singapore National Eye Centre, Singapore, Singapore.
Tien Yin WongMedical Retina, Ophthalmology, Singapore National Eye Centre, Singapore, Singapore.
Gemmy Chui Ming CheungMedical Retina, Ophthalmology, Singapore National Eye Centre, Singapore, Singapore.
Singapore National Eye Center · SGNational University of Singapore · SGDuke-NUS Medical School · SGNovartis (Singapore) · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose(1) To investigate the relative importance of convenience (consultation frequency and injection frequency) against treatment outcomes (visual and anatomical outcomes) and out-of-pocket medical costs via a discrete choice experiment (DCE), and (2) to investigate how patient characteristics affect patient treatment preferences.

methodsEligibility criteria were: (1) receiving a neovascular age-related macular degeneration (nAMD) diagnosis; (2) receiving anti-VEGF treatment; (3) being ≥21 years old, and (4) being able to speak and understand English/Mandarin. Patients were presented with eight choice tasks and asked to choose between their current treatment and two hypothetical treatments that varied by six attributes: number of clinic visits in a year, number of injections in a year, vision quality, control of swelling in retina, drug labelling and out-of-pocket cost.

resultsThis analysis involved 180 patients. Based on latent class logistic regressions, vision quality was the most important attribute (34%) followed by cost (24%). The frequency of total clinic visits (15%) was the third most-important attribute, closely followed by labelling (12%) and control of retina swelling (11%). Injection frequency was the least important attribute (4%).

conclusionsVision quality was the most important attribute followed by the out-of-pocket costs. Given the same outcomes, patients preferred treatment regimens which require fewer total clinic visits. In comparison, injection frequency alone did not influence patient preferences. With increasing treatment options for nAMD, understanding patients' preferences can help clinicians in selecting agents and treatment regimen most preferred for each patient, which may lead to improved long-term adherence and outcomes.

Indexed as

Macular DegenerationPatient PreferenceAdultAngiogenesis InhibitorsAntibodies, MonoclonalHumansIntravitreal InjectionsRanibizumabVascular Endothelial Growth Factor AVascular Endothelial Growth FactorsYoung AdultAngiogenesis InhibitorsAntibodies, MonoclonalRanibizumabVascular Endothelial Growth Factor AVascular Endothelial Growth Factors

Identifiers

PMID35951503
PMCPMC9371344
OpenAlexW4291019303

What OpenQuestion holds

Textmetadata
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.