Evidence map›Paper›PMID 37278425›Full record

ArticleBMJ open ophthalmology2023

Risk factors for structural and functional progression of primary open-angle glaucoma in an African ancestry cohort.

Rebecca J Salowe, Yineng Chen, Selam Zenebe-Gete, Roy Lee, Harini V Gudiseva, Isabel Di Rosa, Ahmara G Ross, Qi N Cui, Eydie Miller-Ellis, Victoria Addis and 4 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open ophthalmology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

8 citing papers in PubMed, 8 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

14 authors at 1 institution in 1 country.

Rebecca J SaloweScheie Eye Institute, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Yineng ChenScheie Eye Institute, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Selam Zenebe-GeteScheie Eye Institute, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Roy LeeScheie Eye Institute, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Harini V GudisevaScheie Eye Institute, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Isabel Di RosaScheie Eye Institute, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Ahmara G RossScheie Eye Institute, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Qi N CuiScheie Eye Institute, University of Pennsylvania, Philadelphia, Pennsylvania, USA.ORCID 0000-0002-5338-0401
Eydie Miller-EllisScheie Eye Institute, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Victoria AddisScheie Eye Institute, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Prithvi S SankarScheie Eye Institute, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Ebenezer DanielScheie Eye Institute, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Gui-Shuang YingScheie Eye Institute, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Joan M O'BrienScheie Eye Institute, University of Pennsylvania, Philadelphia, Pennsylvania, USA Joan.Obrien@uphs.upenn.edu.ORCID 0000-0003-4109-2928
Penn Presbyterian Medical Center · US

Funding

Scientific TransparencyP30EY001583 · NEI · UNIVERSITY OF PENNSYLVANIA · PI CLAIRE H MITCHELL · 1985 to 2026
$19.5M
Primary Open Angle African-American Glaucoma Genetics Study RenewalR01EY023557 · NEI · UNIVERSITY OF PENNSYLVANIA · PI O'BRIEN, JOAN M · 2014 to 2025
$18.1M
Mitochondrial Respiratory Chain Dysfunction in Primary Open Angle GlaucomaK08EY029765 · NEI · UNIVERSITY OF PENNSYLVANIA · PI CUI, QI N · 2019 to 2021
$731k
NEI NIH HHS K08 EY029765NEI NIH HHS L30 EY029353NEI NIH HHS P30 EY001583NEI NIH HHS R01 EY023557
6 · The paper itself

Abstract

BACKGROUND/

aimsTo investigate the rates of structural and functional progression of primary open-angle glaucoma in an African ancestry cohort and identify risk factors for progression.

methodsThis retrospective study included 1424 eyes from glaucoma cases in the Primary Open-Angle African American Glaucoma Genetics cohort, with ≥2 visits for retinal nerve fibre layer (RNFL) thickness and mean deviation (MD) measurements over ≥6-month follow-up. The rates of structural progression (change in RNFL thickness/year) and functional progression (change in MD/year) were calculated from linear mixed effects models, accounting for intereye correlation and longitudinal correlation. Eyes were categorised as slow, moderate or fast progressors. Risk factors for progression rates were assessed using univariable and multivariable regression models.

resultsThe median (interquartile) rates of progression were -1.60 (-2.05 to -1.15) µm/year for RNFL thickness and -0.40 (-0.44 to -0.34) decibels/year for MD. Eyes were categorised as slow (structural: 19%, functional: 88%), moderate (structural: 54%, functional: 11%) and fast (structural: 27%, functional: 1%) progressors. In multivariable analysis, faster RNFL progression was independently associated with thicker baseline RNFL (p<0.0001), lower baseline MD (p=0.003) and beta peripapillary atrophy (p=0.03). Faster MD progression was independently associated with higher baseline MD (p<0.0001), larger cup-to-disc ratios (p=0.02) and lower body mass index (p=0.0004).

conclusionThe median rates of structural and functional progression in this African ancestry cohort were faster than the rates reported from previously published studies in other ethnic groups. Higher baseline RNFL thickness and MD values were associated with faster progression rates. Results highlight the importance of monitoring structural and functional glaucoma progression to provide timely treatment in early disease.

Indexed as

GlaucomaGlaucoma, Open-AngleOptic DiskHumansIntraocular PressureNerve FibersRetinal Ganglion CellsRetrospective StudiesRisk FactorsVisual FieldsVisual Field TestsGlaucomaOptic Nerve

Identifiers

PMID37278425
PMCPMC9990679
OpenAlexW4323543606

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.