Evidence map›Paper›PMID 38961558›Full record

ArticleJournal of veterinary internal medicine

Methylprednisolone alone or combined with cyclosporine or mycophenolate mofetil for the treatment of immune-mediated hemolytic anemia in dogs, a prospective study.

Chiara Agnoli, Michele Tumbarello, Kateryna Vasylyeva, Carola S Selva Coddè, Erika Monari, Marta Gruarin, Roberta Troìa, Francesco Dondi

Abstract readRandomized Controlled Trial, 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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.

Chiara AgnoliDepartment of Veterinary Medical Sciences, Alma Mater Studiorum-University of Bologna, Bologna, Italy.ORCID https://orcid.org/0000-0002-9004-3834
Michele TumbarelloDepartment of Veterinary Medical Sciences, Alma Mater Studiorum-University of Bologna, Bologna, Italy.ORCID https://orcid.org/0000-0002-1231-6438
Kateryna VasylyevaDepartment of Veterinary Medical Sciences, Alma Mater Studiorum-University of Bologna, Bologna, Italy.ORCID https://orcid.org/0009-0008-1834-0771
Carola S Selva CoddèDepartment of Veterinary Medical Sciences, Alma Mater Studiorum-University of Bologna, Bologna, Italy.
Erika MonariDepartment of Veterinary Medical Sciences, Alma Mater Studiorum-University of Bologna, Bologna, Italy.
Marta GruarinVPG, Unit 8 Temple Point, Leeds, UK.ORCID https://orcid.org/0000-0003-0524-3653
Roberta TroìaDepartment of Veterinary Medical Sciences, Alma Mater Studiorum-University of Bologna, Bologna, Italy.ORCID https://orcid.org/0000-0003-3726-2138
Francesco DondiDepartment of Veterinary Medical Sciences, Alma Mater Studiorum-University of Bologna, Bologna, Italy.ORCID https://orcid.org/0000-0001-8259-6458

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBenefit of adding a second-line immunosuppressive drug to glucocorticoids for the treatment of non-associative immune-mediated hemolytic anemia (naIMHA) in dogs has not been defined prospectively. HYPOTHESIS/

objectivesEvaluate the effectiveness of different immunosuppressive protocols in naIMHA dogs. ANIMALS: Forty-three client-owned dogs.

methodsOpen label, randomized, clinical trial. Dogs were treated with methylprednisolone (M-group), methylprednisolone plus cyclosporine (MC-group) or methylprednisolone plus mycophenolate mofetil (MM-group). Dogs were defined as responders by disappearance of signs of immune-mediated destruction and hematocrit stabilization. Frequency of responders was compared between M-group and combined protocols (MC and MM-group evaluated together), and among the 3 different therapeutic groups at 14 (T14), 30 (T30), 60 (T60) days after admission. Frequency of complications, length of hospitalization and relapse were also compared. Death rate was evaluated at discharge, T60 and 365 (T365) days.

resultsProportion of responders was not significantly different between M-group and combined protocols (MC and MM-groups), nor among the 3 therapeutic groups at T14, T30, and T60 (P > .17). Frequency of relapse, complications, and length of hospitalization were not significantly different between M-group and dogs treated with combined protocols, nor among the 3 treatment groups (P > .22). Death was significantly more common only for MM-group compared with MC-group at T60 (+42.8%; 95% CI: 11.5-67.4; P = .009), and at T365 (+50%; 95% CI: 17.5-73.2; P = .003). CONCLUSIONS AND CLINICAL IMPORTANCE: Combined immunosuppressive therapy did not improve hematological response in naIMHA.

Indexed as

Anemia, Hemolytic, AutoimmuneCyclosporineDog DiseasesDrug Therapy, CombinationImmunosuppressive AgentsMethylprednisoloneMycophenolic AcidAnimalsDogsFemaleMaleProspective StudiesCyclosporineImmunosuppressive AgentsMethylprednisoloneMycophenolic Aciddogglucocorticoidshematological responseIMHAimmunosuppressiontherapy

Identifiers

PMID38961558
PMCPMC11423485

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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.