Evidence map›Paper›PMID 38895927›Full record

ArticleJournal of veterinary internal medicine

Prospective randomized trial comparing relapse rates in dogs with steroid-responsive meningitis-arteritis treated with a 6-week or 6-month prednisolone protocol.

Jeremy H Rose, Colin J Driver, Lorna Arrol, Thomas J A Cardy, Joana Tabanez, Anna Tauro, Ricardo Fernandes, Imogen Schofield, Sophie Adamantos, Nicolas Granger and 1 more

Abstract read
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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  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

11 authors.

Jeremy H RoseLumbry Park Veterinary Specialists, CVS Group plc, Alton, United Kingdom.ORCID https://orcid.org/0009-0008-7919-5387
Colin J DriverLumbry Park Veterinary Specialists, CVS Group plc, Alton, United Kingdom.
Lorna ArrolLumbry Park Veterinary Specialists, CVS Group plc, Alton, United Kingdom.
Thomas J A CardyCave Veterinary Specialists, Linnaeus group, Wellington, United Kingdom.
Joana TabanezLumbry Park Veterinary Specialists, CVS Group plc, Alton, United Kingdom.
Anna TauroCollege of Veterinary Medicine, North Carolina State University, Raleigh, USA.ORCID https://orcid.org/0000-0003-0606-7831
Ricardo FernandesBlaise Referrals, IVC Evidensia Referrals, Birmingham, United Kingdom.
Imogen SchofieldCVS Group plc, Diss, United Kingdom.
Sophie AdamantosParagon Veterinary Referrals, Linnaeus group, Wakefield, United Kingdom.
Nicolas GrangerBristol Vet Specialists, CVS Group plc, Bristol, United Kingdom.
Thomas R Harcourt-BrownLangford Small Animal Hospital, Bristol Veterinary School, University of Bristol, Bristol, United Kingdom.ORCID https://orcid.org/0000-0002-5980-472X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTraditionally, 6-month courses of prednisolone are used to treat steroid-responsive meningitis-arteritis (SRMA), but this medication is associated with adverse effects that can lead to poor quality of life. HYPOTHESIS/

objectivesResolution of clinical signs and rate of relapse of SRMA would not be significantly different between a 6-month prednisolone protocol and a 6-week protocol. ANIMALS: Forty-four hospital cases from multiple referral centers in the United Kingdom (2015-2019). Twenty of 44 were treated with the 6-month protocol and 24/44 with the 6-week protocol.

methodsProspective, randomized trial with 12-month follow-up. The same prednisolone protocol reinitiated in the event of relapse. Analysis of relapses with binary logistic and Poisson regression modeling.

resultsAll cases responded to their treatment protocol. Relapses occurred in 6/20 (30%) of the 6-month protocol and 9/24 (38%) of the 6-week protocol. There was no statistical difference in the incidence risk of at least 1 relapse between the 2 groups (odds ratio = 1.40; 95% confidence interval [CI], 0.40-4.96, P = 0.60). Among the 15 dogs that relapsed, 10/15 (67%) relapsed once, 3/15 (20%) relapsed twice, and 2/15 (13%) relapsed 3 times. No statistical difference was detected in the incidence rate ratio (IRR) of total relapse events between the 2 groups (IRR = 1.46; 95% CI, 0.61-3.48; P = 0.40). CONCLUSIONS AND CLINICAL IMPORTANCE: "Short" 6-week prednisolone protocols could be used to treat SRMA, thereby presumably reducing the duration and severity of prednisolone's adverse effects.

Indexed as

ArteritisDog DiseasesMeningitisPrednisoloneRecurrenceAnimalsDogsDrug Administration ScheduleFemaleMaleProspective StudiesPrednisoloneaseptic meningitisimmune‐mediatedimmunosuppressionneck painnecrotising vasculitisPUOpyrexia of unknown origin

Identifiers

PMID38895927
PMCPMC11256166

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Registered trials

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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.