Characterizing Real-World Functional

Outcomes in Patients With Geographic

Atrophy: An IRIS Registry Analysis

Durga Borkar, Theodore Leng, Meghan Hatfield, Sonya Li, Mark Gallivan, Preeti Joshi, Alex McKeown

July 15, 2022

40th Annual Meeting of the American Society of Retina Specialists, NY

Financial disclosures

  • Durga Borkar has the following financial interests or relationships to disclose:
    • Consulting Fees: Allergan, Glaukos, Regeneron
  • This study was funded by Apellis Pharmaceuticals

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Introduction

  • GA accounts for one-third of the cases of late AMD
    • Including 20% of cases of severe vision loss1
  • GA significantly impairs visual function and QoL2
    • Real-worlddata on correlations between GA progression and functional decline are lacking
  • We performed a retrospective cohort analysis of patient notes to assess the feasibility of quantifying VR-QoL and PROs in GA
    • Emphasis was placed on social, functional, and mobility-related outcomes

AMD=age-related macular degeneration; GA=geographic atrophy; PRO=patient-reported outcome; QoL=quality of life; VR-QoL=vision-related quality of life.

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1. Biarnés M et al. Optom Vis Sci. 2011;88:881-9; 2. Sarda SP et al. Clin Ophthalmol. 2021;15:4629-44.

Part 1. Keyword objective and methodology

Part 1 - Keyword objective: From clinical notesa of patients with GA, determine clinically and potentially contextually relevant keywords associated with social, mobility, and other activity/QoL endpoints

Cohort 1

Newly diagnosed GA

CohortCohort2 2

(PrevalevalentGA,GA, 3-yr follow3-yrfollow-up)-up

  • First GA diagnosis occurred in 2019
  • Captured notes associated with initial GA diagnosis date
  • First GA diagnosis in 2016
  • Must have ≥3 yrs of follow-up
  • Captured notes associated with a GA diagnosis at 3-yrs of follow-up

Random sample of 100 notes evaluated

Endpoints

1. Keyword prevalence

2. Context matches

Random sample of 100 notes evaluated

aObtained from the American Academy of Ophthalmology IRIS® Registry (Intelligent Research in Sight), a real-world electronic health record dataset.

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GA=geographic atrophy; QoL=quality of life; yr=year.

Keywords

Functional

Driving

Night

Car

Reading

Book

Low Vision

ADL

Face

Fine Print

We searched across all clinical notes (i.e., any text field which is completed), looking at the note on the day of GA diagnosis for Cohort 1, and note with a GA diagnosis after year 3 of follow-up for Cohort 2

Social

Depression

Anxiety

Sad

Autonomy

Independence

Mobility

Disability

Mobility

Rehab

Caregiver

Other

Limited

ADL=activity of daily living; GA=geographic atrophy.

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Apellis Pharmaceuticals Inc. published this content on 15 July 2022 and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on 15 July 2022 14:13:06 UTC.