Evidence map›Paper›PMID 36362644›Full record

ArticleJournal of clinical medicine2022

Response to Initial Anti-Vascular Endothelial Growth Factor for Diabetic Macular Edema Is Significantly Correlated with Response to Third Consecutive Monthly Injection.

Satoshi Maeda, Masahiko Sugimoto, Yumiho Tenma, Hideyuki Tsukitome, Kumiko Kato, Shinichiro Chujo, Yoshitsugu Matsui, Hisashi Matsubara, Mineo Kondo

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed, 4 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

9 authors at 1 institution in 1 country.

Satoshi MaedaDepartment of Ophthalmology, Mie University Graduate School of Medicine, 2-174, Edobashi, Tsu 514-8507, Japan.
Masahiko SugimotoDepartment of Ophthalmology, Mie University Graduate School of Medicine, 2-174, Edobashi, Tsu 514-8507, Japan.ORCID 0000-0001-5147-4183
Yumiho TenmaDepartment of Ophthalmology, Mie University Graduate School of Medicine, 2-174, Edobashi, Tsu 514-8507, Japan.
Hideyuki TsukitomeDepartment of Ophthalmology, Mie University Graduate School of Medicine, 2-174, Edobashi, Tsu 514-8507, Japan.
Kumiko KatoDepartment of Ophthalmology, Mie University Graduate School of Medicine, 2-174, Edobashi, Tsu 514-8507, Japan.
Shinichiro ChujoDepartment of Ophthalmology, Mie University Graduate School of Medicine, 2-174, Edobashi, Tsu 514-8507, Japan.
Yoshitsugu MatsuiDepartment of Ophthalmology, Mie University Graduate School of Medicine, 2-174, Edobashi, Tsu 514-8507, Japan.ORCID 0000-0002-6676-405X
Hisashi MatsubaraDepartment of Ophthalmology, Mie University Graduate School of Medicine, 2-174, Edobashi, Tsu 514-8507, Japan.
Mineo KondoDepartment of Ophthalmology, Mie University Graduate School of Medicine, 2-174, Edobashi, Tsu 514-8507, Japan.
Mie University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: To determine whether the response to the initial anti-vascular endothelial growth factor (anti-VEGF) injection to treat diabetic macular edema (DME) is significantly correlated with the response to the third consecutive monthly injection of the same anti-VEGF agent. Methods: Seventy eyes with DME that were treated with an anti-VEGF agent (16 eyes with 1.25-mg bevacizumab, 35 eyes with 0.5-mg ranibizumab, and 19 eyes with 2.0-mg aflibercept) were studied. They were treated with three consecutive monthly injections of one of the three anti-VEGF agents. The best-corrected visual acuity (BCVA) in the logarithm of the minimum angle of resolution (logMAR units) and the central macular thickness (CMT) were measured at the baseline, 1 week after the initial injection, and 1 month after the third consecutive monthly injection. The changes of both values from the baseline 1 week after the initial injection (day 7) and 1 month after the third monthly injection were determined. The significance of the correlations between the BCVA and the CMT was determined. Results: The mean BCVA improved significantly for all three agents (0.38 ± 0.22 logMAR units at the baseline to 0.27 ± 0.25 logMAR units) after the three monthly injections (p < 0.05, repeated ANOVA). For all cases, a moderate but significant correlation was found between the BCVA at day 7 and 1 month after the third injection (r = 0.58, p < 0.01; Spearman’s rank correlation). No significant correlation was found for bevacizumab (r = 0.09, p = 0.73), moderate correlation was found for ranibizumab (r = 0.42, p < 0.05), and a strong correlation was found for aflibercept (r = 0.83, p < 0.001) between the BCVA at day 7 and at 1 month after the third injection. The mean CMT improved significantly for all three agents (481.9 ± 96.3 μm at the baseline to 364.1 ± 116.0 μm after the three monthly injections, p < 0.05), and a moderate correlation was found for the three agents between CMT at day 7 to that at one month after the third anti-VEGF injection (r = 0.54, p < 0.01). A moderate correlation was found for all three agents between CMT at day 7 to that at one month after the third anti-VEGF injection (r = 0.68 for bevacizumab, r = 0.41 for ranibizumab and r = 0.53 for aflibercept, p < 0.05). Conclusions: The significant correlations between the results on day 7 to that one month after the third anti-VEGF treatment for DME indicates that the long-term effects of anti-VEGF therapy can be predicted by the short-term response. In addition, the results indicate that there may be differences in the effectiveness between the three anti-VEGF agents.

Indexed as

anti-vascular epithelial growth factorbest-corrected visual acuitycentral macular thicknessconsecutive monthly injectionsdiabetic macular edema

Identifiers

PMID36362644
PMCPMC9655121
OpenAlexW4307941295

What OpenQuestion holds

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Registered trials

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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.