Evidence map›Paper›PMID 41824751›Full record

ArticleJournal of veterinary internal medicine2026

Clinical signs, management, and survival of 278 dogs diagnosed with insulinoma under primary veterinary care in the United Kingdom.

Kasper Kraai, Dan G O'Neill, Lucy J Davison, Dave C Brodbelt, Sara Galac, Floryne O Buishand

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. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Kasper KraaiDepartment of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht 3584 CM, The Netherlands.ORCID 0009-0001-8638-3131
Dan G O'NeillPathobiology and Population Sciences, The Royal Veterinary College, Hatfield AL9 7TA, United Kingdom.ORCID 0000-0003-1115-2723
Lucy J DavisonClinical Science and Services, The Royal Veterinary College, Hatfield AL9 7TA, United Kingdom.ORCID 0000-0002-1920-0817
Dave C BrodbeltPathobiology and Population Sciences, The Royal Veterinary College, Hatfield AL9 7TA, United Kingdom.ORCID 0000-0001-5628-4194
Sara GalacDepartment of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht 3584 CM, The Netherlands.ORCID 0000-0001-9159-5596
Floryne O BuishandClinical Science and Services, The Royal Veterinary College, Hatfield AL9 7TA, United Kingdom.ORCID 0000-0002-8317-1600

Funding

Kennel Club Charitable Trust and Agria Pet InsuranceMedical Research Council (MRC) Clinician Scientist Fellowship MR/R007977/1MRC Transition Support Award MR/X023559/1
6 · The paper itself

Abstract

backgroundInsulinoma is the most commonly diagnosed endocrine tumor of the pancreas in dogs. Current literature has predominately focused on referral management of insulinoma in dogs. HYPOTHESIS/

objectivesTo describe clinical signs, management, and survival and to explore risk factors associated with clinical management undertaken for insulinoma in dogs under primary veterinary care in the United Kingdom. ANIMALS: Two hundred seventy-eight insulinoma cases identified from 225 0741 VetCompass study dogs within the United Kingdom in 2019.

methodsNested cohort study. Insulinoma cases were identified by manual review of electronic health records. Multivariable logistic regression was used to identify risk factors associated with clinical management. The Kaplan-Meier method with log rank test and multivariable Cox regression were used to identify risk factors associated with survival.

resultsEpileptiform seizures, weakness, collapse/syncope, and muscle fasciculations were the most commonly reported clinical signs. Spaniel breed dogs (OR 2.43, 95% CI 1.02-5.79), dogs with epileptiform seizures (OR 2.15, 95% CI 1.15-4.02) and referred dogs (OR 4.85, 95% CI 2.42-9.72) had increased odds of undergoing surgery, compared to non-spaniel breed dogs, dogs without epileptiform seizures, and non-referred dogs. Compared to dogs treated solely medically, dogs treated surgically had a lower hazard (HR 0.49, 95% CI 0.32-0.77) of dying. Referred dogs had a longer median survival time (673 days, IQR 221-1139) than non-referred dogs (275 days, IQR 55-735) (P < .001). CONCLUSIONS AND CLINICAL IMPORTANCE: This study identified that referral and surgical treatment are associated with improved clinical outcomes for dogs with insulinoma presenting to primary veterinary care.

Indexed as

Dog DiseasesInsulinomaPancreatic NeoplasmsAnimalsCohort StudiesDogsFemaleMaleRisk FactorsUnited Kingdomcaninediazoxideglucocorticoidshyperinsulinemiahypoglycemiapancreatic neuroendocrine tumorVetCompass

Identifiers

PMID41824751
PMCPMC12986752

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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.