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Graft rejection rate and graft failure rate of penetrating keratoplasty (PKP) vs lamellar procedures: a systematic review.

Akanda ZZ, Naeem A, Russell E, Belrose J, Si FF, Hodge WG - PLoS ONE (2015)

Bottom Line: The follow up time was significantly longer for full transplants than for lamellar procedures.For outright failure, the PKP group also had a higher risk of failure than the lamellar groups but this was not statistically significant in either instance (anterior or posterior).Some of the clinical differences benefitting lamellar procedures may at least be partly explained by follow up time differences between groups and this needs to be accounted for more rigorously in future studies.

View Article: PubMed Central - PubMed

Affiliation: Western University, London, Ontario, Canada.

ABSTRACT

Purpose: The aim of our investigation was to conduct a quantitative meta-analysis of the present world literature comparing the major surgical outcomes of penetrating keratoplasty (PKP) to lamellar procedures. Our goal is that clinicians, eye bank administrators, and health policy makers will be able to utilize this study in implementing decisions in regards to corneal transplantation.

Methods: Pooled measures of association were with odds ratios and because of study heterogeneity, the pooled effects were assumed to follow a random effects model (DerSimonian-Laird). The comparisons were between 1) PKP's and all lamellar procedures (anterior AND posterior) and then 2) between PKP's and all anterior lamellar procedures and 3) PKP and all posterior lamellar procedures.

Results: For PKP vs anterior lamellar procedures, the pooled odds ratio for rejection of PKP over lamellar keratoplasty (LK) was 3.56 (95% CI: 1.76-7.20) and for outright failure, the pooled odds ratio of PKP failure vs LK was 2.85 (95% CI: 0.84-9.66). For posterior lamellar procedures, the pooled odds ratio for rejection of PKP over LK was 1.52 (95% CI: 1.00-2.32). The pooled odds ratio for outright failure of PKP over posterior lamellar procedures was 2.09 (95% CI: 0.57-7.59). The follow up time was significantly longer for full transplants than for lamellar procedures.

Conclusions: For both anterior and posterior lamellar procedures, the odds ratios comparing rejection of full transplants to lamellar procedures (both anterior and posterior individually) were significantly higher in the PKP group. For outright failure, the PKP group also had a higher risk of failure than the lamellar groups but this was not statistically significant in either instance (anterior or posterior). Some of the clinical differences benefitting lamellar procedures may at least be partly explained by follow up time differences between groups and this needs to be accounted for more rigorously in future studies.

No MeSH data available.


The summary Forest plots of the pooled odds ratio for PKP rejection over lamellar rejection.
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pone.0119934.g002: The summary Forest plots of the pooled odds ratio for PKP rejection over lamellar rejection.

Mentions: We first compared the rejection rate and failure rate of PKP vs all lamellar procedures. The pooled odds ratio for PKP rejection over lamellar rejection was 2.02 (95% CI: 1.39–2.95). The pooled odds ratio for PKP failure was 2.51 (95% CI 1.08–5.86). The summary Forest plots for these outcomes are shown in Fig. 2 and Fig. 3. Fig. 2 shows the pooled odds ratio for PKP rejection over lamellar rejection and Fig. 3 the pooled odds ratio for PKP failure over lamellar failure.


Graft rejection rate and graft failure rate of penetrating keratoplasty (PKP) vs lamellar procedures: a systematic review.

Akanda ZZ, Naeem A, Russell E, Belrose J, Si FF, Hodge WG - PLoS ONE (2015)

The summary Forest plots of the pooled odds ratio for PKP rejection over lamellar rejection.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4362756&req=5

pone.0119934.g002: The summary Forest plots of the pooled odds ratio for PKP rejection over lamellar rejection.
Mentions: We first compared the rejection rate and failure rate of PKP vs all lamellar procedures. The pooled odds ratio for PKP rejection over lamellar rejection was 2.02 (95% CI: 1.39–2.95). The pooled odds ratio for PKP failure was 2.51 (95% CI 1.08–5.86). The summary Forest plots for these outcomes are shown in Fig. 2 and Fig. 3. Fig. 2 shows the pooled odds ratio for PKP rejection over lamellar rejection and Fig. 3 the pooled odds ratio for PKP failure over lamellar failure.

Bottom Line: The follow up time was significantly longer for full transplants than for lamellar procedures.For outright failure, the PKP group also had a higher risk of failure than the lamellar groups but this was not statistically significant in either instance (anterior or posterior).Some of the clinical differences benefitting lamellar procedures may at least be partly explained by follow up time differences between groups and this needs to be accounted for more rigorously in future studies.

View Article: PubMed Central - PubMed

Affiliation: Western University, London, Ontario, Canada.

ABSTRACT

Purpose: The aim of our investigation was to conduct a quantitative meta-analysis of the present world literature comparing the major surgical outcomes of penetrating keratoplasty (PKP) to lamellar procedures. Our goal is that clinicians, eye bank administrators, and health policy makers will be able to utilize this study in implementing decisions in regards to corneal transplantation.

Methods: Pooled measures of association were with odds ratios and because of study heterogeneity, the pooled effects were assumed to follow a random effects model (DerSimonian-Laird). The comparisons were between 1) PKP's and all lamellar procedures (anterior AND posterior) and then 2) between PKP's and all anterior lamellar procedures and 3) PKP and all posterior lamellar procedures.

Results: For PKP vs anterior lamellar procedures, the pooled odds ratio for rejection of PKP over lamellar keratoplasty (LK) was 3.56 (95% CI: 1.76-7.20) and for outright failure, the pooled odds ratio of PKP failure vs LK was 2.85 (95% CI: 0.84-9.66). For posterior lamellar procedures, the pooled odds ratio for rejection of PKP over LK was 1.52 (95% CI: 1.00-2.32). The pooled odds ratio for outright failure of PKP over posterior lamellar procedures was 2.09 (95% CI: 0.57-7.59). The follow up time was significantly longer for full transplants than for lamellar procedures.

Conclusions: For both anterior and posterior lamellar procedures, the odds ratios comparing rejection of full transplants to lamellar procedures (both anterior and posterior individually) were significantly higher in the PKP group. For outright failure, the PKP group also had a higher risk of failure than the lamellar groups but this was not statistically significant in either instance (anterior or posterior). Some of the clinical differences benefitting lamellar procedures may at least be partly explained by follow up time differences between groups and this needs to be accounted for more rigorously in future studies.

No MeSH data available.