Evidence map›Paper›PMID 37347405›Full record

ArticleOphthalmology and therapy2023

Real-World Persistence and Treatment Interval in Patients with Diabetic Macular Edema Treated with Anti-Vascular Endothelial Growth Factors in the USA.

Sophie J Bakri, Marie-Noelle Delyfer, Jakob Grauslund, Steffen Andersen, Helene Karcher

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 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
4.2field-weighted citation impact, top 5% 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

13 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
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  3. Review
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  5. Nonadherence to anti-VEGF intravitreal injections in patients with diabetic macular edema : The names of the authors.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    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

5 authors at 4 institutions in 5 countries.

Sophie J BakriDepartment of Ophthalmology, Mayo Clinic, 200 First St SW, Rochester, MN, 55902, USA. bakri.sophie@mayo.edu.ORCID http://orcid.org/0000-0002-0887-3194
Marie-Noelle DelyferUniversity of Bordeaux, Team "Lifelong Exposures, Health and Aging" (LEHA), Inserm U1219, Bordeaux Population Health Research Center, Bordeaux, France.
Jakob GrauslundDepartment of Ophthalmology & Steno Diabetes Center Odense, Odense University Hospital, Odense, Denmark.
Steffen AndersenNovartis Pharma AG, Basel, Switzerland.
Helene KarcherNovartis Pharma AG, Basel, Switzerland.
Novartis (Switzerland) · CHMayo Clinic · USSteno Diabetes Centers · DKUniversité de Bordeaux · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThere is little understanding of long-term treatment persistence in patients receiving anti-vascular endothelial growth factor (anti-VEGF) injections for diabetic macular edema (DME), particularly relating to treatment intervals. The aim of this study was to investigate the association between treatment interval and discontinuation rate after 24 months of unilateral anti-VEGF treatment in patients with DME under routine clinical care in the USA.

methodsThis was a non-interventional, retrospective cohort study to review the health insurance claims of adults with DME linked with the IBM MarketScan

resultsThe overall discontinuation rate among the 1702 eligible patients from 24 to 60 months after treatment initiation was 30%. At 60 months, patients were more likely to remain on treatment in shorter (75.3% [4-week interval group]) versus longer treatment interval groups (62.1% [> 12-week interval group], difference = 13.2%, [95% confidence interval (CI) 1.06, 2.06], p = 0.01). Patients on a > 12-week interval were twice as likely to discontinue treatment compared with those on an 8-week interval (hazard ratio = 2.01 [95% CI 1.43, 2.82], p < 0.001).

conclusionPatients with DME on longer anti-VEGF treatment intervals at 24 months consistently had higher discontinuation rates in the following years than those on shorter treatment intervals.

Indexed as

AfliberceptAnti-vascular endothelial growth factorBevacizumabDiabetic macular edemaIBM MarketScan® Commercial and Medicare Supplemental databasesInjection intervalRanibizumabTreatment discontinuation

Identifiers

PMID37347405
PMCPMC10441838
OpenAlexW4381598689

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.