Evidence map›Paper›PMID 41742592›Full record

ArticleJournal of veterinary internal medicine2026

Associations among beta-endorphin, ACTH, cortisol concentration, age, and clinical signs indicative of pituitary pars intermedia dysfunction in geriatric horses.

Paula Billmann, Andy Durham, Garance Christen, Giulia Savioli, Josef Johann Gross, Vinzenz Gerber, Nathalie Elisa Fouché

Abstract read
In one paragraph

Article in Journal of veterinary internal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Paula BillmannSwiss Institute of Equine Medicine, Vetsuisse Faculty, University of Bern, Bern, Switzerland.
Andy DurhamLiphook Equine Hospital, Liphook, Hampshire, United Kingdom.
Garance ChristenSwiss Institute of Equine Medicine, Vetsuisse Faculty, University of Bern, Bern, Switzerland.
Giulia SavioliVeterinary Public Health Institute, Vetsuisse Faculty, University of Bern, Bern, Switzerland.
Josef Johann GrossVeterinary Physiology, Vetsuisse Faculty, University of Bern, Bern, Switzerland.
Vinzenz GerberSwiss Institute of Equine Medicine, Vetsuisse Faculty, University of Bern, Bern, Switzerland.
Nathalie Elisa FouchéSwiss Institute of Equine Medicine, Vetsuisse Faculty, University of Bern, Bern, Switzerland.

Funding

Internal Research FundsSwiss Institute of Equine Medicine, Bern, Switzerland ISMEquine Research No. 33-890Vetsuisse Faculty, University of BernVontobel Foundation
6 · The paper itself

Abstract

backgroundLimited published data are available regarding the relationships among clinical signs associated with pituitary pars intermedia dysfunction (PPID), age, and concentrations of proopiomelanocortin-derived peptides and cortisol. HYPOTHESIS/

objectivesIdentify clinical signs associated with age, beta-endorphin (β-END), adrenocorticotropic hormone (ACTH), and cortisol concentrations and compare β-END and cortisol concentrations between horses with PPID and geriatric controls. ANIMALS: A total of 113 horses aged 18-32 years.

methodsCross-sectional study. Clinical signs were scored, plasma β-END, ACTH, and serum cortisol concentrations were measured, and their associations were evaluated. Horses were classified as PPID or controls based on haircoat abnormalities and ACTH concentrations, and group comparisons were performed.

resultsIncreased β-END and ACTH concentrations were associated with haircoat abnormalities (P < .001), whereas advanced age was associated with muscle atrophy, weight loss, and lethargy (P < .001). Cortisol concentrations were not associated with any of the clinical signs. The β-END concentrations were higher in the PPID group (median, 291 pg/mL; interquartile range [IQR], 122-836 pg/mL; n = 40) compared with the control group (median, 55.0 pg/mL; IQR, 45.0-68.0 pg/mL; n = 53; P < .001). CONCLUSIONS AND CLINICAL IMPORTANCE: In this geriatric study cohort, haircoat abnormalities were associated with increased β-END and ACTH concentrations, whereas other clinical signs, such as muscle atrophy, weight loss, and lethargy, were primarily linked to age. Because PPID is diagnosed based on clinical signs and ACTH concentrations, it is important to distinguish clinical signs that are age-related from those associated with PPID.

Indexed as

coat abnormalitiesendocrine diseaseequinehormones

Identifiers

PMID41742592
PMCPMC12927883

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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.