Evidence map›Paper›PMID 37817453›Full record

ArticleVeterinary medicine and science2023

Plasma urea:creatinine ratio as a biomarker of gastrointestinal bleeding in dogs with anaemia.

Ben Safrany, Andrea C Holmes, Sophie Adamantos, Caroline Kisielewicz, Florence Juvet, Laura Macfarlane, Theresa McCann, Paula Valiente Diana, Fergus Allerton

Open access · goldAbstract read
In one paragraph

Article in Veterinary medicine and science, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 26% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. 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 5 institutions in 2 countries.

Ben SafranyDepartment of Internal Medicine, Paragon Veterinary Referrals (part of Linneaus Veterinary Limited), Wakefield, UK.ORCID 0000-0002-1796-0871
Andrea C HolmesDepartment of Internal Medicine, Paragon Veterinary Referrals (part of Linneaus Veterinary Limited), Wakefield, UK.
Sophie AdamantosParagon Veterinary Referrals, Wakefield, UK.
Caroline KisielewiczVet Oracle Telemedicine Clinical Director, UK.
Florence JuvetDepartment of Internal Medicine, Southern Counties Veterinary Specialists, Hampshire, UK.
Laura MacfarlaneDepartment of Internal Medicine, North Downs Specialist Referrals, Bletchingley, UK.
Theresa McCannDepartment of Internal Medicine, Davies Veterinary Specialists, Hitchin, UK.
Paula Valiente DianaDepartment of Internal Medicine, North Downs Specialist Referrals, Bletchingley, UK.
Fergus AllertonDepartment of Internal Medicine, Willows Referral Service, Solihull, UK.
Willows Veterinary Centre and Referral Service · GBNorth Downs Hospital · GBAnimal Free Research UK · GBOracle (United Kingdom) · GBSouthern Oncology Specialists · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGastrointestinal bleeding is a cause of anaemia in dogs. A reliable, non-invasive biomarker to differentiate gastrointestinal bleeding from other causes of anaemia would be advantageous to direct clinical decisions in anaemic patients. Plasma urea:creatinine ratio is an accepted biomarker of upper gastrointestinal bleeding in human medicine.

objectivesThe objective of this study was to evaluate plasma urea:creatinine ratio as a biomarker of gastrointestinal bleeding in a population of dogs with anaemia.

methodsThis was a prospective cross-sectional study of dogs with anaemia presenting to referral centres for the investigation of anaemia. Cases were categorised as having overt gastrointestinal bleeding (melena on presentation), occult gastrointestinal bleeding (historical and diagnostic findings consistent with gastrointestinal bleeding without melena at presentation) or anaemia of other cause (confident diagnosis other than gastrointestinal bleeding reached, normal diagnostic imaging of gastrointestinal tract). Urea:creatinine ratio at presentation was calculated by dividing urea (mg/dL) by creatinine (mg/dL).

resultsNinety-five dogs were included. Plasma urea:creatinine ratio was not significantly different between dogs with overt or occult gastrointestinal bleeding or those with anaemia of other cause (median urea:creatinine ratio 25.8, 20.7 and 22.5, respectively). No significant difference in urea:creatinine ratio was found between dogs with upper and lower gastrointestinal bleeding (median urea:creatinine ratio 19.4 and 24.6, respectively).

conclusionsPlasma urea:creatinine ratio was not helpful in differentiating between dogs with anaemia resulting from gastrointestinal bleeding (overt or occult) and those with other causes of anaemia.

Indexed as

AnemiaDog DiseasesAnimalsBiomarkersCreatinineCross-Sectional StudiesDogsGastrointestinal HemorrhageHumansMelenaProspective StudiesUreaBiomarkersCreatinineUreaanaemiaclinical pathologydoggastrointestinal

Identifiers

PMID37817453
PMCPMC10650361
OpenAlexW4387515876

What OpenQuestion holds

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LicenceCC BY
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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.