Retinal pigment epithelial tears after intravitreal bevacizumab injection for neovascular age-related macular degeneration

To study retinal pigment epithelium (RPE) tears after off-label intravitreal bevacizumab (Avastin; Genentech, Inc., South San Francisco, CA) injection for neovascular age-related macular degeneration. Eyes with a vascularized pigment epithelial detachment (PED) that developed an RPE tear were compar...

Celý popis

Uloženo v:
Podrobná bibliografie
Vydáno v:Retina (Philadelphia, Pa.) Ročník 27; číslo 5; s. 541
Hlavní autoři: Chan, Clement K, Meyer, Carsten H, Gross, Jeffrey G, Abraham, Prema, Nuthi, Asha S D, Kokame, Gregg T, Lin, Steven G, Rauser, Michael E, Kaiser, Peter K
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States 01.06.2007
Témata:
ISSN:0275-004X
On-line přístup:Zjistit podrobnosti o přístupu
Tagy: Přidat tag
Žádné tagy, Buďte první, kdo vytvoří štítek k tomuto záznamu!
Abstract To study retinal pigment epithelium (RPE) tears after off-label intravitreal bevacizumab (Avastin; Genentech, Inc., South San Francisco, CA) injection for neovascular age-related macular degeneration. Eyes with a vascularized pigment epithelial detachment (PED) that developed an RPE tear were compared with eyes with a vascularized PED but without an RPE tear. Nine retina specialists across the United States and in Europe participated in this retrospective case series. All eyes that received intravitreal bevacizumab injection for choroidal neovascularization (CNV) over 12 months (October 2005 to September 2006) were included. Eyes without all three confirmed tests (fluorescein angiography, fundus photography, and optical coherence tomography) were excluded from analysis. Statistical analyses were performed on multiple characteristics of eyes with a vascularized PED that did and did not develop an RPE tear. Among 2,785 intravitreal bevacizumab injections for 1,064 eyes, RPE tears were found in 22 eyes in 22 patients (2.2%). A vascularized PED was present in 21 of 22 eyes that developed an RPE tear (17.1% of PED eyes; 15, 100% occult CNV; 6, predominantly occult CNV). Mean interval from bevacizumab injections to RPE tears was 37.3 days. Mean follow-up time was 124.9 days. Mean subfoveal PED size was larger for eyes with tears than for those without tears (13.97 mm vs 9.9 mm, respectively; P = 0.01; odds ratio, 1.09). There was substantially smaller mean ratio of CNV size to PED size for eyes with tears than for those without tears (27.9% vs 67.6%, respectively; P = 0.005). Mean pre-bevacizumab injection best-corrected Snellen visual acuity was 20/162, and mean post-RPE tear best-corrected visual acuity was 20/160 (P = 0.48). Large PED size is a predictor for RPE tears, and a small ratio of CNV size to PED size (<50%) is more common in eyes with RPE tears. Vision may be preserved despite RPE tears.
AbstractList To study retinal pigment epithelium (RPE) tears after off-label intravitreal bevacizumab (Avastin; Genentech, Inc., South San Francisco, CA) injection for neovascular age-related macular degeneration. Eyes with a vascularized pigment epithelial detachment (PED) that developed an RPE tear were compared with eyes with a vascularized PED but without an RPE tear. Nine retina specialists across the United States and in Europe participated in this retrospective case series. All eyes that received intravitreal bevacizumab injection for choroidal neovascularization (CNV) over 12 months (October 2005 to September 2006) were included. Eyes without all three confirmed tests (fluorescein angiography, fundus photography, and optical coherence tomography) were excluded from analysis. Statistical analyses were performed on multiple characteristics of eyes with a vascularized PED that did and did not develop an RPE tear. Among 2,785 intravitreal bevacizumab injections for 1,064 eyes, RPE tears were found in 22 eyes in 22 patients (2.2%). A vascularized PED was present in 21 of 22 eyes that developed an RPE tear (17.1% of PED eyes; 15, 100% occult CNV; 6, predominantly occult CNV). Mean interval from bevacizumab injections to RPE tears was 37.3 days. Mean follow-up time was 124.9 days. Mean subfoveal PED size was larger for eyes with tears than for those without tears (13.97 mm vs 9.9 mm, respectively; P = 0.01; odds ratio, 1.09). There was substantially smaller mean ratio of CNV size to PED size for eyes with tears than for those without tears (27.9% vs 67.6%, respectively; P = 0.005). Mean pre-bevacizumab injection best-corrected Snellen visual acuity was 20/162, and mean post-RPE tear best-corrected visual acuity was 20/160 (P = 0.48). Large PED size is a predictor for RPE tears, and a small ratio of CNV size to PED size (<50%) is more common in eyes with RPE tears. Vision may be preserved despite RPE tears.
