Systematic literature review

We conducted a systematic literature review of factors affecting non-adherence (NA) to, and non-persistence (NP) with, intravitreal anti-vascular endothelial growth factor (VEGF) therapy for neovascular age-related macular degeneration (nAMD).

Find out more about this initiative and explore the key findings on this page, or click below to read the full results in our published article:

What was the aim of this initiative?

  • Identify risk factors for non-adherence and non-persistence

  • Evaluate existing strategies to improve adherence or persistence

  • Assess real-world rates of NA to and NP with anti-VEGF therapy for nAMD

What are the key findings?

  • SLR 1
    Definitions for NA/NP are not standardized in nAMD
    ➔ Finding appropriate definitions of NA/NP will help to quantify their prevalence in the real word
  • SLR_2
    Few studies have investigated the reasons for NA/NP
    ➔ By identifying risk factors associated with NA/NP, we can develop appropriate interventions
  • SLR_3
    NA/NP predominantly occurs within 12–24 months
    ➔ Represents a key window for patient education intervention
  • SLR_4
    Older age and lower income are common characteristics associated with NA/NP
    ➔ Triaging patients based on known risk factors for interventions should be explored
  • SLR_5
    Perception of stable disease is a key reason for NA/NP
    ➔ Offers an opportunity to improve patient education around the purpose of treatment to set appropriate expectations