Evidence map›Paper›PMID 36369619›Full record

ArticleOphthalmology and therapy2023

Dry Age-Related Macular Degeneration: Distribution of Visual Acuity and Progression Risk in a Large Registry.

Theodore Leng, Jason Schwartz, David Nimke, Mark Gallivan, Helene Fevrier, Nigel Rozario, Neil M Schultz

Open access · goldAbstract read
In one paragraph

Article in Ophthalmology and therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

7 citing papers in PubMed, 12 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

7 authors at 3 institutions in 1 country.

Theodore LengByers Eye Institute at Stanford, Stanford University School of Medicine, Palo Alto, CA, USA.
Jason SchwartzAstellas Pharma, Inc., 1 Astellas Way, Northbrook, IL, 60062, USA.
David NimkeAstellas Pharma, Inc., 1 Astellas Way, Northbrook, IL, 60062, USA.
Mark GallivanVerana Health, San Francisco, CA, USA.
Helene FevrierVerana Health, San Francisco, CA, USA.
Nigel RozarioAstellas Pharma, Inc., 1 Astellas Way, Northbrook, IL, 60062, USA.
Neil M SchultzAstellas Pharma, Inc., 1 Astellas Way, Northbrook, IL, 60062, USA. Neil.schultz@astellas.com.
Astellas Pharma (United States) · USStanford University · USTrinity Health · US

Funding

Stanford Vision Research CoreP30EY026877 · NEI · STANFORD UNIVERSITY · PI Jeffrey L Goldberg · 2017 to 2026
$8.0M
NEI NIH HHS P30 EY026877NIH HHS P30-EY026877
6 · The paper itself

Abstract

introductionUnderstanding the progression to geographic atrophy (GA) in late dry age-related macular degeneration (dAMD) can support development opportunities for dAMD treatments. We characterized dAMD by distribution of visual acuity (VA) categories and evaluated VA progression risk by disease stage.

methodsThis retrospective observational study used data from the American Academy of Ophthalmology IRIS

resultsData from 593,277 patients were analyzed. At baseline, 64.4% had mild disease, 29.4% intermediate, and 2.9%/3.3% had GA with/without subfoveal involvement. Most patients with mild (88.4%) and intermediate (79.7%) disease and GA without subfoveal involvement (57.1%) had baseline VA ≥ 20/63 in the study eye; 72.0% of patients with GA with subfoveal involvement had VA < 20/63. Modeled results showed lower VA with more progressive stage at baseline. Annual probability of stable dAMD based on baseline stage ranged from 82.1% (GA without) to 92.3% (GA with subfoveal involvement). Annual progression probability to GA without/with subfoveal involvement was 0.4% for mild and 5.5% for intermediate disease and from dry to neovascular AMD, 0.5% for mild and 8.0% for intermediate disease.

conclusionsResults from this analysis of a large database of electronic health records complement those from randomized trials and show that patients with more advanced dAMD have lower VA at baseline and that VA progression is generally faster with each progressive stage. Together these findings highlight the disease burden and trajectory of dAMD as well as opportunities for addressing unmet needs.

Indexed as

EpidemiologyGeographic atrophyMarkov modelVisual acuity

Identifiers

PMID36369619
PMCPMC9834463
OpenAlexW4308834557

What OpenQuestion holds

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LicenceCC BY-NC
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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.