Evidence map›Paper›PMID 38995351›Full record

ArticleGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2024

Disparities in glaucoma and macular degeneration healthcare utilization among persons living with dementia in the United States.

Ali G Hamedani, Angela Y Chang, Yineng Chen, Brian L VanderBeek

Abstract readMulticenter Study
In one paragraph

Article in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

4 authors.

Ali G HamedaniDepartment of Neurology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. Ali.hamedani@pennmedicine.upenn.edu.
Angela Y ChangDepartment of Ophthalmology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Yineng ChenCenter for Preventive Ophthalmology and Biostatistics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Brian L VanderBeekDepartment of Ophthalmology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.

Funding

Scientific TransparencyP30EY001583 · NEI · UNIVERSITY OF PENNSYLVANIA · PI CLAIRE H MITCHELL · 1985 to 2026
$19.5M
Vision and hallucinations in older adultsK23EY033438 · NEI · UNIVERSITY OF PENNSYLVANIA · PI Ali G Hamedani · 2022 to 2026
$1.2M
Metzger Family N/ANEI NIH HHS 2P30EYEY001583NEI NIH HHS K23 EY033438NEI NIH HHS K23 EY033438-02Paul MacKall and Evanina Bell MacKall Trust N/AResearch to Prevent Blindness N/A
6 · The paper itself

Abstract

purposeDementia is common among patients with primary open angle glaucoma (POAG) and neovascular age-related macular degeneration (nAMD). This study compares visit frequency, diagnostic test utilization, and treatment patterns for POAG and nAMD among persons with vs. without dementia.

methodsOptum's de-identified Clinformatics

resultsPOAG patients with dementia had reduced rates of eye care visits (RR 0.76, 95% CI: 0.75-0.77), lower rates of testing utilization for visual fields (RR 0.66, 95% CI: 0.63-0.68) and OCT (RR 0.67, 95% CI: 0.64-0.69), and a lower rate of glaucoma prescription medication coverage (RR 0.83, 95% CI: 0.83-0.83). nAMD patients with dementia had reduced rates of eye care visits (RR 0.74, 95% CI: 0.70-0.79) and received fewer intravitreal injections (RR 0.64, 95% CI: 0.58-0.69) than those without dementia.

conclusionsPOAG and nAMD patients with dementia obtained less eye care and less monitoring and treatment of their disease. These findings suggest that this population may be vulnerable to gaps in ophthalmic care.

Indexed as

DementiaGlaucoma, Open-AngleAgedAged, 80 and overAngiogenesis InhibitorsFemaleHealthcare DisparitiesHumansIncidenceIntraocular PressureMaleMiddle AgedPatient Acceptance of Health CareRetrospective StudiesTomography, Optical CoherenceUnited StatesAngiogenesis InhibitorsDementiaDisparitiesGlaucomaHealthcare utilizationMacular degeneration

Identifiers

PMID38995351
PMCPMC11608381

What OpenQuestion holds

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LicenceCC BY
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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.