Evidence map›Paper›PMID 42565899›Full record

SynthesisInternational ophthalmology2026

Global mortality of glaucoma: a systematic review and meta-analysis of prospective studies.

Shiyi Shan, Zeyu Luo, Yan Feng, Xinyu Liu, Jin Cao, Jing Wu, Chenhao Zhang, Denan Jiang, Peige Song

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in International ophthalmology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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 ShanSchool of Public Health, Zhejiang University School of Medicine, Hangzhou, 310058, China.
Zeyu LuoSchool of Public Health, Zhejiang University School of Medicine, Hangzhou, 310058, China.
Yan FengSchool of Oral Medicine, Zhejiang University School of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.
Xinyu LiuSchool of Public Health, Zhejiang University School of Medicine, Hangzhou, 310058, China.
Jin CaoSchool of Public Health, Zhejiang University School of Medicine, Hangzhou, 310058, China.
Jing WuSchool of Public Health, Zhejiang University School of Medicine, Hangzhou, 310058, China.
Chenhao ZhangSchool of Public Health, Zhejiang University School of Medicine, Hangzhou, 310058, China.
Denan JiangThe Fourth Affiliated Hospital of School of Medicine, and International School of Medicine, International Institutes of Medicine, Zhejiang University, Yiwu, China.
Peige SongSchool of Public Health, Zhejiang University School of Medicine, Hangzhou, 310058, China. peigesong@zju.edu.cn.ORCID https://orcid.org/0000-0002-0196-9759

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo quantify the mortality and relative mortality risk of glaucoma and its subtypes through a systematic review and meta-analysis.

methodsWe identified prospective studies reporting glaucoma mortality published from January 1, 1990 to August 9, 2025. Data on absolute mortality and relative mortality risk of primary open-angle glaucoma (POAG), primary angle-closure glaucoma (PACG), and congenital glaucoma were extracted. The absolute mortality was reported either as cumulative mortality or mortality rate, and the relative mortality risk was reported as hazard ratio (HR), risk ratio (RR), or odds ratio (OR). The annual cumulative mortality (ACM) of POAG was transformed from cumulative mortality and pooled using a random-effects meta-analysis. Unadjusted and fully adjusted HRs of mortality risk comparing people with and without POAG were also pooled using random-effects meta-analyses.

resultsSeven articles were included. The pooled ACM of POAG was 3.42% (95% confidence interval [CI] 1.70%-5.58%). The mortality rate of POAG was reported in one study as 6.1 (95% CI 5.5-6.7) per 1000 person-years. A significant association between POAG and mortality was observed in the pooled unadjusted relative mortality risk estimates (HR 2.14, 95% CI 1.32-3.47). Fully adjusted relative mortality risk estimates did not show a significant association with mortality (HR 1.13, 95% CI 0.91-1.40). The cumulative mortality of PACG over ten years (47.6%, 95% CI 25.7%-70.2%) and the cumulative mortality of congenital glaucoma over 15 years (3.48%) were reported.

conclusionIn the context of global aging, integrating glaucoma care with comprehensive management of systemic health may help improve long-term outcomes among individuals with glaucoma. More prospective studies are needed to provide a basis for allocating resources for eye health care.

Indexed as

GlaucomaGlobal HealthHumansProspective StudiesGlaucomaMeta-analysisMortality

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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.