To study retinal pigment epithelium (RPE) tears after off-label intravitreal bevacizumab (Avastin; Genentech, Inc., South San Francisco, CA) injection for neovascular age-related macular degeneration. Eyes with a vascularized pigment epithelial detachment (PED) that developed an RPE tear were compared with eyes with a vascularized PED but without an RPE tear.PURPOSETo study retinal pigment epithelium (RPE) tears after off-label intravitreal bevacizumab (Avastin; Genentech, Inc., South San Francisco, CA) injection for neovascular age-related macular degeneration. Eyes with a vascularized pigment epithelial detachment (PED) that developed an RPE tear were compared with eyes with a vascularized PED but without an RPE tear.Nine retina specialists across the United States and in Europe participated in this retrospective case series. All eyes that received intravitreal bevacizumab injection for choroidal neovascularization (CNV) over 12 months (October 2005 to September 2006) were included. Eyes without all three confirmed tests (fluorescein angiography, fundus photography, and optical coherence tomography) were excluded from analysis. Statistical analyses were performed on multiple characteristics of eyes with a vascularized PED that did and did not develop an RPE tear.METHODSNine retina specialists across the United States and in Europe participated in this retrospective case series. All eyes that received intravitreal bevacizumab injection for choroidal neovascularization (CNV) over 12 months (October 2005 to September 2006) were included. Eyes without all three confirmed tests (fluorescein angiography, fundus photography, and optical coherence tomography) were excluded from analysis. Statistical analyses were performed on multiple characteristics of eyes with a vascularized PED that did and did not develop an RPE tear.Among 2,785 intravitreal bevacizumab injections for 1,064 eyes, RPE tears were found in 22 eyes in 22 patients (2.2%). A vascularized PED was present in 21 of 22 eyes that developed an RPE tear (17.1% of PED eyes; 15, 100% occult CNV; 6, predominantly occult CNV). Mean interval from bevacizumab injections to RPE tears was 37.3 days. Mean follow-up time was 124.9 days. Mean subfoveal PED size was larger for eyes with tears than for those without tears (13.97 mm vs 9.9 mm, respectively; P = 0.01; odds ratio, 1.09). There was substantially smaller mean ratio of CNV size to PED size for eyes with tears than for those without tears (27.9% vs 67.6%, respectively; P = 0.005). Mean pre-bevacizumab injection best-corrected Snellen visual acuity was 20/162, and mean post-RPE tear best-corrected visual acuity was 20/160 (P = 0.48).RESULTSAmong 2,785 intravitreal bevacizumab injections for 1,064 eyes, RPE tears were found in 22 eyes in 22 patients (2.2%). A vascularized PED was present in 21 of 22 eyes that developed an RPE tear (17.1% of PED eyes; 15, 100% occult CNV; 6, predominantly occult CNV). Mean interval from bevacizumab injections to RPE tears was 37.3 days. Mean follow-up time was 124.9 days. Mean subfoveal PED size was larger for eyes with tears than for those without tears (13.97 mm vs 9.9 mm, respectively; P = 0.01; odds ratio, 1.09). There was substantially smaller mean ratio of CNV size to PED size for eyes with tears than for those without tears (27.9% vs 67.6%, respectively; P = 0.005). Mean pre-bevacizumab injection best-corrected Snellen visual acuity was 20/162, and mean post-RPE tear best-corrected visual acuity was 20/160 (P = 0.48).Large PED size is a predictor for RPE tears, and a small ratio of CNV size to PED size (<50%) is more common in eyes with RPE tears. Vision may be preserved despite RPE tears.CONCLUSIONLarge PED size is a predictor for RPE tears, and a small ratio of CNV size to PED size (<50%) is more common in eyes with RPE tears. Vision may be preserved despite RPE tears.
