Evidence map›Paper›PMID 33949730›Full record

ArticleJournal of veterinary internal medicine2021

Plasma amino acid profiles in dogs with closed extrahepatic portosystemic shunts are only partially improved 3 months after successful gradual attenuation.

Nausikaa Devriendt, Dominique Paepe, Gonçalo Serrano, Sophie Vandenabeele, Emmelie Stock, Lisa Van Acker, Hilde de Rooster

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Article in Journal of veterinary internal medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

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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

7 authors.

Nausikaa DevriendtSmall Animal Department, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium.ORCID https://orcid.org/0000-0002-5070-8176
Dominique PaepeSmall Animal Department, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium.
Gonçalo SerranoSmall Animal Department, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium.ORCID https://orcid.org/0000-0002-0138-4064
Sophie VandenabeeleSmall Animal Department, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium.
Emmelie StockDepartment of Medical Imaging of Domestic Animals and Small Animal Orthopaedics, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium.ORCID https://orcid.org/0000-0002-9982-1532
Lisa Van AckerSmall Animal Department, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium.
Hilde de RoosterSmall Animal Department, Faculty of Veterinary Medicine, Ghent University, Merelbeke, Belgium.

Funding

Royal Canin Benelux
6 · The paper itself

Abstract

backgroundDogs with portosystemic shunts have an altered blood amino acid profile, with an abnormal branched-chained amino acid (BCAA)-to-aromatic amino acid (AAA) ratio being the most common abnormality. Different liver diseases have distinctive amino acid profiles.

objectivesDetermine the changes in plasma amino acid profiles in dogs with extrahepatic portosystemic shunts (EHPSS) from diagnosis to complete closure. ANIMALS: Ten client-owned dogs with EHPSS closed after surgical attenuation.

methodsProspective cohort study. Medical treatment was instituted in dogs diagnosed with EHPSS. At least 4 weeks later, gradual surgical attenuation was performed. Three months postoperatively, EHPSS closure was confirmed by transsplenic portal scintigraphy. Clinical signs were scored and blood was taken before institution of medical treatment, at time of surgery, and 3 months postoperatively. At the end of the study, the plasma amino acid profiles were analyzed in batch.

resultsThe median BCAA-to-AAA ratio was extremely low (0.6) at time of diagnosis and remained low (0.5) at time of surgery, despite the fact that median neurological score significantly improved from 22 to 2 after starting medical treatment (P = .04). Three months after surgical attenuation, a significantly higher BCAA-to-AAA ratio (1.5) was observed (P < .001). CONCLUSIONS AND CLINICAL IMPORTANCE: Medical treatment does not improve the BCAA-to-AAA ratio in dogs with EHPSS, despite substantial clinical improvement. Although the ratio significantly increased after EHPSS closure, it was still indicative of moderate to severe hepatic dysfunction in all dogs.

Indexed as

Dog DiseasesPortasystemic Shunt, Transjugular IntrahepaticAmino AcidsAnimalsDogsLiverPortal SystemProspective StudiesAmino Acidscanineliver dysfunctionprotein metabolismvascular anomaly

Identifiers

PMID33949730
PMCPMC8162604

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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.