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Genetic Associations With Age-Related Macular DegenerationGenetic Associations With Age-Related Macular Degeneration

JAMA. 2007;298(14):1637-1637. doi:10.1001/jama.298.14.1637-a
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AUTHOR INFORMATION

Letters Section Editor: Robert M. Golub, MD, Senior Editor.

GENETIC ASSOCIATIONS WITH AGE-RELATED MACULAR DEGENERATION

To the Editor: In their study of the Age-Related Eye Disease Study (AREDS) participants,1 Dr Seddon and colleagues investigated whether genetic variants were associated with progression of age-related macular degeneration. In the article, they did not present the main results stratified by treatment assignment. Results for the antioxidants-plus-zinc group and the placebo group would have been a useful addition to Table 6 in the article. The authors did note that genotype and treatment had no significant interaction, but interaction tests may have very low statistical power.

Providing these specific results would also help interpret the corrected abstract conclusion: “Presence of these polymorphisms plus smoking and body mass index of 25 or higher, controlling for AREDS vitamin-mineral treatment, identifies patients who are highly susceptible to developing advanced stages of this visually disabling disease.”1 The treatment used in AREDS appears to be one of the few options to help manage this public health problem,2 but high doses of vitamin E (an essential component of AREDS treatment) can be harmful,3 making this additional information important.

Financial Disclosures: Dr Damián reports having received research support from Pfizer.

References
Seddon JM, Francis PJ, George S, Schultz DW, Rosner B, Klein ML. Association of CFH Y402H and LOC387715 A69S with progression of age-related macular degeneration.  JAMA. 2007;297(16):1793-1800[published correction appears in JAMA. 2007;297(23):2585]
PubMed
Bressler NM, Bressler SB, Congdon NG.  et al. Age-Related Eye Disease Study Research Group.  Potential public health impact of Age-Related Eye Disease Study results: AREDS report No. 11.  Arch Ophthalmol. 2003;121(11):1621-1624
PubMed
Miller ER, Pastor-Barriuso R, Dalal D, Riemersma RA, Appel LJ, Guallar E. Meta-analysis: high-dosage vitamin E supplementation may increase all-cause mortality.  Ann Intern Med. 2005;142(1):37-46
PubMed

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Seddon JM, Francis PJ, George S, Schultz DW, Rosner B, Klein ML. Association of CFH Y402H and LOC387715 A69S with progression of age-related macular degeneration.  JAMA. 2007;297(16):1793-1800[published correction appears in JAMA. 2007;297(23):2585]
PubMed
Bressler NM, Bressler SB, Congdon NG.  et al. Age-Related Eye Disease Study Research Group.  Potential public health impact of Age-Related Eye Disease Study results: AREDS report No. 11.  Arch Ophthalmol. 2003;121(11):1621-1624
PubMed
Miller ER, Pastor-Barriuso R, Dalal D, Riemersma RA, Appel LJ, Guallar E. Meta-analysis: high-dosage vitamin E supplementation may increase all-cause mortality.  Ann Intern Med. 2005;142(1):37-46
PubMed
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