Evidence map›Paper›PMID 38202118›Full record

ArticleJournal of clinical medicine2023

Anatomical and Functional Outcomes with Prompt versus Delayed Initiation of Anti-VEGF in Exudative Age-Related Macular Degeneration.

Assaf Gershoni, Edward Barayev, Rabeea H Daood, Maureen Yogev, Orly Gal-Or, Olga Reitblat, Maria Tsessler, Michal Schaap Fogler, Raimo Tuuminen, Rita Ehrlich

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 67% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

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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

10 authors at 3 institutions in 2 countries.

Assaf GershoniOphthalmology Division, Rabin Medical Center, Petach Tikva 49414, Israel.
Edward BarayevOphthalmology Division, Rabin Medical Center, Petach Tikva 49414, Israel.
Rabeea H DaoodOphthalmology Division, Rabin Medical Center, Petach Tikva 49414, Israel.
Maureen YogevOphthalmology Division, Rabin Medical Center, Petach Tikva 49414, Israel.
Orly Gal-OrOphthalmology Division, Rabin Medical Center, Petach Tikva 49414, Israel.
Olga ReitblatOphthalmology Division, Rabin Medical Center, Petach Tikva 49414, Israel.ORCID 0000-0002-8417-4440
Maria TsesslerOphthalmology Division, Rabin Medical Center, Petach Tikva 49414, Israel.ORCID 0000-0002-1898-7830
Michal Schaap FoglerOphthalmology Division, Rabin Medical Center, Petach Tikva 49414, Israel.
Raimo TuuminenHelsinki Retina Research Group, University of Helsinki, 00170 Helsinki, Finland.ORCID 0000-0003-1550-8125
Rita EhrlichOphthalmology Division, Rabin Medical Center, Petach Tikva 49414, Israel.
Tel Aviv University · ILRabin Medical Center · ILUniversity of Helsinki · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the correlation between time from diagnosis of treatment-naïve exudative age-related macular degeneration (AMD) to the introduction of anti-VEGF treatment and anatomical and functional outcomes.

designRetrospective cohort study.

methodsIncluded were treatment-naïve exudative AMD patients who presented to a single tertiary medical center between 2012 and 2018. All patients were treated within the first 30 days of their diagnosis with three monthly intravitreal injections of bevacizumab. Patients were divided into three groups: group 1 (prompt anti-VEGF) were injected with bevacizumab within ten days, group 2 (intermediate anti-VEGF) within 11-20 days, and group 3 (delayed anti-VEGF) within 21-30 days from diagnosis. Baseline characteristics and clinical outcomes were compared up to two years from treatment.

results146 eyes of 146 patients were included. Sixty-eight patients were in the prompt anti-VEGF group, 31 in the intermediate anti-VEGF group, and 47 in the delayed anti-VEGF group. Following the induction phase of three intravitreal bevacizumab injections, the mean central subfield macular thickness (328.0 ± 115.4 µm vs. 364.6 ± 127.2 µm vs. 337.7 ± 150.1 µm,

conclusionsOur real-world evidence data emphasize that even if anti-VEGF induction cannot be initiated promptly within ten days from diagnosis of naïve exudative AMD, the visual and anatomical prognosis of the patients may not worsen if the treatment is started within one month of diagnosis.

Indexed as

anti-VEGFbevacizumabcentral subfield macular thicknessexudative age-related macular degenerationintravitreal treatmenttreatment-naïve

Identifiers

PMID38202118
PMCPMC10779608
OpenAlexW4390196285

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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.