Evidence map›Paper›PMID 41964608›Full record

SynthesisJournal of veterinary internal medicine2026

Investigation and systematic review of temporal associations between vaccination and onset of immune-mediated hemolytic anemia or thrombocytopenia in dogs.

Victoria Neale, Sophie Broughton, Harriet R Hall, Natalia Caldecott, Amanda Paul, Barbara J Skelly, Barbara Glanemann, James W Swann

Abstract readSystematic ReviewMeta-AnalysisMulticenter Study
In one paragraph

Synthesis 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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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

8 authors.

Victoria NealeAnderson Moores Veterinary Specialists, Poles Lane, Hampshire, United Kingdom.
Sophie BroughtonClinical Science and Services, Royal Veterinary College, Hatfield, United Kingdom.ORCID 0000-0002-3208-1314
Harriet R HallDick White Referrals, Six Mile Bottom, Cambridgeshire, United Kingdom.
Natalia CaldecottDick White Referrals, Six Mile Bottom, Cambridgeshire, United Kingdom.
Amanda PaulAnderson Moores Veterinary Specialists, Poles Lane, Hampshire, United Kingdom.
Barbara J SkellyDepartment of Veterinary Medicine, University of Cambridge, Cambridge, United Kingdom.
Barbara GlanemannClinical Science and Services, Royal Veterinary College, Hatfield, United Kingdom.
James W SwannClinical Science and Services, Royal Veterinary College, Hatfield, United Kingdom.ORCID 0000-0001-7988-9997

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVaccination is implicated in development of human immune-mediated diseases, but studies in dogs yielded conflicting results for immune-mediated hemolytic anemia (IMHA) and thrombocytopenia (ITP). HYPOTHESIS/

objectivesTo investigate temporal relationships between onset of IMHA or ITP and vaccination in dogs. ANIMALS: Client-owned dogs with nonassociative IMHA (n = 295) and ITP (n = 163) at 4 referral hospitals, alongside control dogs (n = 1180 for IMHA, 652 for ITP) presented contemporaneously.

methodsMulticenter retrospective case-control study, with meta-analysis of published studies. Proportions vaccinated ≤ 30 days before disease onset were compared to controls, along with times since last vaccine.

resultsProportion of dogs vaccinated ≤ 30 days of disease onset was significantly higher in the IMHA group (35/295, 11.9%) compared with controls (72/1180, 6.1%; P = .0015). Dogs with IMHA vaccinated ≤ 30 days of disease onset were more likely to have received a L2 vaccine (Leptospira serovars Canicola and Icterohemorrhagiae) in their last dose than those vaccinated > 30 days before onset (P = .04). Meta-analysis indicated dogs with IMHA were 2.48 times (95% CI, 1.69-3.63) more likely to have been vaccinated in the past month than controls, but with high heterogeneity across this and 2 other studies. There was no difference in proportion of ITP dogs and controls vaccinated ≤ 30 days of disease onset, and meta-analysis with 1 other study showed no temporal association, though both analyses were likely underpowered. CONCLUSIONS AND CLINICAL IMPORTANCE: These results support a possible temporal association between vaccination and onset of IMHA in dogs. Our results do not establish a causal relationship between vaccination and IMHA.

Indexed as

Anemia, Hemolytic, AutoimmuneDog DiseasesThrombocytopeniaVaccinationAnimalsCase-Control StudiesDogsFemaleRetrospective StudiesTime Factorsadverse drug reactionautoimmunehematologyimmunization

Identifiers

PMID41964608
PMCPMC13069898

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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.