Table 2.
Azathioprine-Prednisolone Protocol | Prednisolone Protocol | |||||||
---|---|---|---|---|---|---|---|---|
First return visit | Median | Range | n | Reference | Median | Range | n | Pb |
Hematocrit (%) | 0.35 | 0.06-0.5 | 93 | 42-57 | 0.36 | 0.12-0.47 | 41 | 0.5 |
Thrombocytes (x109/L) | 402 | 8-986 | 88 | 150-400 | 421 | 20-1555 | 29 | 0.48 |
Reticulocytes (%) | 0.9 | 0.1-28 | 87 | < 2 | 2 | 0.2-6.4 | 34 | 0.027* |
Osmotic red cell fragility (mOsm/L) | 176 | 136-258 | 82 | < 162 | 164 | 125-247 | 24 | 0.06 |
Time after diagnosis g (days) | 25 | 2-83 | 95 | 17 | 0-141 | 43 | 0.001* | |
Response categorya | No. dogs | n | No. dogs | n | Pb | |||
No responsec | 3 | 95 | 1 | 26 | ||||
Improvementd | 87 | 95 | 25 | 26 | ||||
Complete recoverye | 5 | 95 | 0 | 26 | 0.92 | |||
Second return visit | Median | Range | n | Reference | Median | Range | n | Pb |
Hematocrit (%) | 0.4 | 0.11-0.54 | 66 | 42-57 | 0.42 | 0.18-0.51 | 24 | 0.38 |
Thrombocytes (x109/L) | 278 | 3-834 | 63 | 150-400 | 339 | 12-636 | 17 | 0.73 |
Reticulocytes (%) | 0.8 | 0.1-12 | 60 | < 2 | 1 | 0.3-9.7 | 18 | 0.39 |
Osmotic red cell fragility (mOsm/L) | 163 | 133-238 | 58 | < 162 | 165 | 142-206 | 11 | 0.40 |
Time after diagnosis g (days) | 77 | 21-399 | 69 | 56 | 21-171 | 25 | 0.0032* | |
Response categorya | No. dogs | n | No. dogs | n | Pb | |||
No response | 0 | 62 | 0 | 13 | ||||
Improvement | 42 | 62 | 12 | 13 | ||||
Complete recovery | 20 | 62 | 1 | 13 | 0.12 | |||
Relapsef | Median | Range | n | Reference | Median | Range | n | pb |
Hematocrit (%) | 0.28 | 0.06-0.44 | 17 | 42-57 | 0.31 | 0.10-0.41 | 5 | 0.96 |
Thrombocytes (x109/L) | 132 | 0-382 | 15 | 150-400 | 327 | 228-426 | 2 | 0.15 |
Reticulocytes (%) | 2.5 | 0.1-22 | 14 | < 2 | 0.3 | 0.2-30.5 | 3 | 0.9 |
Osmotic red cell fragility (mOsm/L) | 212 | 159-274 | 12 | < 162 | 221 | 187-254 | 2 | 0.65 |
Time after diagnosisg (days) | 112 | 32-1757 | 21 | 63 | 7-581 | 8 | 0.27 |
aNumber of dogs counted in each response category.
b P = P value
c No effect of therapy was defined as no increase in the hematocrit.
d Improvement was defined as an increase in hematocrit to < 0.36 L/L, or a hematocrit >0.36 L/L but with a positive Coombs' test or an increased osmotic red cell fragility.
e Complete recovery was defined as an increase in the hematocrit to >0.36 L/L, a negative Coombs' test, and an osmotic red cell fragility within the reference range.
f Relapse was defined as a decrease in the hematocrit after an initial improvement or complete recovery in combination with the recurrence of a positive Coombs' test or increased red cell fragility.
g The times of the first and second return visits or when a relapse occurred were retrieved from the medical record.