Evidence map›Paper›PMID 38321784›Full record

ArticleJournal of veterinary internal medicine

Hypothalamic-pituitary-adrenal axis recovery after intermediate-acting glucocorticoid treatment in client-owned dogs.

Francesca Del Baldo, Andrea Corsini, Antonio Maria Tardo, Alessandro Tirolo, Ada Sapignoli, Michele Tumbarello, Kateryna Vasylyeva, Federico Fracassi

Abstract readObservational Study, Veterinary
In one paragraph

Article in Journal of veterinary internal medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 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

8 authors.

Francesca Del BaldoDepartment of Veterinary Medical Sciences, University of Bologna, Ozzano dell'Emilia, Italy.ORCID https://orcid.org/0000-0002-5577-0657
Andrea CorsiniDepartment of Veterinary Medical Sciences, University of Parma, Parma, Italy.ORCID https://orcid.org/0000-0003-1673-8715
Antonio Maria TardoDepartment of Veterinary Medical Sciences, University of Bologna, Ozzano dell'Emilia, Italy.ORCID https://orcid.org/0009-0009-3636-0415
Alessandro TiroloDepartment of Veterinary Medical Sciences, University of Bologna, Ozzano dell'Emilia, Italy.
Ada SapignoliDepartment of Veterinary Medical Sciences, University of Bologna, Ozzano dell'Emilia, Italy.
Michele TumbarelloDepartment of Veterinary Medical Sciences, University of Bologna, Ozzano dell'Emilia, Italy.
Kateryna VasylyevaDepartment of Veterinary Medical Sciences, University of Bologna, Ozzano dell'Emilia, Italy.
Federico FracassiDepartment of Veterinary Medical Sciences, University of Bologna, Ozzano dell'Emilia, Italy.ORCID https://orcid.org/0000-0003-3121-2199

Funding

ECVIM-CA Clinical Studies Fund
6 · The paper itself

Abstract

backgroundIn dogs, duration of hypothalamic-pituitary-adrenal (HPA) axis suppression after systemic glucocorticoid treatment is reported to vary from a few days to up to 7 weeks after glucocorticoid discontinuation. These data are derived mainly from experimental studies in healthy dogs and not from animals with spontaneous disease. HYPOTHESIS AND

objectiveTo determine the timeline for recovery of the HPA axis in a group of ill dogs treated with intermediate-acting glucocorticoids (IAGCs). ANIMALS: Twenty client-owned dogs that received IAGC for at least 1 week.

methodsSingle-center prospective observational study. An ACTH stimulation test, endogenous ACTH concentration, serum biochemistry profile, and urinalysis were performed at T0 (2-6 days after IAGC discontinuation) and then every 2 weeks (eg, T1, T2, T3) until HPA axis recovery was documented (post-ACTH cortisol concentration > 6 μg/dL).

resultsThe median time of HPA axis recovery was 3 days (range, 2-133 days). Eleven of 20 dogs showed recovery of the HPA axis at T0, 6/20 at T1, and 1 dog each at T2, T5, and T9. Dose and duration of treatment were not correlated with timing of HPA axis recovery. Activities of ALT and ALP were significantly correlated with the post-ACTH cortisol concentration (rs = -0.34, P = .03; rs = -0.31, P = .05). Endogenous ACTH concentration was significantly correlated with pre (r = 0.72; P < .0001) and post-ACTH cortisol concentrations (r = 0.35; P = .02). The timing of HPA axis recovery of the dogs undergoing an alternate-day tapering dose was not different compared to dogs that did not (3.5 vs 3 days, P = .89). CONCLUSION AND CLINICAL IMPORTANCE: Most dogs experienced HPA axis recovery within a few days after IAGC discontinuation. However, 2/20 dogs required >8 weeks.

Indexed as

GlucocorticoidsHypothalamo-Hypophyseal SystemAdrenocorticotropic HormoneAnimalsDogsHydrocortisonePituitary-Adrenal SystemAdrenocorticotropic HormoneGlucocorticoidsHydrocortisoneACTH stimulation testendogenous ACTHeunatremic eukalemic-hypoadrenocorticismfalse positive resultshypoadrenocorticism

Identifiers

PMID38321784
PMCPMC10937487

What OpenQuestion holds

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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.