Evidence map›Paper›PMID 31490022›Full record

ArticleJournal of veterinary internal medicine2019

Long-term survival of dogs treated for gallbladder mucocele by cholecystectomy, medical management, or both.

Max Parkanzky, Janet Grimes, Chad Schmiedt, Scott Secrest, Andrew Bugbee

Open access · goldAbstract readComparative Study
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 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
5.1field-weighted citation impact, top 4% 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

23 citing papers in PubMed, 54 citations in OpenAlex.

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  10. Magnetic Resonance Cholangiopancreatography for Cholangiopancreatic Duct Imaging in Dogs.Veterinary radiology & ultrasound : the official journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association · 2025
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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

5 authors at 1 institution in 1 country.

Max ParkanzkyDepartment of Small Animal Medicine and Surgery, University of Georgia College of Veterinary Medicine, Athens, Georgia.ORCID https://orcid.org/0000-0001-8017-5553
Janet GrimesDepartment of Small Animal Medicine and Surgery, University of Georgia College of Veterinary Medicine, Athens, Georgia.
Chad SchmiedtDepartment of Small Animal Medicine and Surgery, University of Georgia College of Veterinary Medicine, Athens, Georgia.
Scott SecrestDepartment of Veterinary Biosciences and Diagnostic Imaging, University of Georgia College of Veterinary Medicine, Athens, Georgia.ORCID https://orcid.org/0000-0001-7997-0154
Andrew BugbeeDepartment of Small Animal Medicine and Surgery, University of Georgia College of Veterinary Medicine, Athens, Georgia.
University of Georgia · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGallbladder mucoceles (GBM) typically are treated by cholecystectomy. Medical management rarely has been reported and medical and surgical management have not been compared. HYPOTHESIS/

objectivesTo compare survival of dogs treated for GBM by medical management or cholecystectomy or both. ANIMALS: Eighty-nine client-owned dogs diagnosed with GBM that received cholecystectomy or medical treatment or both from 2011 to 2017.

methodsPotential cases were identified by searching the medical records database. Data collected included signalment, clinicopathologic results, treatments, and ultrasonographic images and reports. Dogs were grouped according to the treatment received (medical management, surgical treatment, or both) that was chosen at the discretion of the attending veterinarian. Survival analysis was performed and prognostic variables identified and compared between treatment groups.

resultsOf dogs surviving at least 14 days after diagnosis, median survival times were 1802 (95% confidence interval [CI], 855-not reached) days, 1340 (95% CI, 444-1340) days, and 203 (95% CI, 18-525) days, for the surgical, medical, and medical then surgical treatment groups, respectively, and differed significantly (P < .0001). Gallbladder mucocele type (P = .05), serum alkaline phosphatase activity (P = .0001), and serum creatinine (P = .002) and phosphorus (P = .04) concentrations were associated with decreased survival across groups. Suspicion of biliary rupture on abdominal ultrasound (AUS) examination was correlated with increased survival in the surgical group (P = .02). CONCLUSIONS AND CLINICAL IMPORTANCE: Cholecystectomy for the treatment of GBM results in the best long-term survival in dogs surviving the immediate postoperative period (14 days) compared to medical management. Although medical management is associated with shorter survival compared to surgical treatment, it is a reasonable alternative when surgery cannot be pursued.

Indexed as

AbdomenAlkaline PhosphataseAnimalsBile Duct DiseasesCholecystectomyCreatinineDog DiseasesDogsFemaleGallbladder DiseasesMaleMucocelePhosphorusPrognosisRetrospective StudiesSurvival AnalysisAlkaline PhosphataseCreatininePhosphorusabdominal ultrasoundbiliary rupturebiliary sludgeursodiol

Identifiers

PMID31490022
PMCPMC6766501
OpenAlexW2971548483

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.