Evidence map›Paper›PMID 38949811›Full record

ArticleJAMA network open2024

Cataract Development Among Pediatric Patients With Uveitis.

Alan Y Hsu, Hou-Ting Kuo, Chun-Ju Lin, Ning-Yi Hsia, Shu-Chun Kuo, Chang-Ching Wei, Chun-Ting Lai, Huan-Sheng Chen, Yu-Hsun Wang, James Cheng-Chung Wei and 1 more

Abstract read
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Article in JAMA network open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Article
  2. Article
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  4. Article
  5. Article
  6. Article
  7. Pediatric uveitis.Journal of family medicine and primary care · 2024
    Review
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

11 authors.

Alan Y HsuDepartment of Ophthalmology, China Medical University Hospital, China Medical University, Taichung City, Taiwan.
Hou-Ting KuoDepartment of Ophthalmology, China Medical University Hospital, China Medical University, Taichung City, Taiwan.
Chun-Ju LinDepartment of Ophthalmology, China Medical University Hospital, China Medical University, Taichung City, Taiwan.
Ning-Yi HsiaDepartment of Ophthalmology, China Medical University Hospital, China Medical University, Taichung City, Taiwan.
Shu-Chun KuoDepartment of Ophthalmology, Chi Mei Medical Center, Tainan City, Taiwan.
Chang-Ching WeiSchool of Medicine, College of Medicine, China Medical University, Taichung City, Taiwan.
Chun-Ting LaiDepartment of Ophthalmology, China Medical University Hospital, China Medical University, Taichung City, Taiwan.
Huan-Sheng ChenAn-Shin Dialysis Center, NephroCare Ltd, Fresenius Medical Care, Taichung City, Taiwan.
Yu-Hsun WangDepartment of Medical Research, Chung Shan Medical University Hospital, Taichung City, Taiwan.
James Cheng-Chung WeiDepartment of Medical Research, Chung Shan Medical University Hospital, Taichung City, Taiwan.
Yi-Yu TsaiDepartment of Ophthalmology, China Medical University Hospital, China Medical University, Taichung City, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Importance: The long-term estimated risk of development of cataracts among pediatric patients with uveitis is not clear. Objective: To describe factors associated with the development of cataracts among pediatric patients with uveitis. Design, Setting, and Participants: This cohort study used the international TriNetX database to enroll pediatric patients with and without uveitis from January 1, 2002, to December 31, 2022. The nonuveitis cohort consisted of randomly selected control patients matched by age, sex, race and ethnicity, and specific comorbidities. Exposure: Diagnosis of uveitis, identified using diagnostic codes. Main Outcomes and Measures: The primary outcome was the risk of developing cataracts among the uveitis group compared with the nonuveitis comparison group, with hazard ratios (HRs) and 95% CIs reported. Results: A total of 22 687 pediatric patients with uveitis (mean [SD] age, 10.3 [5.6] years; 54.2% male) and 22 687 comparators without uveitis (mean [SD] age, 10.3 [5.6] years; 54.5% male) were enrolled in the study. The risk of cataracts was increased among pediatric patients with uveitis up to a follow-up duration of 20 years (HR, 17.17; 95%CI, 12.90-22.80) from the index date. Subgroup analyses revealed an elevated cataract risk across age groups: 0 to 6 years (HR, 19.09; 95% CI, 10.10-36.00), 7 to 12 years (HR, 27.16; 95% CI, 15.59-47.20), and 13 to 18 years (HR, 13.39; 95% CI, 8.84-20.30); both female sex (HR, 13.76; 95% CI, 9.60-19.71) and male sex (HR, 11.97; 95% CI, 8.47-16.91); and Asian (HR, 13.80; 95% CI, 3.28-58.07), Black or African American (HR, 10.41; 95% CI, 5.60-19.36), and White (HR, 15.82; 95% CI, 11.05-22.60) race. Furthermore, increased cataract risks were also observed among those with and without a history of immunosuppressive agents (with: HR, 26.52 [95% CI, 16.75-41.90]; without: HR, 17.69 [95% CI: 11.39-27.40]), a history of steroid eye drop use (with: HR, 29.51 [95% CI, 14.56-59.70]; without: HR, 16.49 [95% CI, 11.92-22.70]), and a history of intraocular procedures (with: HR, 11.07 [95%CI, 4.42-27.71]; without: HR, 14.49 [95% CI, 10.11-20.70]). Conclusions and Relevance: In this cohort study of pediatric patients with uveitis, an elevated risk of cataracts following a uveitis diagnosis was found compared with pediatric patients without uveitis. The findings suggest that pediatric patients with uveitis should be monitored for cataract development.

Indexed as

CataractUveitisAdolescentChildChild, PreschoolCohort StudiesFemaleHumansInfantMaleProportional Hazards ModelsRisk Factors

Identifiers

PMID38949811
PMCPMC11217876

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Registered trials

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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.