Assessment of point-of-care quantitative serum canine pancreatic lipase testing for diagnosing acute pancreatitis in dogs

IntroductionCurrent point-of-care testing for canine-specific pancreatic lipase (CPL) provides semi-quantitative measurements with binary results. Recently, a commercial point-of-care testing method (Vcheck CPL) that offers quantitative measurement of CPL has emerged. However, clinical studies on it...

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Main Authors: Pin-Chen Liu, Kendy Tzu-yun Teng, Tsia-Lu Lin, Chi-Hsuan Sung, Tsun-Li Cheng, Chi-Chung Chou
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Veterinary Science
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Online Access:https://www.frontiersin.org/articles/10.3389/fvets.2025.1421103/full
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author Pin-Chen Liu
Pin-Chen Liu
Kendy Tzu-yun Teng
Kendy Tzu-yun Teng
Tsia-Lu Lin
Chi-Hsuan Sung
Tsun-Li Cheng
Chi-Chung Chou
Chi-Chung Chou
author_facet Pin-Chen Liu
Pin-Chen Liu
Kendy Tzu-yun Teng
Kendy Tzu-yun Teng
Tsia-Lu Lin
Chi-Hsuan Sung
Tsun-Li Cheng
Chi-Chung Chou
Chi-Chung Chou
author_sort Pin-Chen Liu
collection DOAJ
description IntroductionCurrent point-of-care testing for canine-specific pancreatic lipase (CPL) provides semi-quantitative measurements with binary results. Recently, a commercial point-of-care testing method (Vcheck CPL) that offers quantitative measurement of CPL has emerged. However, clinical studies on its value (or utility) are limited. Therefore, this study aimed to evaluate the clinical utility of this commercial point-of-care CPL in diagnosing dogs with suspected acute pancreatitis and to assess its correlation with a commercial semi-quantitative test and other clinicopathological variables.MethodsA prospective observational study included 33 dogs with suspected acute pancreatitis and 20 clinically healthy dogs. Serum Vcheck CPL and SNAP ® cPL were tested, and clinical consensus scores were determined by 5 internists. Eleven dogs with suspected acute pancreatitis underwent follow-up testing during hospitalization. The intra-class correlation coefficient (ICC) was used for statistical analysis to assess the agreement between assays and the internists’ consensus score.ResultsDogs with suspected acute pancreatitis had significantly higher serum Vcheck CPL (median: 843 μg/L, range: 77–2001, p < 0.0001) than healthy control dogs (median: 94 μg/L, range: 49–294). By day 3 of hospitalization, serum Vcheck CPL had significantly decreased in dogs with suspected acute pancreatitis compared to day 1. The ICC score between the clinical consensus score, Vcheck CPL, and SNAP ® cPL was 0.75, indicating good agreement. Serum Vcheck CPL concentration was significantly correlated with serum concentrations of amylase, lipase, creatinine, ALP, and CRP.DiscussionThis study found good agreement between Vcheck CPL and SNAP ® cPL. This quantitative Vcheck CPL testing could serve as an adjunctive tool in diagnosing dogs with acute pancreatitis.
