Evidence map›Paper›PMID 36028762›Full record

ArticleEye (London, England)2023

Associations with baseline visual acuity in 12,414 eyes starting treatment for neovascular AMD.

S D Relton, G C Chi, A J Lotery, R M West, Real world AMD treatment outcomes EMR User Group, M McKibbin

Open access · hybridAbstract read
In one paragraph

Article in Eye (London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 30% 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

5 citing papers in PubMed, 5 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

6 authors at 9 institutions in 1 country.

S D ReltonLeeds Institute of Health Sciences, Faculty of Medicine and Health, University of Leeds, Leeds, UK.
G C ChiGenentech, South San Francisco, CA, USA.
A J LoteryUniversity Hospital Southampton NHS Foundation Trust, Leeds, UK.ORCID 0000-0001-5541-4305
R M WestLeeds Institute of Health Sciences, Faculty of Medicine and Health, University of Leeds, Leeds, UK.
Real world AMD treatment outcomes EMR User Group
M McKibbinLeeds Teaching Hospitals NHS Trust, Leeds, UK. martin.mckibbin@nhs.net.ORCID 0000-0003-4388-243X
Leeds Teaching Hospitals NHS Trust · GBUniversity of Leeds · GBCalderdale and Huddersfield NHS Foundation Trust · GBGloucestershire Hospitals NHS Foundation Trust · GBManchester University NHS Foundation Trust · GBNHS Grampian · GBUniversity Hospital Southampton NHS Foundation Trust · GBUniversity of Hull · GBUniversity of Liverpool · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo determine baseline visual acuity before the start of treatment for neovascular age-related macular degeneration (AMD), compare median and visual acuity states between treatment sites and investigate the association of socio-demographic and clinical characteristics with baseline acuity.

methodsAnonymised demographic and clinical data, collected as part of routine clinical care, were extracted from electronic medical records at treating National Health Service (NHS) Trusts. Analyses were restricted to eyes with baseline visual acuity recorded at treatment initiation. Associations with baseline acuity were investigated using multivariate linear regression.

resultsAnalysis included 12,414 eyes of 9116 patients at 13 NHS Trusts. Median baseline acuity was LogMAR 0.46 (interquartile range = 0.26-0.80) and 34.5% of eyes had good acuity, defined as LogMAR ≤0.3. Baseline acuity was positively associated with second-treated eye status, younger age, lower socio-economic deprivation, independent living, and female sex. There was little evidence of association between baseline acuity and distance to the nearest treatment centre, systemic or ocular co-morbidity. Despite case-mix adjustments, there was evidence of significant variation of baseline visual acuity between sites.

conclusionsDespite access to publicly funded treatment within the NHS, variation in visual acuity at the start of neovascular AMD treatment persists. Identifying the characteristics associated with poor baseline acuity, targeted health awareness campaigns, professional education, and pathway re-design may help to improve baseline acuity, the first eye gap, and visual acuity outcomes.

Indexed as

Angiogenesis InhibitorsWet Macular DegenerationFemaleHumansState MedicineVascular Endothelial Growth Factor AVisual AcuityAngiogenesis InhibitorsVascular Endothelial Growth Factor A

Identifiers

PMID36028762
PMCPMC10219991
OpenAlexW4293794869

What OpenQuestion holds

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LicenceCC BY
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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.