Evidence map›Paper›PMID 37170013›Full record

ArticleEye (London, England)2023

Exploring patient acceptability of emerging intravitreal therapies for geographic atrophy: A mixed-methods study.

Jamie Enoch, Arevik Ghulakhszian, Mandeep Sekhon, David P Crabb, Deanna J Taylor, Christiana Dinah

Open access · bronzeAbstract 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 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

10 citing papers in PubMed, 13 citations in OpenAlex.

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  10. PEGylated therapeutics in the clinic.Bioengineering & translational medicine · 2024
    Review
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 3 institutions in 1 country.

Jamie EnochDepartment of Optometry and Visual Sciences, City, University of London, London, UK.ORCID 0000-0002-4614-6676
Arevik GhulakhszianOphthalmology Department, London North West University Healthcare NHS Trust, Central Middlesex Hospital, London, UK.ORCID 0000-0002-5503-3892
Mandeep SekhonPopulation Health Research Institute, St George's, University of London, London, UK.
David P CrabbDepartment of Optometry and Visual Sciences, City, University of London, London, UK.ORCID 0000-0001-8754-3902
Deanna J TaylorDepartment of Optometry and Visual Sciences, City, University of London, London, UK.ORCID 0000-0001-8261-5225
Christiana DinahOphthalmology Department, London North West University Healthcare NHS Trust, Central Middlesex Hospital, London, UK. christiana.dinah@nhs.net.ORCID 0000-0002-0815-4771
City, University of London · GBLondon North West Healthcare NHS Trust · GBSt George's, University of London · GB

Funding

UoL | City, University of London (City, UoL) Higher Education Innovation Fund
6 · The paper itself

Abstract

BACKGROUND/

objectivesThe acceptability of emerging intravitreal therapies for patients with Geographic Atrophy (GA) is currently unknown. This study therefore aimed to investigate the extent to which regular intravitreal injections may be acceptable to GA patients. SUBJECTS/

methodsThirty UK-based individuals with GA secondary to age-related macular degeneration (AMD), recruited from two London-based hospitals, were interviewed in April-October 2021 regarding acceptability of new GA treatments. Participants responded to a structured questionnaire, as well as open-ended questions in a semi-structured interview. The Theoretical Framework of Acceptability (TFA) informed framework analysis of the qualitative data.

resultsTwenty participants (67%) were female, and median (interquartile range (IQR)) age was 83 (78, 87) years. 37% of participants had foveal centre-involving GA, and better eye median (IQR) logMAR visual acuity was 0.30 (0.17, 0.58). Data suggested that 18 participants (60% (95% CI: 41-79%)) would accept the treatment, despite awareness of potential drawbacks. Eight participants (27% (95% CI: 10-43%) were ambivalent or undecided about treatment, and four (13%) (95% CI: 0-26%) would be unlikely to accept treatment. Reducing the frequency of injections from monthly to every other month increased the proportion of participants who considered the treatments acceptable. Conversely, factors limiting acceptability clustered around: the limited magnitude of treatment efficacy; concerns about side effects or the increased risk of neovascular AMD; and the logistical burden of regular clinic visits for intravitreal injections. Misunderstandings of potential benefits indicate the need for appropriately-designed patient education tools to support decision-making.

conclusionsOur study suggests a majority of participants would be positive about intravitreal treatment for GA, in spite of potential burdens.

Indexed as

Geographic AtrophyWet Macular DegenerationAngiogenesis InhibitorsFemaleHumansIntravitreal InjectionsMaleVascular Endothelial Growth Factor AVisual AcuityAngiogenesis InhibitorsVascular Endothelial Growth Factor A

Identifiers

PMID37170013
PMCPMC10174603
OpenAlexW4376129528

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.