Evidence map›Paper›PMID 32573832›Full record

ArticleJournal of veterinary internal medicine2020

Prevalence and characterization of hypoadrenocorticism in dogs with signs of chronic gastrointestinal disease: A multicenter study.

Christina Hauck, Silke S Schmitz, Iwan A Burgener, Astrid Wehner, Reto Neiger, Barbara Kohn, Thomas Rieker, Sven Reese, Stefan Unterer

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Journal of veterinary internal medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 11% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

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  14. Diagnosis of canine spontaneous hypoadrenocorticism.Canine medicine and genetics · 2022
    Review
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  16. Urinary cortisol-creatinine ratio in dogs with hypoadrenocorticism.Journal of veterinary internal medicine · 2022
    Article
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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

9 authors at 7 institutions in 4 countries.

Christina HauckClinic of Small Animal Medicine, Centre for Clinical Veterinary Medicine, Ludwig Maximilian University of Munich, Munich, Germany.ORCID https://orcid.org/0000-0002-1665-0740
Silke S SchmitzHospital for Small Animals, Royal (Dick) School of Veterinary Studies and The Roslin Institute, University of Edinburgh, Edinburgh, UK.ORCID https://orcid.org/0000-0003-1084-7013
Iwan A BurgenerDepartment for Companion Animals and Horses, Clinic for Small Animal Internal Medicine, University of Veterinary Medicine, Vienna, Austria.ORCID https://orcid.org/0000-0002-8516-0040
Astrid WehnerClinic of Small Animal Medicine, Centre for Clinical Veterinary Medicine, Ludwig Maximilian University of Munich, Munich, Germany.
Reto NeigerSmall Animal Hospital Hofheim, Hofheim, Germany.
Barbara KohnClinic for Small Animals, Freie Universität Berlin, Berlin, Germany.
Thomas RiekerAniCura Kleintierspezialisten Ravensburg, Ravensburg, Germany.
Sven ReeseInstitute of Anatomy, Histology and Embryology, LMU Munich, Munich, Germany.
Stefan UntererClinic of Small Animal Medicine, Centre for Clinical Veterinary Medicine, Ludwig Maximilian University of Munich, Munich, Germany.
Ludwig-Maximilians-Universität München · DEDepartment of Embryology · USFreie Universität Berlin · DERavensburg University of Cooperative Education · DERoslin Institute · GBUniversity of Hohenheim · DEUniversity of Veterinary Medicine Vienna · AT

Funding

IDEXX Laboratories
6 · The paper itself

Abstract

backgroundDogs with hypoadrenocorticism (HA) frequently show signs of gastrointestinal disease (SGD). The prevalence of dogs presented for chronic SGD with HA is unknown.

objectivesThe aims of this study were to determine the prevalence of HA in dogs with chronic SGD and to identify clinical and laboratory variables for HA in this population. ANIMALS: One hundred fifty-one dogs with chronic SGD.

methodsIn this multicentered prevalence study a standardized workup was performed in prospectively enrolled dogs with SGD > 3 weeks duration. Basal serum cortisol concentration was measured in every dog with ACTH stimulation test (ACTHST) if basal serum cortisol concentration was <3 μg/dL.

resultsBasal serum cortisol concentration was <3 μg/dL in 80/151 (53%) dogs, <2 μg/dL in 42/151 (28%) dogs, and < 1 μg/dL in 9/151 (6%) dogs. In 6/151 dogs HA was diagnosed based on ACTHST (stimulated serum cortisol concentration < 2 μg/dL), a prevalence of 4%. There was no difference in history, physical examination, and laboratory variables between dogs with HA and those with other causes of chronic SGD. In 4/6 dogs with HA, there was melena or hematochezia indicating gastrointestinal blood loss. Hyperkalemia, hyponatremia, or both was not observed in any dog. CONCLUSION AND CLINICAL IMPORTANCE: The prevalence of HA among dogs with chronic SGD is higher than in the general population. Based on these results, testing adrenal function should be performed as a standard screening test in dogs with chronic SGD to differentiate between HA and chronic enteropathies.

Indexed as

Adrenal InsufficiencyAdrenocorticotropic HormoneAnimalsDog DiseasesDogsFemaleGastrointestinal DiseasesGastrointestinal HemorrhageHydrocortisoneMaleMelenaPrevalenceProspective StudiesAdrenocorticotropic HormoneHydrocortisoneAddison's diseaseatypical hypoadrenocorticismchronic diarrheacortisol

Identifiers

PMID32573832
PMCPMC7379021
OpenAlexW3037340403

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.