Author Chan, Clement K
Kokame, Gregg T
Gross, Jeffrey G
Kaiser, Peter K
Abraham, Prema
Lin, Steven G
Nuthi, Asha S D
Rauser, Michael E
Meyer, Carsten H
Author_xml – sequence: 1
  givenname: Clement K
  surname: Chan
  fullname: Chan, Clement K
  email: Pschan@aol.com
  organization: Southern California Desert Retina Consultants, Palm Springs, CA 92263, USA. Pschan@aol.com
– sequence: 2
  givenname: Carsten H
  surname: Meyer
  fullname: Meyer, Carsten H
– sequence: 3
  givenname: Jeffrey G
  surname: Gross
  fullname: Gross, Jeffrey G
– sequence: 4
  givenname: Prema
  surname: Abraham
  fullname: Abraham, Prema
– sequence: 5
  givenname: Asha S D
  surname: Nuthi
  fullname: Nuthi, Asha S D
– sequence: 6
  givenname: Gregg T
  surname: Kokame
  fullname: Kokame, Gregg T
– sequence: 7
  givenname: Steven G
  surname: Lin
  fullname: Lin, Steven G
– sequence: 8
  givenname: Michael E
  surname: Rauser
  fullname: Rauser, Michael E
– sequence: 9
  givenname: Peter K
  surname: Kaiser
  fullname: Kaiser, Peter K
BackLink https://www.ncbi.nlm.nih.gov/pubmed/17558314$$D View this record in MEDLINE/PubMed
BookMark eNo1kM1LxDAQxXNYcT_0PxDJyVvXJG3S9CiLX7AgiIK3Mkmna5Y2rWm64P71VlxPA7_33jDzlmTmO4-EXHG25qzIbx3gmhnGU0y5ZtYKxcWMLJjIZcJY9jEny2HYM8al1vKczHkupU55tiDHV4zOQ0N7t2vRR4q9i5_YuAlFhDBQqCMG6nwMcHAx4CQYPIB1x7EFMwl7tNF1ntZdoB67Awx2bCBQ2GESsIGIFW3hj1W4Q48BfgMX5KyGZsDL01yR94f7t81Tsn15fN7cbRMrtIqJtKIudA15BgoF8lpOL4pMCm5RKVPowqRcZpmuc4OWqUpbw6q0VikrUAkQK3Lzt7cP3deIQyxbN1hsGpiuHYcyZ4plUuaT8fpkHE2LVdkH10L4Lv_bEj-wC3FK
CitedBy_id crossref_primary_10_1111_ceo_12374
crossref_primary_10_1111_aos_13359
crossref_primary_10_1038_eye_2014_233
crossref_primary_10_1097_IAE_0b013e31817d5d03
crossref_primary_10_1097_IAE_0b013e3181d87e97
crossref_primary_10_1038_eye_2008_401
crossref_primary_10_1177_24741264211028441
crossref_primary_10_1111_j_1755_3768_2009_01547_x
crossref_primary_10_1038_eye_2012_90
crossref_primary_10_1016_j_jcjo_2013_01_023
crossref_primary_10_1186_s40942_021_00299_4
crossref_primary_10_3390_jcm12175496
crossref_primary_10_1016_j_ophtha_2011_05_026
crossref_primary_10_1080_08820530903124276
crossref_primary_10_3928_23258160_20130909_07
crossref_primary_10_1007_s00347_008_1839_3
crossref_primary_10_1007_s00347_013_2883_1
crossref_primary_10_3390_jcm12155145
crossref_primary_10_1016_j_ajo_2022_03_023
crossref_primary_10_1111_j_1442_9071_2009_02017_x
crossref_primary_10_1097_IAE_0000000000002389
crossref_primary_10_1007_s00717_009_0346_5
crossref_primary_10_1111_j_1442_9071_2008_01710_x
crossref_primary_10_1111_j_1442_9071_2009_02043_x
crossref_primary_10_1007_s00347_017_0586_8
crossref_primary_10_1097_IAE_0000000000004316
crossref_primary_10_1097_IAE_0000000000004315
crossref_primary_10_5301_EJO_2010_2285
crossref_primary_10_1038_eye_2011_146
crossref_primary_10_1186_s12886_025_03848_9
crossref_primary_10_1097_IAE_0000000000003083
