Evidence map›Paper›PMID 39187741›Full record

SynthesisJournal of neurology2024

Optical coherence tomography measurements in Huntington's disease: a systematic review and meta-analysis.

Mahdi Gouravani, Sepehr Fekrazad, Asma Mafhoumi, Moein Ashouri, Delia Cabrera DeBuc

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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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

4 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

5 authors.

Mahdi Gouravani *School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Sepehr Fekrazad *School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Asma Mafhoumi *School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Moein AshouriSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Delia Cabrera DeBucMiller School of Medicine, Bascom Palmer Eye Institute, University of Miami, 900 NW 17 Street, Miami, FL, 33136, USA. dcabrera2@med.miami.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA connection has been established between ocular structural changes and various neurodegenerative diseases. Several studies utilizing optical coherence tomography (OCT) have detected signs of ocular structural alterations among individuals with Huntington's disease (HD). The inconsistent results reported in the literature regarding alterations in the retina and choroid encouraged us to conduct this systematic review and meta-analysis to accumulate the findings.

methodsA systematic search was carried out in three electronic databases (PubMed, Embase, Scopus) to find studies reporting OCT measurements in HD cases compared with healthy controls (HC). A fixed-effects or random-effects meta-analysis was conducted according to the detected heterogeneity level. Furthermore, subgroup and sensitivity analyses, meta-regression, and quality assessment were performed.

resultsEleven studies were included in the systematic review and 9 studies with a total population of 452 participants (241 cases, and 211 HC) underwent meta-analysis. Results of the analysis denoted that subfoveal choroid had a significantly reduced thickness in HD eyes compared to HC (p < 0.0001). Moreover, our analysis indicated that HD cases had a significantly thinner average (p = 0.0130) and temporal peripapillary retinal nerve fiber layer (pRNFL) (p = 0.0012) than HC. However, subjects with pre-HD had insignificant differences in average (p = 0.44) and temporal pRNFL thickness (p = 0.33) with the HC group.

conclusionResults of the current systematic review and meta-analysis revealed the significant thinning of average and temporal pRNFL and subfoveal choroid in HD compared to HC. However, OCT currently might be considered insensitive to be applied in the pre-HD population at least until further longitudinal investigations considering variables such as the duration between OCT measurement and disease onset validating OCT as a routine diagnostic tool in HD clinics.

Indexed as

Huntington DiseaseTomography, Optical CoherenceHumansRetinaChoroidHuntington's diseaseMeta-analysisOptical coherence tomographyRetina

Identifiers

PMID39187741
PMCPMC11447008

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