Assessment of two tests for the diagnosis of canine hyperadrenocorticism

Vet Rec. 1988 Feb 20;122(8):178-80. doi: 10.1136/vr.122.8.178.

Abstract

The low-dose dexamethasone suppression test and the urinary corticoid/creatinine ratio were assessed in 166 and 150 dogs, respectively, for their value in the diagnosis of hyperadrenocorticism. The diagnostic accuracy of the low-dose dexamethasone suppression test was 0.83, with a 95 per cent confidence interval from 0.76 to 0.88. The urinary corticoid/creatinine ratio had a diagnostic accuracy of 0.91 with a 95 per cent confidence interval from 0.85 to 0.95. The high predictive value of a negative corticoid/creatinine ratio (0.98; confidence interval 0.80 to 1.00) and the low cost of this test makes it preferable for screening purposes to the low-dose dexamethasone suppression test for which the predictive value of a negative test was calculated as 0.5g (confidence interval 0.43 to 0.73).

Publication types

  • Comparative Study

MeSH terms

  • Animals
  • Costs and Cost Analysis
  • Creatinine / urine*
  • Cushing Syndrome / diagnosis
  • Cushing Syndrome / veterinary*
  • Dexamethasone*
  • Dog Diseases / diagnosis*
  • Dogs
  • False Negative Reactions
  • False Positive Reactions
  • Female
  • Hydrocortisone / blood
  • Hydrocortisone / urine*
  • Male
  • Predictive Value of Tests

Substances

  • Dexamethasone
  • Creatinine
  • Hydrocortisone