crossref_primary_10_1007_s00347_013_2954_3
crossref_primary_10_1097_IAE_0000000000002311
crossref_primary_10_1038_eye_2008_145
crossref_primary_10_1097_IAE_0000000000001342
crossref_primary_10_1097_IAE_0000000000002029
crossref_primary_10_1159_000439445
crossref_primary_10_2165_11589330_000000000_00000
crossref_primary_10_1097_IAE_0b013e318240a516
crossref_primary_10_1097_IAE_0b013e318263d139
crossref_primary_10_1111_aos_13052
crossref_primary_10_1016_j_survophthal_2017_03_004
crossref_primary_10_1016_j_optm_2010_09_010
crossref_primary_10_3109_15569527_2013_844702
crossref_primary_10_1111_aos_12234
crossref_primary_10_1007_s40123_020_00291_5
crossref_primary_10_1111_j_1755_3768_2012_02426_x
crossref_primary_10_1167_iovs_18_26478
crossref_primary_10_1097_IAE_0000000000003922
crossref_primary_10_1097_IAE_0000000000002713
crossref_primary_10_1097_IAE_0b013e31817e100f
crossref_primary_10_1097_IAE_0b013e31826d8ff4
crossref_primary_10_1007_s00347_008_1701_7
crossref_primary_10_1097_IAE_0b013e3182755793
crossref_primary_10_1007_s00417_009_1067_9
crossref_primary_10_1007_s40135_014_0057_1
crossref_primary_10_1111_aos_12112
crossref_primary_10_1177_11206721241238391
crossref_primary_10_1097_IAE_0b013e3181babda5
crossref_primary_10_1038_sj_eye_6703098
crossref_primary_10_1007_s10792_008_9243_1
crossref_primary_10_3928_23258160_20190905_16
crossref_primary_10_1007_s00417_011_1734_5
crossref_primary_10_1097_IAE_0b013e31829f73eb
crossref_primary_10_1111_j_1755_3768_2008_01312_x
crossref_primary_10_1016_j_ajoc_2020_100916
crossref_primary_10_1097_IAE_0000000000001876
crossref_primary_10_1097_IAE_0000000000000823
crossref_primary_10_1007_s00417_013_2549_3
crossref_primary_10_1016_j_ophtha_2008_08_012
crossref_primary_10_1007_s00347_014_3098_9
crossref_primary_10_5301_ejo_5000388
crossref_primary_10_1517_17425255_2013_796928
crossref_primary_10_1016_j_jcro_2014_09_006
crossref_primary_10_1097_ICB_0b013e31817f2e1b
crossref_primary_10_1097_IAE_0b013e318207d1a3
crossref_primary_10_1097_ICB_0000000000000184
crossref_primary_10_1016_j_oret_2022_01_019
crossref_primary_10_1097_IAE_0000000000003426
crossref_primary_10_1177_1120672117747034
crossref_primary_10_1007_s00347_008_1702_6
crossref_primary_10_3109_08820538_2011_571055
crossref_primary_10_1007_s00417_015_2978_2
crossref_primary_10_1016_j_survophthal_2020_05_003
crossref_primary_10_1097_IAE_0b013e3182993f66
crossref_primary_10_1097_IAE_0b013e3182278ab4
crossref_primary_10_1097_IAE_0b013e31828992f5
crossref_primary_10_1038_eye_2011_66
crossref_primary_10_1097_IAE_0b013e318195cad5
crossref_primary_10_3928_15428877_20091030_06
crossref_primary_10_1097_IAE_0b013e318297a061
crossref_primary_10_1155_2021_9994098
crossref_primary_10_1517_14712598_2012_660523
crossref_primary_10_1159_000514991
crossref_primary_10_1097_IAE_0000000000000056
crossref_primary_10_1097_IAE_0b013e31820a675a
crossref_primary_10_1016_j_survophthal_2010_08_006
