Evidence map›Paper›PMID 39929324›Full record

SynthesisJournal of clinical epidemiology2025

Inequities in glaucoma research: an analysis of Cochrane systematic reviews and randomized trials.

Mostafa Bondok, Omar Dewidar, Abdullah Al-Ani, Rishika Selvakumar, Edsel Ing, Jacqueline Ramke, Christian El-Hadad, Karim F Damji, Tianjing Li, Vivian Welch

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of clinical epidemiology, 2025. 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. Review
  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

10 authors.

Mostafa BondokBruyère Research Institute, University of Ottawa, Ottawa, Ontario, Canada; Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Omar DewidarBruyère Research Institute, University of Ottawa, Ottawa, Ontario, Canada; Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Abdullah Al-AniSection of Ophthalmology, Department of Surgery, Cumming School of Medicine, University of Calgary, Calgary, Canada.
Rishika SelvakumarSchool of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
Edsel IngDepartment of Ophthalmology and Visual Sciences, University of Alberta, Edmonton, Alberta, Canada; Department of Ophthalmology and Vision Sciences, University of Toronto Temerty School of Medicine, Toronto, Ontario, Canada.
Jacqueline RamkeInternational Centre for Eye Health, London School of Hygiene & Tropical Medicine, London, UK; School of Optometry and Vision Science, The University of Auckland, Auckland, New Zealand.
Christian El-HadadDepartment of Ophthalmology and Visual Sciences, McGill University Faculty of Medicine, Montréal, Québec, Canada.
Karim F DamjiDepartment of Ophthalmology and Visual Sciences, Aga Khan University, Karachi, Pakistan; Department of Ophthalmology and Visual Sciences, University of Alberta, Edmonton, Alberta, Canada.
Tianjing LiDepartment of Ophthalmology, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Vivian WelchBruyère Research Institute, University of Ottawa, Ottawa, Ontario, Canada; School of Epidemiology and Public Health, University of Ottawa, Ottawa, Canada. Electronic address: vwelch@campbellcollaboration.org.

Funding

Maximizing Use of High-Quality Evidence in Eye Care: Cochrane Eyes and Vision US ProjectUG1EY020522 · NEI · UNIVERSITY OF COLORADO DENVER · PI Tianjing Li · 2017 to 2026
$10.1M
NEI NIH HHS UG1 EY020522
6 · The paper itself

Abstract

objectivesTo understand the level of equity considerations within Cochrane systematic reviews (CSR) on glaucoma and their primary studies.

methodsA review of equity considerations in systematic reviews on glaucoma published in The Cochrane Library from inception (2003) to January 31, 2024 and a sample of recently published primary studies included in those reviews (n = 122). Extraction was performed by two independent reviewers using a prepiloted extraction form based on a validated, contemporary, structured equity framework. If consensus could not be reached, a third reviewer was involved.

resultsA total of 40 CSRs on glaucoma were identified, all of which exclusively included randomized control trials (RCTs) or quasi-RCTs. Twenty-nine (72.5%) reviews acknowledged populations experiencing inequities in glaucoma care; none were able to perform subgroup analysis due to data unavailability in primary studies. Six (15.0%) reviews considered equity-relevant factors when discussing applicability or limitations of study findings to specific populations. Seventy-four (46.8%) review authors were women, while 84 (53.2%) were men. Most review authors were primarily affiliated with institutions in the European Region (85, 53.8%) or the Americas (55, 34.8%), while none were primarily affiliated with institutions in Africa or low-income countries. Most RCTs were conducted in the Americas (32.8%), European Region (27.9%), or in high-income countries (72.1%). While most RCTs reported gender or sex of participants (107, 87.7%), only half reported race or ethnicity (61, 50.0%). No RCTs reported place of residence, occupation, socioeconomic status (SES), or social capital of participants. Approximately half (51.7%) of the participants in these RCTs were female.

conclusionEquity considerations can be better addressed in research on glaucoma. Reporting of patient sociodemographic in RCTs, particularly race and ethnicity, as well as global representation were insufficient. This may limit the generalizability and applicability of intervention efficacy to populations experiencing inequities and people from low-income countries.

Indexed as

GlaucomaHealthcare DisparitiesRandomized Controlled Trials as TopicSystematic Reviews as TopicFemaleHumansMaleGlaucomaHealth disparitiesHealth equityMethodological studySociodemographic factorsSystematic reviews

Identifiers

PMID39929324
PMCPMC12147557

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.