Evidence map›Paper›PMID 31432575›Full record

ArticleJournal of veterinary internal medicine2019

Effect of thyrotropin-releasing hormone stimulation testing on the oral sugar test in horses when performed as a combined protocol.

Elizabeth Hodge, Alycia Kowalski, Catherine Torcivia, Sue Lindborg, Darko Stefanovski, Kelsey Hart, Nicholas Frank, Andrew van Eps

Open access · goldAbstract read
In one paragraph

Article in Journal of veterinary internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 13 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Elizabeth HodgeSchool of Veterinary Medicine, University of Pennsylvania, Clinical Studies-New Bolton Center, Kennett Square, Chester, Pennsylvania.ORCID https://orcid.org/0000-0003-4427-1139
Alycia KowalskiSchool of Veterinary Medicine, University of Pennsylvania, Clinical Studies-New Bolton Center, Kennett Square, Chester, Pennsylvania.
Catherine TorciviaSchool of Veterinary Medicine, University of Pennsylvania, Clinical Studies-New Bolton Center, Kennett Square, Chester, Pennsylvania.
Sue LindborgSchool of Veterinary Medicine, University of Pennsylvania, Clinical Studies-New Bolton Center, Kennett Square, Chester, Pennsylvania.
Darko StefanovskiSchool of Veterinary Medicine, University of Pennsylvania, Clinical Studies-New Bolton Center, Kennett Square, Chester, Pennsylvania.
Kelsey HartDepartment of Large Animal Medicine, College of Veterinary Medicine, University of Georgia, Athens, Georgia.
Nicholas FrankDepartment of Clinical Sciences, Tufts Cummings School of Veterinary Medicine, North Grafton, Massachusetts.ORCID https://orcid.org/0000-0002-0564-7976
Andrew van EpsSchool of Veterinary Medicine, University of Pennsylvania, Clinical Studies-New Bolton Center, Kennett Square, Chester, Pennsylvania.ORCID https://orcid.org/0000-0001-6108-2503
Genesis HealthCare · USTufts University · USUniversity of Georgia · US

Funding

Raymond Firestone Trust Research GrantTamworth Research Fund
6 · The paper itself

Abstract

backgroundThe use of parallel dynamic tests to identify insulin dysregulation (ID) and pituitary pars intermedia dysfunction (PPID) in horses could have better diagnostic utility than measuring baseline hormone concentrations, if the tests do not alter diagnostic interpretation of one another. HYPOTHESIS: Performing a thyrotropin-releasing hormone (TRH) stimulation test before an oral sugar test (OST) would not affect results of OST. ANIMALS: Twenty-six healthy university-owned horses.

methodsA prospective randomized placebo-controlled, crossover design was used to evaluate 3 OST protocols: OST alone, TRH followed by OST (TRH + OST), and placebo followed by OST (placebo + OST). Agreement for plasma insulin concentrations and diagnostic interpretation were assessed with Bland-Altman and logistic regression analyses, respectively.

resultsBland-Altman analysis of TRH + OST versus OST alone showed good agreement between testing protocols, with bias ± SD for insulin concentrations at baseline 0.4 ± 4.7 μIU/mL (95% limits of agreement [LOA], -8.8 to 9.7), 60 minute -0.5 ± 22.6 μIU/mL (95% LOA, -44.7 to 43.8), and 90 minute 1.9 ± 20.6 μIU/mL (95% LOA, -38.5 to 42.4) after OST, similar to placebo + OST versus OST alone. Diagnostic interpretation (positive/negative) was not different between protocols (TRH + OST versus OST alone [P = .78], placebo + OST versus OST alone [P = .77], or TRH + OST versus placebo + OST [P = .57]). CONCLUSIONS AND CLINICAL IMPORTANCE: Concurrent testing for PPID and ID with a TRH stimulation test before an OST is an acceptable diagnostic tool for investigation of endocrinopathies in horses and allows accurate testing to be performed efficiently in 1 visit.

Indexed as

Adrenocorticotropic HormoneAnimalsCross-Over StudiesFemaleGlucose Tolerance TestHorsesInsulinMalePituitary Gland, IntermediateProspective StudiesRandom AllocationThyrotropin-Releasing HormoneAdrenocorticotropic HormoneInsulinThyrotropin-Releasing HormoneACTHEMSequine Cushing'sequine metabolic syndromeinsulin dysregulationpituitary pars intermedia dysfunctionPPID

Identifiers

PMID31432575
PMCPMC6766522
OpenAlexW2969749126

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.