Evidence map›Paper›PMID 40791116›Full record

Observational studyKorean journal of ophthalmology : KJO2025

Treatment Trends of Diabetic Macular Edema in Korea (TRACK) Study: A Prospective Multicenter Study.

Min Seok Kim, Kwangsic Joo, Yong-Un Shin, Hee Yoon Cho, Joo Yong Lee, Min Sagong, Jee Taek Kim, Yu Cheol Kim, Hyun Woong Kim, Hyunduck Kwak and 13 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Korean journal of ophthalmology : KJO, 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

23 authors.

Min Seok KimDepartment of Ophthalmology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
Kwangsic JooDepartment of Ophthalmology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
Yong-Un ShinDepartment of Ophthalmology, Hanyang University Seoul Hospital, Hanyang University College of Medicine, Seoul, Korea.
Hee Yoon ChoDepartment of Ophthalmology, Hanyang University Seoul Hospital, Hanyang University College of Medicine, Seoul, Korea.
Joo Yong LeeDepartment of Ophthalmology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Min SagongDepartment of Ophthalmology, Yeungnam University Medical Center, Yeungnam University College of Medicine, Daegu, Korea.
Jee Taek KimDepartment of Ophthalmology, Chung-Ang University College of Medicine, Seoul, Korea.
Yu Cheol KimDepartment of Ophthalmology, Keimyung University Dongsan Hospital, Keimyung University School of Medicine, Daegu, Korea.
Hyun Woong KimDepartment of Ophthalmology, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.
Hyunduck KwakDepartment of Ophthalmology, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan, Korea.
Seong Joon AhnDepartment of Ophthalmology, Hanyang University Seoul Hospital, Hanyang University College of Medicine, Seoul, Korea.
Mee Yon LeeDepartment of Ophthalmology, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea.
Jeong Hun BaeDepartment of Ophthalmology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
Inyoung ChungDepartment of Ophthalmology, Gyeongsang National University College of Medicine, Jinju, Korea.
Yong Seop HanDepartment of Ophthalmology, Gyeongsang National University College of Medicine, Jinju, Korea.
Woong-Sun YooDepartment of Ophthalmology, Gyeongsang National University College of Medicine, Jinju, Korea.
Sungwho ParkDepartment of Ophthalmology, Pusan National University Hospital, Pusan National University School of Medicine, Busan, Korea.
Do Gyun KimDepartment of Ophthalmology, Myong ji Hospital, Goyang, Korea.
Hae Min KangDepartment of Ophthalmology, International St. Mary's Hospital, Catholic Kwandong University College of Medicine, Incheon, Korea.
Hee Seung ChinDepartment of Ophthalmology, Inha University Hospital, Inha University College of Medicine, Incheon, Korea.
Daniel Duck-Jin HwangDepartment of Ophthalmology, Hangil Eye Hospital, Catholic Kwandong University College of Medicine, Incheon, Korea.
Yong-Sok JiDepartment of Ophthalmology, Chonnam National University Medical School, Gwang ju, Korea.
Kyu Hyung ParkDepartment of Ophthalmology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.

Funding

Foundation for Retinal Research and Advancement
6 · The paper itself

Abstract

purposeTo evaluate real-world functional and anatomical outcomes, treatment patterns, and ocular examination trends in diabetic macular edema (DME) in Korea.

methodsA prospective, multicenter, observational study was conducted at 17 hospitals (2017-2022) involving adults with DME. Patients were categorized into center-involving DME (CI-DME) and non-CI-DME groups based on optical coherence tomography findings. Serial changes in best-corrected visual acuity (BCVA), central subfoveal thickness (CST), and treatment and examination patterns were recorded at baseline and follow-up visits (6, 12, 18, and 24 months), and analyzed using linear mixed models and paired t-tests.

resultsA total of 209 participants (81 female patients, 38.8%; mean age, 60.2 ± 10.8 years) were enrolled. Over 24 months, 10 of 68 non-CI-DME patients (14.7%) developed CI-DME. CST significantly decreased in the CI-DME group (from 419 µm at baseline to 343 µm, p = 0.001), whereas BCVA remained unchanged in both groups. Throughout the 2-year period, the average number of anti-vascular endothelial growth factor (anti-VEGF) injections was 3.1 ± 3.6, while steroid injections averaged 0.7 ± 1.5. The CI-DME group received significantly more anti-VEGF injections compared to the non-CI-DME group (3.8 ± 3.9 vs. 2.0 ± 2.8, p = 0.004). Additionally, the CI-DME group had more frequent visits (15.8 vs. 11.3, p = 0.017) and optical coherence tomography examinations (9.7 vs. 7.4, p = 0.023). The number of anti-VEGF injections decreased in the CI-DME group over time, while the number of visits decreased in both groups.

conclusionsIn real-world clinical practice in Korea, the treatment and monitoring frequency for DME was lower than in major clinical trials, potentially contributing to suboptimal visual outcomes.

Indexed as

Angiogenesis InhibitorsDiabetic RetinopathyMacula LuteaMacular EdemaVisual AcuityAgedFemaleFluorescein AngiographyFollow-Up StudiesFundus OculiGlucocorticoidsHumansIntravitreal InjectionsMaleMiddle AgedProspective StudiesAngiogenesis InhibitorsGlucocorticoidsVascular Endothelial Growth Factor ADiabetic macular edemaKoreaTherapeutics

Identifiers

PMID40791116
PMCPMC12531083

What OpenQuestion holds

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LicenceCC BY-NC
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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.