Evidence map›Paper›PMID 36573232›Full record

ArticleClinical ophthalmology (Auckland, N.Z.)2022

Best Fit Sphere Back and Adjusted Maximum Elevation of Corneal Back Surface as Novel Predictors of Keratoconus Progression.

Margarida Ribeiro, Cláudia Barbosa, Paulo Correia, Luís Torrão, Pedro Neves Cardoso, Raúl Moreira, Fernando Falcão-Reis, Manuel Falcão, João Pinheiro-Costa

Open access · goldAbstract read
In one paragraph

Article in Clinical ophthalmology (Auckland, N.Z.), 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
0.9field-weighted citation impact, top 27% 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, 6 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 2 institutions in 1 country.

Margarida Ribeiro *Department of Ophthalmology, Centro Hospitalar e Universitário São João, Porto, Portugal.ORCID 0000-0002-0196-3840
Cláudia Barbosa *Faculty of Medicine of Porto University, Porto, Portugal.
Paulo CorreiaFaculty of Medicine of Porto University, Porto, Portugal.
Luís TorrãoDepartment of Ophthalmology, Centro Hospitalar e Universitário São João, Porto, Portugal.ORCID 0000-0003-0555-6860
Pedro Neves CardosoDepartment of Ophthalmology, Centro Hospitalar e Universitário São João, Porto, Portugal.
Raúl MoreiraDepartment of Ophthalmology, Centro Hospitalar e Universitário São João, Porto, Portugal.
Fernando Falcão-ReisDepartment of Ophthalmology, Centro Hospitalar e Universitário São João, Porto, Portugal.
Manuel FalcãoDepartment of Ophthalmology, Centro Hospitalar e Universitário São João, Porto, Portugal.ORCID 0000-0003-4718-0910
João Pinheiro-CostaDepartment of Ophthalmology, Centro Hospitalar e Universitário São João, Porto, Portugal.ORCID 0000-0002-7289-4045
Universidade do Porto · PTHospital de São João · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: We evaluated the Maximum Elevation of Corneal Back Surface adjusted to the same Best Fit Sphere Back (BFSB) between timeline measurements (AdjEleBmax) and the BFSB radius (BFSBR) itself as new tomographic parameters for documentation of ectasia progression and compare them with the most recent and reliable parameters used on keratoconus (KC) progression. Results: We evaluated the performance and the ideal cutoff point of Kmax, D-index, posterior radius of curvature from the 3.0 mm centered on the thinnest point (PRC), EleBmax, BFSBR, and AdjEleBmax as isolated parameters to document KC progression (defined as a significant change in two or more variables), we found a sensitivity of 70%, 82%, 79%, 65%, 51%, and 63% and a specificity of 91%, 98%, 80%, 73%, 80%, and 84% to detect KC progression. The area under the curve (AUC) for each variable was 0.822, 0.927, 0.844, 0.690, 0.695, 0.754, respectively. Conclusion: AdjEleBmax presented a greater specificity, larger AUC, and better performance compared to EleBmax without any adjustment, with similar sensitivity. Although AdjEleBmax and BFSB demonstrated smaller AUC and specificities comparing with Kmax and D-Index, AdjEleBmax still presented a good performance with a reasonable AUC. Since the shape of the posterior surface, more aspheric and curved than the anterior, may facilitate detection of change, we suggest the inclusion of AdjEleBmax in the evaluation of KC progression in conjunction with other variables to increase the reliability of our clinical evaluation and early detection of progression.

Indexed as

best fit sphere backcorneakeratoconusmaximum elevation of corneal back surfaceprogression

Identifiers

PMID36573232
PMCPMC9789719
OpenAlexW4312213120

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.