Evidence map›Paper›PMID 38333510›Full record

ReviewCureus2024

Comparative Efficacy of Anti-vascular Endothelial Growth Factor (Anti-VEGF) Agents and Corticosteroids in Managing Diabetic Retinopathy-Associated Diabetic Macular Edema: A Meta-Analysis and Comprehensive Systematic Review.

Avesh Kumar, Aman Kumar, Jagdesh Kumar, Guria Bai, Rachna Jeewnani, Mahek Dembra, Kainat Kanwal, Usama Qadeer, Muhammad Hasnain Khawar, Iqra Yaseen Khan and 2 more

Open access · diamondAbstract readReview
In one paragraph

Review in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.2field-weighted citation impact, top 9% 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

6 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Mechanisms of action of retinal microglia in diabetic retinopathy (Review).International journal of molecular medicine · 2025
    Review
  3. Review
  4. Review
  5. Article
  6. Article
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

12 authors at 2 institutions in 5 countries.

Avesh KumarMedicine, Bahria University Health Sciences Campus, Karachi, PAK.
Aman KumarInternal Medicine, Shaheed Mohtarma Benazir Bhutto Medical University, Larkana, PAK.
Jagdesh KumarMedicine, Ghulam Muhammad Mahar Medical College, Sukkur, PAK.
Guria BaiMedicine, Ghulam Muhammad Mahar Medical College, Sukkur, PAK.
Rachna JeewnaniMedicine, Bahria University Health Sciences Campus, Karachi, PAK.
Mahek DembraMedicine, Bahria University Health Sciences Campus, Karachi, PAK.
Kainat KanwalMedicine and Surgery, Khawaja Muhammad Safdar Medical College, Sialkot, PAK.
Usama QadeerMedicine, Allama Iqbal Medical College, Lahore, PAK.
Muhammad Hasnain KhawarInternal Medicine, Mayo Hospital, Lahore, PAK.
Iqra Yaseen KhanMedicine, King Edward Medical University (KEMU), Lahore, PAK.
Raja RamMedicine, MedStar Washington Hospital Center, Washington, USA.
Giustino VarrassiPain Medicine, Paolo Procacci Foundation, Rome, ITA.
MedStar Washington Hospital Center · USKing Edward Medical University · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diabetic macular edema (DME) is a significant condition linked to diabetes that can result in visual loss. In recent times, there has been a notable change in the desire for treatment, with a shift toward anti-vascular endothelial growth factor (anti-VEGF) therapy and intravitreal steroids while moving away from conventional laser therapies. This comprehensive meta-analysis explicitly compares the efficacy of two therapies for DME: anti-VEGF therapy and corticosteroid. We conducted a thorough search using PubMed and Google Scholar to identify publications that compare the effects of anti-VEGF therapy and corticosteroid implants on DME. Using Review Manager 5.0 (RevMan), we incorporated data from nine research studies, which involved a total of 877 people. The group was split into two factions: 453 patients were administered corticosteroids, while 466 patients underwent treatment with anti-VEGF therapy. Our investigation demonstrated that both corticosteroid and anti-VEGF therapy positively improved the best-corrected visual acuity (BCVA) and reduced the central macular thickness (CMT). Nevertheless, comparing the mean BCVA on the logarithm of the minimum angle of resolution (logMAR) scale revealed no statistically significant changes between the two treatments. This indicates considerable inconsistency, as evidenced by the weighted mean difference (WMD) of -0.13 (-0.41, 0.16) with a

Indexed as

dexamethasonediabetic macular edemadmeintravitreal ranibizumabmacular edemameta-analysisranibizumab

Identifiers

PMID38333510
PMCPMC10850611
OpenAlexW4390769676

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.