Evidence map›Paper›PMID 39660757›Full record

ArticleJournal of veterinary internal medicine

Clinical findings, treatment, and outcomes in cats with naturally occurring hypoadrenocorticism: 41 cases.

Emma Roberts, Ian K Ramsey, Ruth Gostelow, Anna Latysheva, Luca Battaglia, Paolo Silvestrini, Ghita Benchekroun, Karen Brenner, Bérénice Conversy, Riccardo Ferriani and 15 more

Abstract readMulticenter StudyObservational 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 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

25 authors.

Emma RobertsBristol Vet Specialists, Bristol, UK.ORCID https://orcid.org/0000-0002-3157-9671
Ian K RamseyUniversity of Glasgow, Glasgow, UK.ORCID https://orcid.org/0000-0002-7379-9488
Ruth GostelowRoyal Veterinary College, Potters Bar, UK.ORCID https://orcid.org/0000-0001-9354-8291
Anna LatyshevaVetPlus Center, Dubai Marina, UAE.
Luca BattagliaClinica Veterinaria M. E. Miller, Reggio Emilia, Italy.
Paolo SilvestriniRyan Veterinary Hospital, Philadelphia, Pennsylvania, USA.ORCID https://orcid.org/0000-0003-3671-5350
Ghita BenchekrounÉcole Nationale Vétérinaire d'Alfort, Maisons-Alfort, France.ORCID https://orcid.org/0000-0003-3947-5655
Karen BrennerCentre for Animal Referral and Emergency, Melbourne, Australia.
Bérénice ConversyUniversity of Montréal, Montréal, Canada.
Riccardo FerrianiOspedale Veterinario San Francesco, Milan, Italy.ORCID https://orcid.org/0000-0002-8862-5317
Andre KortumThe Queen's Veterinary School Hospital, Cambridge, UK.ORCID https://orcid.org/0000-0002-9760-733X
Lisa StammeleerUniversity of Ghent, Merelbeke, Belgium.
Nele Van den SteenCave Veterinary Specialists, Wellington, UK.
Flavia TavaresCentro de endocrinologia, Rio de Janeiro, Brazil.
Julia LieserAnicura Kleintierspezialisten Clinic, Augsburg, Germany.
Angie HibbertThe Feline Centre, Langford Vets, Langford, UK.
Antoine DuclosUniversity College Dublin, Dublin, Ireland.ORCID https://orcid.org/0009-0008-8957-6108
Troy BunnWestern Australian Veterinary Emergency and Speciality, Perth, Australia.ORCID https://orcid.org/0000-0001-6812-6310
Alisdair M BoagThe Royal (Dick) School of Veterinary Studies, Edinburgh, UK.ORCID https://orcid.org/0000-0002-3819-1821
Carolina ArenasAnicura Valencia Sur Hospital Veterinario, Valencia, Spain.ORCID https://orcid.org/0000-0002-5071-7689
Kirsty RoeWillows Veterinary Centre and Referral Service, Shirley, UK.
Florian K ZeugswetterUniversity of Veterinary Medicine, Vienna, Austria.
Yi CuiUniversity of Bern, Bern, Switzerland.
Imogen SchofieldCVS (UK) Ltd, Diss, UK.
Federico FracassiUniversity of Bologna, Bologna, Italy.ORCID https://orcid.org/0000-0003-3121-2199

Funding

Society of Small Animal Medicine (SAMSoc)
6 · The paper itself

Abstract

backgroundHypoadrenocorticism in cats is uncommonly reported. Most reports consist of cats with hyponatremia, hyperkalemia, or both. HYPOTHESIS/

objectivesTo describe clinical findings, treatment response, and outcome in cats diagnosed with hypoadrenocorticism, including cats with abnormal and normal serum sodium and potassium concentrations. ANIMALS: Forty-one cats with hypoadrenocorticism; 36 with and 5 without abnormal serum sodium and potassium concentrations.

methodsMulticenter retrospective observational study. Data for the entire cohort were assessed using descriptive statistics and differences between cats with and without abnormal serum sodium and potassium concentrations were evaluated.

resultsMedian age was 5.7 years (range, 0.2-13.8). Twenty-three (56%) cats were male and 18 (44%) were female. Cats with hyponatremia, hyperkalemia, or both were less likely to have a history of vomiting (P = .01) but more likely to be hypothermic (P = .03), dehydrated (P = .04) or weak (P = .04) on examination, compared with nonhyponatremic and nonhyperkalemic cats. Frequency of hypercalcemia was 31.7%. Exocrine pancreatic insufficiency (EPI) was diagnosed in 4/7 cats tested; all 4 had concurrent cobalamin deficiency. Thirty-five (85.4%) cats survived to discharge. In 2 cats, hypoadrenocorticism occurred secondary to lymphoma. Median survival time (MST) for all-cause mortality was 2035 days (95% confidence interval [CI], 294-4380 days); MST for disease-specific mortality was not reached. CONCLUSIONS AND CLINICAL IMPORTANCE: Approximately one-third of cats with hypoadrenocorticism had hypercalcemia. In some cases, hyponatremia and hyperkalemia were not observed. Cats with nonneoplastic associated hypoadrenocorticism that survive initial hospitalization can have a favorable long-term prognosis. Testing for EPI may be warranted in cats with hypoadrenocorticism.

Indexed as

Adrenal InsufficiencyCat DiseasesHyperkalemiaHyponatremiaAnimalsCatsFemaleHypercalcemiaMalePotassiumRetrospective StudiesSodiumTreatment OutcomePotassiumSodiumAddison's diseasecobalamin deficiencyexocrine pancreatic insufficiencyhyperkalemiahyponatremiasurvival

Identifiers

PMID39660757
PMCPMC11632852

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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.