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spelling doaj-art-3ca9c23e72c74e3080e617943c97b6042025-02-12T07:25:31ZengFrontiers Media S.A.Frontiers in Veterinary Science2297-17692025-02-011210.3389/fvets.2025.14211031421103Assessment of point-of-care quantitative serum canine pancreatic lipase testing for diagnosing acute pancreatitis in dogsPin-Chen Liu0Pin-Chen Liu1Kendy Tzu-yun Teng2Kendy Tzu-yun Teng3Tsia-Lu Lin4Chi-Hsuan Sung5Tsun-Li Cheng6Chi-Chung Chou7Chi-Chung Chou8Department of Veterinary Medicine, College of Veterinary Medicine, National Chung Hsing University, Taichung, TaiwanVeterinary Medical Teaching Hospital, College of Veterinary Medicine, National Chung Hsing University, Taichung, TaiwanDepartment of Veterinary Medicine, College of Veterinary Medicine, National Chung Hsing University, Taichung, TaiwanThe iEGG and Animal Biotechnology Research Center, National Chung Hsing University, Taichung, TaiwanDepartment of Veterinary Medicine, College of Veterinary Medicine, National Chung Hsing University, Taichung, TaiwanDepartment of Veterinary Medicine, College of Veterinary Medicine, National Chung Hsing University, Taichung, TaiwanVeterinary Medical Teaching Hospital, College of Veterinary Medicine, National Chung Hsing University, Taichung, TaiwanDepartment of Veterinary Medicine, College of Veterinary Medicine, National Chung Hsing University, Taichung, TaiwanDepartment and Graduate Institute of Pharmacology, National Defense Medical Center, Taipei, TaiwanIntroductionCurrent point-of-care testing for canine-specific pancreatic lipase (CPL) provides semi-quantitative measurements with binary results. Recently, a commercial point-of-care testing method (Vcheck CPL) that offers quantitative measurement of CPL has emerged. However, clinical studies on its value (or utility) are limited. Therefore, this study aimed to evaluate the clinical utility of this commercial point-of-care CPL in diagnosing dogs with suspected acute pancreatitis and to assess its correlation with a commercial semi-quantitative test and other clinicopathological variables.MethodsA prospective observational study included 33 dogs with suspected acute pancreatitis and 20 clinically healthy dogs. Serum Vcheck CPL and SNAP ® cPL were tested, and clinical consensus scores were determined by 5 internists. Eleven dogs with suspected acute pancreatitis underwent follow-up testing during hospitalization. The intra-class correlation coefficient (ICC) was used for statistical analysis to assess the agreement between assays and the internists’ consensus score.ResultsDogs with suspected acute pancreatitis had significantly higher serum Vcheck CPL (median: 843 μg/L, range: 77–2001, p < 0.0001) than healthy control dogs (median: 94 μg/L, range: 49–294). By day 3 of hospitalization, serum Vcheck CPL had significantly decreased in dogs with suspected acute pancreatitis compared to day 1. The ICC score between the clinical consensus score, Vcheck CPL, and SNAP ® cPL was 0.75, indicating good agreement. Serum Vcheck CPL concentration was significantly correlated with serum concentrations of amylase, lipase, creatinine, ALP, and CRP.DiscussionThis study found good agreement between Vcheck CPL and SNAP ® cPL. This quantitative Vcheck CPL testing could serve as an adjunctive tool in diagnosing dogs with acute pancreatitis.https://www.frontiersin.org/articles/10.3389/fvets.2025.1421103/fullacute pancreatitispancreatic lipase immunoreactivitylipaseamylaseinter-class correlation coefficientpoint-of-care
spellingShingle Pin-Chen Liu
Pin-Chen Liu
Kendy Tzu-yun Teng
Kendy Tzu-yun Teng
Tsia-Lu Lin
Chi-Hsuan Sung
Tsun-Li Cheng
Chi-Chung Chou
Chi-Chung Chou
Assessment of point-of-care quantitative serum canine pancreatic lipase testing for diagnosing acute pancreatitis in dogs
Frontiers in Veterinary Science
acute pancreatitis
pancreatic lipase immunoreactivity
lipase
amylase
inter-class correlation coefficient
point-of-care
title Assessment of point-of-care quantitative serum canine pancreatic lipase testing for diagnosing acute pancreatitis in dogs
title_full Assessment of point-of-care quantitative serum canine pancreatic lipase testing for diagnosing acute pancreatitis in dogs
title_fullStr Assessment of point-of-care quantitative serum canine pancreatic lipase testing for diagnosing acute pancreatitis in dogs
title_full_unstemmed Assessment of point-of-care quantitative serum canine pancreatic lipase testing for diagnosing acute pancreatitis in dogs
title_short Assessment of point-of-care quantitative serum canine pancreatic lipase testing for diagnosing acute pancreatitis in dogs
title_sort assessment of point of care quantitative serum canine pancreatic lipase testing for diagnosing acute pancreatitis in dogs
topic acute pancreatitis
pancreatic lipase immunoreactivity
lipase
amylase
inter-class correlation coefficient
point-of-care
url https://www.frontiersin.org/articles/10.3389/fvets.2025.1421103/full
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