Evidence map›Paper›PMID 39513294›Full record

SynthesisJournal of global health2024

Global incidence and risk factors for glaucoma: A systematic review and meta-analysis of prospective studies.

Shiyi Shan, Jing Wu, Jin Cao, Yan Feng, Jiali Zhou, Zeyu Luo, Peige Song, Igor Rudan, Global Health Epidemiology Research Group (GHERG)

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of global health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing 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

44 citing papers in PubMed.

  1. Preliminary Outcomes of iStent Inject vs Kahook Dual Blade Goniotomy Combined With Phacoemulsification: A Randomized Controlled Trial.Medical science monitor : international medical journal of experimental and clinical research · 2026
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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

9 authors.

Shiyi ShanCentre for Clinical Big Data and Statistics of the Second Affiliated Hospital, Zhejiang University School of Medicine, School of Public Health, Zhejiang University School of Medicine, Hangzhou, China.
Jing WuCentre for Clinical Big Data and Statistics of the Second Affiliated Hospital, Zhejiang University School of Medicine, School of Public Health, Zhejiang University School of Medicine, Hangzhou, China.
Jin CaoCentre for Clinical Big Data and Statistics of the Second Affiliated Hospital, Zhejiang University School of Medicine, School of Public Health, Zhejiang University School of Medicine, Hangzhou, China.
Yan FengSchool of Oral Medicine, Zhejiang University School of Medicine, Zhejiang University, Hangzhou, China.
Jiali ZhouCentre for Clinical Big Data and Statistics of the Second Affiliated Hospital, Zhejiang University School of Medicine, School of Public Health, Zhejiang University School of Medicine, Hangzhou, China.
Zeyu LuoCentre for Clinical Big Data and Statistics of the Second Affiliated Hospital, Zhejiang University School of Medicine, School of Public Health, Zhejiang University School of Medicine, Hangzhou, China.
Peige SongCentre for Clinical Big Data and Statistics of the Second Affiliated Hospital, Zhejiang University School of Medicine, School of Public Health, Zhejiang University School of Medicine, Hangzhou, China.
Igor RudanCentre for Global Health, Usher Institute, University of Edinburgh, Edinburgh, Scotland, UK.
Global Health Epidemiology Research Group (GHERG)

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This study aims to estimate global incidence and assess risk factors for glaucoma subtypes. Methods: The literature search was performed in three English (PubMed, Embase, MEDLINE) and three Chinese (China National Knowledge Infrastructure, Wanfang, China Science and Technology Journal Database) databases to identify prospective studies on glaucoma incidence between 1 January 1990 and 29 November 2022. We used a multilevel mixed-effects meta-regression to estimate the age- and sex-specific incidence rate of primary open-angle glaucoma (POAG). The global and regional incidence rate of POAG in 2022 were respectively estimated. The annual cumulative incidence (ACI) of POAG and primary angle-closure glaucoma (PACG), and risk factors for POAG were pooled using a random-effects meta-analysis, respectively. The heterogeneity of the included articles was tested using the Q statistic and measured by I Results: A total of 9050 articles were identified in literature search, and 50 articles provided incidence data of glaucoma subtypes. In 2022, the global incidence rate of POAG was 23.46 (95% confidence interval (CI) = 15.68-32.91) per 10 000 person-years among 40-79 years. An increase from 5.51 (95% CI = 1.63-11.12) per 10 000 person-years in 40-44 years to 64.36 (95% CI = 49.82-80.70) per 10 000 person-years in 75-79 years was noted between the year 1990 and 2019. Across sociodemographic index (SDI) and World Health Organization (WHO) regions, the incidence rate was the highest in low SDI region and Africa, respectively. The pooled ACI of POAG was 0.21% (95% CI = 0.13%-0.30%). Six risk factors for POAG were identified, including intraocular pressure (IOP) treatment (meta-odds ratio (OR) = 3.69; 95% CI = 2.64-5.15), a family history of glaucoma (meta-OR = 2.49; 95% CI = 1.92-3.24), myopia (meta-OR = 2.08; 95% CI = 1.59-2.70), elevated IOP (meta-OR = 1.13; 95% CI = 1.11-1.15), advanced age (meta-OR = 1.07; 95% CI = 1.05-1.08), male (female: meta-OR = 0.76; 95% CI = 0.66-0.88). The pooled ACI of PACG was 0.05% (95% CI = 0.00%-0.16%). Conclusions: Significant disparities existed in incidence rates for glaucoma across geographic regions and age groups. Further research is needed to understand which risk factors drive glaucoma incidence in different socioeconomic strata for tailored health policy on preventing glaucoma. Registration: This study is registered with PROSPERO (number CRD42023434203).

Indexed as

Global HealthGlaucomaGlaucoma, Angle-ClosureGlaucoma, Open-AngleHumansIncidenceProspective StudiesRisk Factors

Identifiers

PMID39513294
PMCPMC11544525

What OpenQuestion holds

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LicenceCC BY
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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.