Evidence map›Paper›PMID 40498743›Full record

ArticlePloS one2025

Factors that contribute to loss to follow-up in the medium term after initiation of anti-vascular endothelial growth factor therapy for neovascular age-related macular degeneration in Japanese patients.

Takaaki Sugisawa, Fumi Gomi, Yuri Harada, Hiroko Imaizumi, Shuichiro Aoki, Akiko Miki, Maya Kishi, Tomofusa Yamauchi, Daisuke Nagasato, Yoko Ozawa and 15 more

Abstract readMulticenter Study
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

25 authors.

Takaaki SugisawaDepartment of Ophthalmology, Hyogo Medical University, Nishinomiya, Japan.ORCID https://orcid.org/0000-0002-4679-8316
Fumi GomiDepartment of Ophthalmology, Hyogo Medical University, Nishinomiya, Japan.ORCID https://orcid.org/0000-0003-0807-8817
Yuri HaradaShiga University of Medical Science, Ōtsu, Japan.
Hiroko ImaizumiDepartment of Ophthalmology, Sapporo City General Hospital, Sapporo, Japan.
Shuichiro AokiDepartment of Ophthalmology, Sapporo City General Hospital, Sapporo, Japan.
Akiko MikiDepartment of Surgery, Division of Ophthalmology, Kobe University Graduate School of Medicine, Kobe, Japan.
Maya KishiDepartment of Surgery, Division of Ophthalmology, Kobe University Graduate School of Medicine, Kobe, Japan.
Tomofusa YamauchiDepartment of Ophthalmology, Saneikai Tsukazaki Hospital, Himeji, Japan.
Daisuke NagasatoDepartment of Ophthalmology, Saneikai Tsukazaki Hospital, Himeji, Japan.
Yoko OzawaDepartment of Clinical Regenerative Medicine, Fujita Medical Innovation Center Tokyo, Eye Center, Fujita Health University, Haneda Clinic, Tokyo, Japan.
Masatoshi HarutaDepartment of Ophthalmology, Kurume University School of Medicine, Kurume, Japan.
Nobuhiro KatoDepartment of Ophthalmology, Kurume University School of Medicine, Kurume, Japan.
Hisashi MatsubaraDepartment of Ophthalmology, Mie University Graduate School of Medicine, Tsu, Japan.
Tsutomu YasukawaDepartment of Ophthalmology and Visual Science, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.ORCID https://orcid.org/0000-0001-9913-1905
Aki KatoDepartment of Ophthalmology and Visual Science, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
Hiroto TerasakiDepartment of Ophthalmology, Kagoshima University Graduate School of Medical and Dental Science, Kagoshima, Japan.
Takao HiranoDepartment of Ophthalmology, Shinshu University School of Medicine, Matsumoto, Japan.
Yasuhiro IesatoDepartment of Ophthalmology, Shinshu University School of Medicine, Matsumoto, Japan.
Hiroki TsujinakaDepartment of Ophthalmology, Nara Medical University, Kashihara, Japan.
Tomoya MurakamiDepartment of Ophthalmology, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
Yoshinori MitamuraDepartment of Ophthalmology, Tokushima University Graduate School, Tokushima, Japan.
Makiko WakutaDepartment of Ophthalmology, Yamaguchi University School of Medicine, Yamaguchi, Japan.
Kazuhiro KimuraDepartment of Ophthalmology, Yamaguchi University School of Medicine, Yamaguchi, Japan.
Masahiko ShimuraDepartment of Ophthalmology, Tokyo Medical University Hachioji Medical Center, Tokyo, Japan.ORCID https://orcid.org/0000-0001-5456-6374
J-CREST (Japan Clinical Retina Study) Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo identify time-specific factors associated with loss to follow-up (LTFU) in the early to medium term after initiating anti-vascular endothelial growth factor (VEGF) treatment in patients with neovascular age-related macular degeneration (nAMD) in Japan.

methodsThe study had a retrospective multicenter case-control design and was performed across 16 specialist retinal facilities in Japan. Patients diagnosed with nAMD at their initial visit who initiated treatment between January 2017 and December 2020 were included. Patient characteristics were analyzed to identify factors associated with LTFU within 3 months (very early), 3 months to 1 year (early), and 1 year to 2 years (medium term) after starting treatment.

resultsData for 2389 patients with nAMD were analyzed. The very early, early, and medium-term LTFU rates were 6.8%, 13.8%, and 21.2%, respectively. Stepwise regression analysis identified factors that were significantly associated with LTFU at a very early stage to be greater central retinal thickness at baseline and a prior treatment history, those associated with early LTFU to be worse baseline best-corrected visual acuity (BCVA), anti-VEGF treatment combined with photodynamic therapy, and a follow-up period that overlapped with the COVID-19 pandemic, and that associated with medium-term LTFU to be worse BCVA at 3 months. LTFU in any period within 3 months to 2 years was more likely in patients aged >80 years, and LTFU very early within 3 months was more likely in those aged <60 years. A poor baseline BCVA (logMAR) of >1 was a risk factor for LTFU within 3 months and 1 year, whereas LTFU was significantly less likely in patients with good baseline BCVA (<0.1).

conclusionThe LTFU rate in patients with nAMD increased over time. Factors contributing to LTFU vary depending on the time since initiation of treatment.

Indexed as

Angiogenesis InhibitorsLost to Follow-UpMacular DegenerationVascular Endothelial Growth Factor AAgedAged, 80 and overCase-Control StudiesEast Asian PeopleFemaleFollow-Up StudiesHumansJapanMaleMiddle AgedRetrospective StudiesVisual AcuityAngiogenesis InhibitorsVascular Endothelial Growth Factor A

Identifiers

PMID40498743
PMCPMC12157206

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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.