Evidence map›Paper›PMID 37149685›Full record

ArticleEye (London, England)2023

Comparison of long-term treatment outcomes of laser and anti-VEGF therapy in retinopathy of prematurity: a multicentre study from J-CREST group.

Tomoya Murakami, Fumiki Okamoto, Takamasa Kinoshita, Kayo Shinomiya, Tomo Nishi, Shumpei Obata, Shuntaro Ogura, Yuka Nishihara, Hideyuki Tsukitome, Tatsuya Jujo and 3 more

Open access · greenAbstract readMulticenter Study
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 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 10% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
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  5. Review
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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

13 authors at 10 institutions in 1 country.

Tomoya MurakamiJapan-Clinical Retina Study Group (J-CREST), Kagoshima, Japan. tomoyam618@gmail.com.ORCID 0000-0001-5421-8580
Fumiki OkamotoJapan-Clinical Retina Study Group (J-CREST), Kagoshima, Japan.
Takamasa KinoshitaJapan-Clinical Retina Study Group (J-CREST), Kagoshima, Japan.
Kayo ShinomiyaJapan-Clinical Retina Study Group (J-CREST), Kagoshima, Japan.
Tomo NishiJapan-Clinical Retina Study Group (J-CREST), Kagoshima, Japan.
Shumpei ObataJapan-Clinical Retina Study Group (J-CREST), Kagoshima, Japan.
Shuntaro OguraJapan-Clinical Retina Study Group (J-CREST), Kagoshima, Japan.
Yuka NishiharaJapan-Clinical Retina Study Group (J-CREST), Kagoshima, Japan.
Hideyuki TsukitomeJapan-Clinical Retina Study Group (J-CREST), Kagoshima, Japan.
Tatsuya JujoJapan-Clinical Retina Study Group (J-CREST), Kagoshima, Japan.
Kaori UedaJapan-Clinical Retina Study Group (J-CREST), Kagoshima, Japan.
Ryota IshiiDepartment of Biostatistics, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
Tetsuro OshikaJapan-Clinical Retina Study Group (J-CREST), Kagoshima, Japan.
University of Tsukuba · JPKobe University · JPKurume University · JPMie University · JPNagoya City University · JPNara Medical University · JPSapporo City General Hospital · JPShiga University of Medical Science · JPSt. Marianna University School of Medicine · JPTokushima University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo compare real-world, long-term outcomes of laser and anti-vascular endothelial growth factor (VEGF) therapies in patients with retinopathy of prematurity (ROP).

methodsThis was a multicentre retrospective study. We included 264 eyes of 139 patients treated for type 1 ROP or aggressive ROP (AROP) who were followed for at least 4 years. Laser treatment was initially performed in 187 eyes (the laser group), and anti-VEGF therapy was initially performed in 77 eyes (the anti-VEGF group). We collected data on sex, birth characteristics, zone, stage, and the presence of plus disease at the time of treatment and best-corrected visual acuity (BCVA), spherical equivalent (SE), and ocular complications (amblyopia and strabismus) in patients aged 4-6 years. We investigated the associations between treatment outcomes (BCVA, SE and the presence of amblyopia and strabismus) and influencing factors, including treatment procedure (anti-VEGF or laser therapy), sex, birth characteristics, zone, stage, and the presence of plus disease, using multivariable analysis and logistic regression analyses.

resultsThe initial treatment procedure was not associated with any specific treatment outcome. Subgroup analysis of patients with zone I ROP revealed that the anti-VEGF-treated eyes had significantly better BCVA and higher SE than laser-treated eyes (p = 0.004, p = 0.009, respectively). Female patients presented significantly better BCVA, less amblyopia and less strabismus than male patients (p < 0.001, p = 0.029, p = 0.008, respectively).

conclusionsIn zone I ROP, anti-VEGF therapy led to better visual acuity and less myopic refractive error than laser treatment.

Indexed as

AmblyopiaRetinopathy of PrematurityStrabismusAngiogenesis InhibitorsFemaleGestational AgeHumansInfant, NewbornIntravitreal InjectionsLaser CoagulationLasersMaleRetrospective StudiesTreatment OutcomeVascular Endothelial Growth Factor AAngiogenesis InhibitorsVascular Endothelial Growth Factor A

Identifiers

PMID37149685
PMCPMC10686384
OpenAlexW4372347283

What OpenQuestion holds

Textmetadata
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.