Evidence map›Paper›PMID 40080012›Full record

ArticleTranslational vision science & technology2025

The Association of Social Determinants of Health on Monitoring for Disease Progression Among Patients With Primary Open-Angle Glaucoma.

Kunal Kanwar, Rithambara Ramachandran, Joshua D Stein, Chris A Andrews, Azraa S Chaudhury, Maryam Ige, Xueqing Zhou, Shikha Marwah, Yang Li, Charlesnika T Evans and 4 more

Abstract read
In one paragraph

Article in Translational vision science & technology, 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

14 authors.

Kunal KanwarDepartment of Ophthalmology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Rithambara RamachandranDepartment of Ophthalmology and Visual Sciences, University of Michigan Kellogg Eye Center, Ann Arbor, MI, USA.
Joshua D SteinDepartment of Ophthalmology and Visual Sciences, University of Michigan Kellogg Eye Center, Ann Arbor, MI, USA.
Chris A AndrewsDepartment of Ophthalmology and Visual Sciences, University of Michigan Kellogg Eye Center, Ann Arbor, MI, USA.
Azraa S ChaudhuryDepartment of Ophthalmology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Maryam IgeDepartment of Ophthalmology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Xueqing ZhouDepartment of Ophthalmology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Shikha MarwahDepartment of Ophthalmology and Visual Sciences, University of Michigan Kellogg Eye Center, Ann Arbor, MI, USA.
Yang LiDepartment of Ophthalmology and Visual Sciences, University of Michigan Kellogg Eye Center, Ann Arbor, MI, USA.
Charlesnika T EvansDepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Abel N KhoDepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Paul J BryarDepartment of Ophthalmology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Dustin D FrenchDepartment of Ophthalmology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Sight Outcomes Research Collaborative (SOURCE) Consortium

Funding

Enhanced Identification of Ocular Phenotypes and Outcomes in Electronic Health Record DataR01EY032475 · NEI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI STEIN, JOSHUA D · 2022 to 2025
$2.7M
Health Evaluation and Access to Leverage Technology for Improved DR Outcomes (HEAL-DR)R01EY036341 · NEI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI DUSTIN D. FRENCH, Joshua D Stein · 2024 to 2026
$2.1M
Health Disparities in Utilization, Quality, and Outcomes for Three Common Ocular Conditions (HealthDOC)R01EY034444 · NEI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI DUSTIN D. FRENCH, Joshua D Stein · 2023 to 2026
$1.8M
NEI NIH HHS R01 EY032475NEI NIH HHS R01 EY034444NEI NIH HHS R01 EY036341
6 · The paper itself

Abstract

Purpose: To examine the association of race, ethnicity, and other social determinants of health (SDH) on receipt of optic nerve (ON) evaluation in accordance with National Quality Forum (NQF) and the American Academy of Ophthalmology (AAO) guideline-based metrics. Methods: This was a retrospective cohort study consisting of 13,582 patients with POAG receiving care across 12 tertiary care health. The odds of receiving ≥1 ON evaluations to monitor for glaucoma progression over 45 months of follow-up was evaluated. Results: White patients (61%) with primary open angle glaucoma (POAG) had more guideline recommended ON evaluations during the 45-month follow-up period, compared with Asian American (52%) and Black (53%) patients (P < 0.001 for both). More non-Hispanic patients with POAG (58%) had ON evaluations in all 3 time periods compared with persons of Latinx ethnicity (52%) (P = 0.045). The odds of undergoing ON evaluations were 17% lower for Black patients compared with White patients (odds ratio [OR] = 0.83; confidence interval [CI], 0.74-0.94), 56% lower for patients living in isolated rural communities (OR = 0.44; CI, 0.25-0.77) compared to urban areas, and 9% lower for patients residing in more impoverished communities (OR = 0.91; CI, 0.86-0.96). Conclusions: Racial and ethnic minorities and those residing in lesser affluent or rural communities are less likely to receive monitoring for POAG progression in accordance with NQF and AAO guidelines. Translational Relevance: This study aimed to determine the association between SDH and receiving POAG testing according to clinical practice guidelines, with a goal of identifying factors contributing to disparities in care. This should facilitate development of targeted clinical interventions for vulnerable patients with POAG while factoring technology, economic sustainability, and policy.

Indexed as

Glaucoma, Open-AngleSocial Determinants of HealthAgedDisease ProgressionEthnicityFemaleHumansIntraocular PressureMaleMiddle AgedRacial GroupsRetrospective StudiesUnited States

Identifiers

PMID40080012
PMCPMC11918092

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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.