crossref_primary_10_2165_00002512_200926040_00002
crossref_primary_10_1038_eye_2011_278
crossref_primary_10_1097_IAE_0b013e3182947811
crossref_primary_10_1111_aos_12683
crossref_primary_10_1016_j_ophtha_2012_01_050
crossref_primary_10_3341_kjo_2016_30_4_265
crossref_primary_10_1007_s00417_017_3762_2
crossref_primary_10_1097_IAE_0b013e3181cdf366
crossref_primary_10_1007_s10384_008_0510_5
crossref_primary_10_1038_eye_2009_271
crossref_primary_10_1007_s00347_007_1655_1
crossref_primary_10_1016_j_ophtha_2014_08_020
ContentType Journal Article
DBID CGR
CUY
CVF
ECM
EIF
NPM
7X8
DOI 10.1097/iae.0b013e3180cc2612
DatabaseName Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
MEDLINE - Academic
DatabaseTitle MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
MEDLINE - Academic
DatabaseTitleList MEDLINE
MEDLINE - Academic
Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 2
  dbid: 7X8
  name: MEDLINE - Academic
  url: https://search.proquest.com/medline
  sourceTypes: Aggregation Database
DeliveryMethod no_fulltext_linktorsrc
Discipline Medicine
ExternalDocumentID 17558314
Genre Multicenter Study
Journal Article
Case Reports
GroupedDBID ---
.-D
.GJ
.Z2
01R
0R~
123
1J1
2V-
40H
53G
5VS
71W
77Y
7O~
AAAAV
AAAXR
AAGIX
AAHPQ
AAIQE
AAMOA
AAMTA
AAQKA
AAQQT
AARTV
AASCR
AASOK
AAXQO
AAYEP
ABASU
ABBUW
ABDIG
ABJNI
ABOCM
ABPXF
ABVCZ
ABXRP
ABXVJ
ABZAD
ABZZY
ACCJW
ACDDN
ACEWG
ACGFS
ACILI
ACLDA
ACWDW
ACWRI
ACXJB
ACXNZ
ACZKN
ADFPA
ADGGA
ADHPY
ADNKB
AE3
AE6
AEETU
AFBFQ
AFDTB
AFFNX
AFMFY
AFUWQ
AGINI
AHOMT
AHPAA
AHQNM
AHVBC
AIJEX
AINUH
AJCLO
AJIOK
AJNWD
AJNYG
AJZMW
AKCTQ
AKULP
ALKUP
ALMA_UNASSIGNED_HOLDINGS
ALMTX
AMJPA
AMKUR
AMNEI
AOHHW
AOQMC
BOYCO
BQLVK
BS7
C45
CGR
CS3
CUY
CVF
DIWNM
DUNZO
E.X
EBS
ECM
EEVPB
EIF
EJD
ERAAH
EX3
F2K
F2L
F2M
F2N
F5P
FCALG
FL-
FW0
GNXGY
GQDEL
H0~
HLJTE
HZ~
IKREB
IKYAY
IN~
IPNFZ
JK3
JK8
K8S
KD2
KMI
L-C
N9A
NPM
N~7
N~B
N~M
O9-
OCUKA
ODA
OL1
OLG
OLH
OLU
OLV
OLY
OLZ
OPUJH
ORVUJ
OUVQU
OVD
OVDNE
OVIDH
OVLEI
OXXIT
P-K
R58
RIG
RLZ
S4R
S4S
ST3
TEORI
TSPGW
V2I
W3M
WOQ
WOW
X3V
X3W
YFH
ZFV
ZGI
ZZMQN
7X8
ADKSD
ID FETCH-LOGICAL-c286t-5c2f98fa74a6e2e1f518024521ce66b989b315448f7bec06d8cb0d3f6309e62a2
IEDL.DBID 7X8
ISSN 0275-004X
IngestDate Thu Oct 02 06:38:05 EDT 2025
Mon Jul 21 05:38:18 EDT 2025
IsPeerReviewed true
IsScholarly true
Issue 5
Language English
LinkModel DirectLink
MergedId FETCHMERGED-LOGICAL-c286t-5c2f98fa74a6e2e1f518024521ce66b989b315448f7bec06d8cb0d3f6309e62a2
Notes ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
PMID 17558314
PQID 70604557
PQPubID 23479
ParticipantIDs proquest_miscellaneous_70604557
pubmed_primary_17558314
PublicationCentury 2000
PublicationDate 2007-Jun
20070601
PublicationDateYYYYMMDD 2007-06-01
PublicationDate_xml – month: 06
  year: 2007
  text: 2007-Jun
PublicationDecade 2000
PublicationPlace United States
PublicationPlace_xml – name: United States
PublicationTitle Retina (Philadelphia, Pa.)
