Evidence map›Paper›PMID 37449049›Full record

ArticleOphthalmology science2023

The Association of Intravitreal Anti-VEGF Injections With Kidney Function in Diabetic Retinopathy.

Casey C Bunge, Prarthana J Dalal, Elizabeth Gray, Kasen Culler, Julia J Brown, Susan E Quaggin, Anand Srivastava, Manjot K Gill

Open access · goldAbstract read
In one paragraph

Article in Ophthalmology science, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. 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

8 authors at 2 institutions in 1 country.

Casey C BungeDepartment of Ophthalmology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Prarthana J DalalDepartment of Ophthalmology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Elizabeth GrayNorthwestern University Feinberg School of Medicine, Biostatistics Collaboration Center, Chicago, Illinois.
Kasen CullerDepartment of Ophthalmology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Julia J BrownDivision of Nephrology, Department of Medicine, University of Illinois Chicago, Chicago, Illinois.
Susan E QuagginDivision of Nephrology and Hypertension, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Anand SrivastavaDivision of Nephrology, Department of Medicine, University of Illinois Chicago, Chicago, Illinois.
Manjot K GillDepartment of Ophthalmology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Northwestern University · USUniversity of Illinois Chicago · US

Funding

Non-Invasive Imaging Biomarkers to Identify a High-Risk Chronic Kidney Disease PhenotypeK23DK120811 · NIDDK · UNIVERSITY OF ILLINOIS AT CHICAGO · PI SRIVASTAVA, ANAND · 2020 to 2024
$1.0M
NIDDK NIH HHS K23 DK120811
6 · The paper itself

Abstract

Purpose: To examine whether patients with diabetic retinopathy receiving intravitreal anti-VEGF injections are at increased risk of kidney function decline. Design: Retrospective cohort study. Participants: Included 187 patients who received intravitreal anti-VEGF injections for proliferative diabetic retinopathy (PDR) and/or diabetic macular edema (DME), and 929 controls with non-PDR who did not receive injections, at a large tertiary care center in Chicago, Illinois. Methods: We queried our institutional enterprise data warehouse to identify patients with diabetic retinopathy, determined whether they received intravitreal anti-VEGF injections, and followed kidney function for all patients over time. Main Outcome Measures: We assessed time to sustained 40% decline in estimated glomerular filtration rate (eGFR) from baseline in patients receiving intravitreal anti-VEGF injections and compared it with controls using Kaplan-Meier and multivariable adjusted Cox proportional hazards regression models. Results: This study included 1116 patients (565 female [50.6%]; mean [standard deviation {SD}] age, 57.3 [13.6] years; mean [SD] eGFR, 65.3 [32.1] ml/min/1.73 m Conclusions: Intravitreal anti-VEGF injections for patients with diabetic retinopathy are overall well-tolerated with respect to kidney function, but the use of intravitreal anti-VEGF injections was associated with an increased risk of kidney function decline in certain subgroups of patients. Financial Disclosures: Proprietary or commercial disclosure may be found after the references.

Indexed as

anti-vascular endothelial growth factoranti-VEGFdiabetic macular edemadiabetic retinopathyintravitreal injections

Identifiers

PMID37449049
PMCPMC10336189
OpenAlexW4382334413

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.