Literature DB >> 18698292

A randomized trial comparing intravitreal triamcinolone and focal/grid photocoagulation for diabetic macular edema: baseline features.

Michael S Ip1, Susan B Bressler, Andrew N Antoszyk, Christina J Flaxel, Judy E Kim, Scott M Friedman, Haijing Qin.   

Abstract

PURPOSE: To compare baseline demographic, systemic, and ocular characteristics within age and racial subgroups among participants in this Diabetic Retinopathy Clinical Research Network clinical trial and to compare this cohort with other cohorts enrolled in phase 3 clinical trials for diabetic retinopathy.
METHODS: Thirty-six month, randomized, controlled, multicenter clinical trial of 693 participants with diabetic macular edema enrolled at 88 clinical sites in the United States. Participants were categorized into self-reported race/ethnicity subgroups and into one of three age groups: 18 to <60, 60 to <70, and 70 and older.
RESULTS: Mean age of participants was 63 years, 72% were white, and median visual acuity letter score was 62 (approximately 20/63). No substantial difference was identified between racial subgroups for any baseline variable. Older participants were more likely to have Type 2 diabetes mellitus and longer duration disease. The most frequent levels of diabetic retinopathy among 840 study eyes were moderate (level 43) to moderately severe (level 47) nonproliferative disease.
CONCLUSION: While the racial composition of this cohort does not differ from other cohorts in large phase 3 trials that have evaluated participants with diabetic retinopathy, the inclusion of many subjects over age 70 and a better level of glycemic control are distinguishing features.

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Year:  2008        PMID: 18698292      PMCID: PMC2796075          DOI: 10.1097/IAE.0b013e31818144a7

Source DB:  PubMed          Journal:  Retina        ISSN: 0275-004X            Impact factor:   4.256


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Authors:  Emily Y Chew; Frederick L Ferris; Karl G Csaky; Robert P Murphy; Elvira Agrón; Darby J S Thompson; George F Reed; Andrew P Schachat
Journal:  Ophthalmology       Date:  2003-09       Impact factor: 12.079

6.  Retinal thickness on Stratus optical coherence tomography in people with diabetes and minimal or no diabetic retinopathy.

Authors:  Neil M Bressler; Allison R Edwards; Andrew N Antoszyk; Roy W Beck; David J Browning; Antonio P Ciardella; Ronald P Danis; Michael J Elman; Scott M Friedman; Adam R Glassman; Jeffrey G Gross; Helen K Li; Timothy J Murtha; Thomas W Stone; Jennifer K Sun
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Journal:  N Engl J Med       Date:  1993-09-30       Impact factor: 91.245

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Journal:  Lancet       Date:  1998-09-12       Impact factor: 79.321

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Journal:  Ophthalmology       Date:  1994-06       Impact factor: 12.079

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  18 in total

1.  Vitrectomy outcomes in eyes with diabetic macular edema and vitreomacular traction.

Authors:  Julia A Haller; Haijing Qin; Rajendra S Apte; Roy R Beck; Neil M Bressler; David J Browning; Ronald P Danis; Adam R Glassman; Joseph M Googe; Craig Kollman; Andreas K Lauer; Mark A Peters; Margaret E Stockman
Journal:  Ophthalmology       Date:  2010-03-17       Impact factor: 12.079

Review 2.  Diabetic macular oedema: pathophysiology, management challenges and treatment resistance.

Authors:  Bobak Bahrami; Meidong Zhu; Thomas Hong; Andrew Chang
Journal:  Diabetologia       Date:  2016-05-14       Impact factor: 10.122

Review 3.  A review of therapies for diabetic macular oedema and rationale for combination therapy.

Authors:  W M K Amoaku; S Saker; E A Stewart
Journal:  Eye (Lond)       Date:  2015-06-26       Impact factor: 3.775

4.  Exploratory analysis of diabetic retinopathy progression through 3 years in a randomized clinical trial that compares intravitreal triamcinolone acetonide with focal/grid photocoagulation.

Authors:  Neil M Bressler; Allison R Edwards; Roy W Beck; Christina J Flaxel; Adam R Glassman; Michael S Ip; Craig Kollman; Baruch D Kuppermann; Thomas W Stone
Journal:  Arch Ophthalmol       Date:  2009-12

5.  Current treatments in diabetic macular oedema: systematic review and meta-analysis.

Authors:  John Alexander Ford; Noemi Lois; Pamela Royle; Christine Clar; Deepson Shyangdan; Norman Waugh
Journal:  BMJ Open       Date:  2013-03-01       Impact factor: 2.692

6.  The Standard Care vs Corticosteroid for Retinal Vein Occlusion (SCORE) study system for evaluation of optical coherence tomograms: SCORE study report 4.

Authors:  Amitha Domalpally; Barbara A Blodi; Ingrid U Scott; Michael S Ip; Neal L Oden; Andreas K Lauer; Paul C VanVeldhuisen
Journal:  Arch Ophthalmol       Date:  2009-11

7.  Diabetes and obesity: a challenge for every ophthalmologist.

Authors:  Thomas W Gardner; Robert A Gabbay
Journal:  Arch Ophthalmol       Date:  2009-03

8.  Three-year follow-up of a randomized trial comparing focal/grid photocoagulation and intravitreal triamcinolone for diabetic macular edema.

Authors:  Roy W Beck; Allison R Edwards; Lloyd P Aiello; Neil M Bressler; Frederick Ferris; Adam R Glassman; Elizabeth Hartnett; Michael S Ip; Judy E Kim; Craig Kollman
Journal:  Arch Ophthalmol       Date:  2009-03

9.  The course of response to focal/grid photocoagulation for diabetic macular edema.

Authors: 
Journal:  Retina       Date:  2009 Nov-Dec       Impact factor: 4.256

Review 10.  Current epidemiology of diabetic retinopathy and diabetic macular edema.

Authors:  Jie Ding; Tien Yin Wong
Journal:  Curr Diab Rep       Date:  2012-08       Impact factor: 4.810

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