PublicationTitleAlternate Retina
PublicationYear 2007
SSID ssj0015885
Score 2.246462
Snippet To study retinal pigment epithelium (RPE) tears after off-label intravitreal bevacizumab (Avastin; Genentech, Inc., South San Francisco, CA) injection for...
SourceID proquest
pubmed
SourceType Aggregation Database
Index Database
StartPage 541
SubjectTerms Aged
Aged, 80 and over
Angiogenesis Inhibitors - administration & dosage
Angiogenesis Inhibitors - adverse effects
Antibodies, Monoclonal - administration & dosage
Antibodies, Monoclonal - adverse effects
Antibodies, Monoclonal, Humanized
Bevacizumab
Choroidal Neovascularization - drug therapy
Female
Fluorescein Angiography
Humans
Injections
Macular Degeneration - drug therapy
Male
Pigment Epithelium of Eye - drug effects
Pigment Epithelium of Eye - pathology
Retinal Detachment - chemically induced
Retinal Detachment - diagnosis
Retinal Perforations - chemically induced
Retinal Perforations - diagnosis
Retrospective Studies
Tomography, Optical Coherence
Vascular Endothelial Growth Factor A - antagonists & inhibitors
Vitreous Body
Title Retinal pigment epithelial tears after intravitreal bevacizumab injection for neovascular age-related macular degeneration
URI https://www.ncbi.nlm.nih.gov/pubmed/17558314
https://www.proquest.com/docview/70604557
Volume 27
hasFullText
inHoldings 1
isFullTextHit
isPrint
link http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV05T8MwFLa4hFi478sDq9Ukji8JCSEEgoEKIZC6VY5jo6A2LRQ68Ot5z23ohBhYMiRxlDifn793E3ImBPcmGM5g68tYblPBjFMJ8ylXngeblkWIzSZUu607HfMwR86bXBgMq2xkYhTU5cChjbwVq7wIoS6Gbwx7RqFvddpAY54sciAyuCxVZ-ZDEDo25ES_HAModJrEOaNad5fXMwtg4hzW0fqdYsat5mbtfy-5TlanFJNeTjCxQeZ8vUmW76dO9C3y9YhpznDHsHpB2yD1Q0zM6AESKUb3jmhsHE4rtPuOKwxF79HCj62rvj77toALrzGAq6bAeGntf8JZKQgnFrNjfEn7dnKu9C-xtDUO2CbPN9dPV7ds2oKBuUzLDyZcFowOVuVW-synQWDFuBz2fOelLIw2Bcd6PjooAEMiS-2KpORB8sR4mdlshyzUg9rvEZqm8JTMgsYNHM0CDGSQyjhQL0Fp8jrfJ6fNnHYB4ui3sPAFn6NuM6v7ZHfyW7rDSSWOLnAfoXmaH_w59pCsNJF-SXpEFgMsbn9Mltz4oxq9n0TkwLH9cP8N2JjPww
linkProvider ProQuest
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Retinal+pigment+epithelial+tears+after+intravitreal+bevacizumab+injection+for+neovascular+age-related+macular+degeneration&rft.jtitle=Retina+%28Philadelphia%2C+Pa.%29&rft.au=Chan%2C+Clement+K&rft.au=Meyer%2C+Carsten+H&rft.au=Gross%2C+Jeffrey+G&rft.au=Abraham%2C+Prema&rft.date=2007-06-01&rft.issn=0275-004X&rft.volume=27&rft.issue=5&rft.spage=541&rft_id=info:doi/10.1097%2FIAE.0b013e3180cc2612&rft.externalDBID=NO_FULL_TEXT
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0275-004X&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0275-004X&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0275-004X&client=summon