Treated Cases of Retinopathy of Prematurity in Germany: 10-Year Data from the Retina.net Retinopathy of Prematurity Registry

TY - JOUR

T1 - Treated Cases of Retinopathy of Prematurity in Germany: 10-Year Data from the Retina.net Retinopathy of Prematurity Registry

AU - Pfeil, Johanna M

AU - Barth, Teresa

AU - Lagrèze, Wolf A

AU - Lorenz, Birgit

AU - Hufendiek, Karsten

AU - Liegl, Raffael

AU - Breuss, Helge

AU - Bemme, Sebastian

AU - Aisenbrey, Sabine

AU - Glitz, Barbara

AU - Süsskind, Daniela

AU - Gabel-Pfisterer, Ameli

AU - Skevas, Christos

AU - Krohne, Tim U

AU - Kakkassery, Vinodh

AU - Bründer, Marie-Christine

AU - Engelmann, Katrin

AU - Guthoff, Rainer

AU - Walter, Peter

AU - Choritz, Lars

AU - Stahl, Andreas

AU - Retina.net ROP Registry

AU - Hagenau, Felix

AU - Spitzer, Martin

N1 - Copyright © 2023. Published by Elsevier Inc.

PY - 2024/6

Y1 - 2024/6

N2 - PURPOSE: To analyze changes in demographic parameters and retreatment patterns over a 10-year period in a clinical routine setting of infants with retinopathy of prematurity (ROP) requiring treatment documented in the German Retina.net ROP registry.DESIGN: Multicenter, noninterventional, observational registry study recruiting patients treated for ROP.SUBJECTS: A total of 692 eyes of 353 infants treated for ROP were documented in the Retina.net ROP registry over a 10-year period between 2011 and 2020. These cases cover about 15% of all infants treated for ROP in Germany.METHODS: The Retina.net ROP registry was established in 2012 to jointly collect information on infants treated for ROP. The database collects information on demographic parameters (gestational age [GA], birth weight, neonatal comorbidities) as well as treatment parameters (type of treatment, weight and age at treatment, and stage of ROP). A total of 19 centers contributed to the analysis. This is the 10-year analysis of data from 2011 to 2020, in which we focus on changes over time regarding the respective parameters.MAIN OUTCOME MEASURES: Changes over time in demographic parameters and treatment patterns for ROP in Germany.RESULTS: The overall incidence of treatment requiring ROP was 3.5% of all infants screened for ROP at participating centers. Gestational age, weight at birth, and weight at treatment remained stable over the 10-year period, whereas postmenstrual and postnatal age at treatment increased moderately but statistically significantly over the years. The most prevalent ROP severity stage at treatment was stage 3+ in zone II (76.6% of all treated eyes). Treatment patterns changed considerably from predominantly laser treatments in 2011 (75% of all treated eyes) to predominantly ranibizumab treatments in 2020 (60.9% of all treated eyes). The overall retreatment rate was 15.6%. Retreatment rates differed between initial treatment modalities (14.1% after laser coagulation, 12% after bevacizumab and 24.5% after ranibizumab). Treatment-associated systemic or ophthalmic complications were rare.CONCLUSIONS: This data analysis represents one of the largest documented cohorts of infants treated for ROP. The data on demographic parameters and treatment patterns provide useful information for further improvement of ROP management.FINANCIAL DISCLOSURE(S): Proprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article.

AB - PURPOSE: To analyze changes in demographic parameters and retreatment patterns over a 10-year period in a clinical routine setting of infants with retinopathy of prematurity (ROP) requiring treatment documented in the German Retina.net ROP registry.DESIGN: Multicenter, noninterventional, observational registry study recruiting patients treated for ROP.SUBJECTS: A total of 692 eyes of 353 infants treated for ROP were documented in the Retina.net ROP registry over a 10-year period between 2011 and 2020. These cases cover about 15% of all infants treated for ROP in Germany.METHODS: The Retina.net ROP registry was established in 2012 to jointly collect information on infants treated for ROP. The database collects information on demographic parameters (gestational age [GA], birth weight, neonatal comorbidities) as well as treatment parameters (type of treatment, weight and age at treatment, and stage of ROP). A total of 19 centers contributed to the analysis. This is the 10-year analysis of data from 2011 to 2020, in which we focus on changes over time regarding the respective parameters.MAIN OUTCOME MEASURES: Changes over time in demographic parameters and treatment patterns for ROP in Germany.RESULTS: The overall incidence of treatment requiring ROP was 3.5% of all infants screened for ROP at participating centers. Gestational age, weight at birth, and weight at treatment remained stable over the 10-year period, whereas postmenstrual and postnatal age at treatment increased moderately but statistically significantly over the years. The most prevalent ROP severity stage at treatment was stage 3+ in zone II (76.6% of all treated eyes). Treatment patterns changed considerably from predominantly laser treatments in 2011 (75% of all treated eyes) to predominantly ranibizumab treatments in 2020 (60.9% of all treated eyes). The overall retreatment rate was 15.6%. Retreatment rates differed between initial treatment modalities (14.1% after laser coagulation, 12% after bevacizumab and 24.5% after ranibizumab). Treatment-associated systemic or ophthalmic complications were rare.CONCLUSIONS: This data analysis represents one of the largest documented cohorts of infants treated for ROP. The data on demographic parameters and treatment patterns provide useful information for further improvement of ROP management.FINANCIAL DISCLOSURE(S): Proprietary or commercial disclosure may be found in the Footnotes and Disclosures at the end of this article.

KW - Angiogenesis Inhibitors/administration & dosage

KW - Female

KW - Follow-Up Studies

KW - Germany/epidemiology

KW - Gestational Age

KW - Humans

KW - Incidence

KW - Infant

KW - Infant, Newborn

KW - Intravitreal Injections

KW - Laser Coagulation/methods

KW - Male

KW - Registries

KW - Retinopathy of Prematurity/epidemiology

KW - Retrospective Studies

U2 - 10.1016/j.oret.2023.12.002

DO - 10.1016/j.oret.2023.12.002

M3 - SCORING: Journal article

C2 - 38104929

VL - 8

SP - 579

EP - 589

JO - OPHTHALMOL RETINA

JF - OPHTHALMOL RETINA

SN - 2468-6530

IS - 6

ER -