Evidence map›Paper›PMID 39510601›Full record

ArticleBMJ open ophthalmology2024

Total retinal thickness is an important factor in evaluating diabetic retinal neurodegeneration.

Noor-Us-Sabah Ahmad, Kristen Staggers, Kyungmoo Lee, Nitish Mehta, Amitha Domalpally, Benjamin J Frankfort, Yao Liu, Roomasa Channa

Abstract read
In one paragraph

Article in BMJ open ophthalmology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

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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

8 authors.

Noor-Us-Sabah AhmadThe University of Iowa Hospitals and Clinics, Department of Ophthalmology and Visual Sciences, Iowa City, Iowa, USA.ORCID 0000-0003-0241-4605
Kristen StaggersBaylor College of Medicine, Houston, Texas, USA.
Kyungmoo LeeIowa Institute for Biomedical Imaging, University of Iowa, Iowa City, Iowa, USA.
Nitish MehtaNYU Langone Health, New York, New York State, USA.
Amitha DomalpallyDepartment of Ophthalmology and Visual Science, University of Wisconsin, Madison, Wisconsin, USA.
Benjamin J FrankfortBaylor College of Medicine, Houston, Texas, USA.
Yao LiuDepartment of Ophthalmology and Visual Science, University of Wisconsin, Madison, Wisconsin, USA.ORCID 0000-0002-0700-0148
Roomasa ChannaDepartment of Ophthalmology and Visual Science, University of Wisconsin, Madison, Wisconsin, USA roomasa.channa@gmail.com.ORCID 0000-0003-0755-6901

Funding

Diabetic Retinopathy: Genetics and Neurodegeneration (MSN246458)K23EY030911 · NEI · UNIVERSITY OF WISCONSIN-MADISON · PI CHANNA, ROOMASA · 2020 to 2024
$1.3M
NEI NIH HHS K23 EY030911
6 · The paper itself

Abstract

objectiveMacular retinal nerve fibre layer (mRNFL) and ganglion cell-inner plexiform layer thickness (GC-IPL) measurements are important markers of diabetic retinal neurodegeneration (DRN). In this cross-sectional study, we aimed to quantify the contribution of total retinal thickness (TRT) and other factors in the variation of mRNFL and GC-IPL thickness among participants with diabetes. METHODS AND ANALYSIS: We used macular-centred spectral domain-optical coherence tomography scans from participants with diabetes in the UK Biobank. Two multiple linear regression models (prior to and after adjusting for TRT) were used to determine factors associated with mRNFL and GC-IPL thicknesses. A p value of less than 0.05 was considered statistically significant.

resultsA total of 3832 eyes from 3832 participants with diabetes were analysed. Factors that explained the greatest variation in thickness were TRT (20.9% for mRNFL and 57.2% for GC-IPL), followed by spherical equivalent (8.0% for mRNFL only), gender (2.2% for mRNFL only) and age (1.4% for GC-IPL only). Other factors significantly associated with mRNFL and/or GC-IPL thickness explained less than 1% of the variation in their thicknesses. Self-reported ancestral background was not significantly associated with mRNFL thickness after accounting for TRT.

conclusionsAlthough many factors were significantly associated with mRNFL and GC-IPL thickness in participants with diabetes, they accounted for a fraction of the variation in the thickness of both layers. TRT explained most of the variation in these measurements, hence accounting for TRT is needed when using these metrics to evaluate DRN.

Indexed as

Diabetic RetinopathyNerve FibersRetinal Ganglion CellsTomography, Optical CoherenceAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedRetinaRetinal DegenerationDegenerationDiagnostic tests/InvestigationRetina

Identifiers

PMID39510601
PMCPMC11552016

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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.