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家猫影像学退行性关节病患病率的横断面研究。

Cross-sectional study of the prevalence of radiographic degenerative joint disease in domesticated cats.

作者信息

Lascelles B Duncan X, Henry John B, Brown James, Robertson Ian, Sumrell Andrea Thomson, Simpson Wendy, Wheeler Simon, Hansen Bernie D, Zamprogno Helia, Freire Mila, Pease Anthony

机构信息

Comparative Pain Research Laboratory, College of Veterinary Medicine, North Carolina State University, Raleigh, NC 27606, USA.

出版信息

Vet Surg. 2010 Jul;39(5):535-44. doi: 10.1111/j.1532-950X.2010.00708.x. Epub 2010 Jun 18.

Abstract

OBJECTIVE

To determine the prevalence of radiographic signs of degenerative joint disease (DJD) in a randomly selected sample of domestic cats.

STUDY DESIGN

Prospective observational study.

ANIMALS

Client-owned cats.

METHODS

Cats (n=100) from a single practice and equally distributed across 4 age groups (0-5; 5-10; 10-15, and 15-20 years old) were randomly selected (regardless of heath status) and sedated for orthogonal radiographic projections of all joints and the spine. Quasi-Poisson regression analysis was used to investigate the relationship between patient demographics, blood biochemistry, hematologic and urine analysis variables, and DJD severity.

RESULTS

Most (92%) cats had radiographic evidence of DJD; 91% had at least 1 site of appendicular DJD and 55% had > or = 1 site of axial column DJD. Affected joints in descending order of frequency were hip, stifle, tarsus, and elbow. The thoracic segment of the spine was more frequently affected than the lumbosacral segment. Although many variables were significantly associated with DJD, when variables were combined, only the association between age and DJD was significant (P<.0001). For each 1-year increase in cat age, the expected total DJD score increases by an estimated 13.6% (95% confidence interval: 10.6%, 16.8%).

CONCLUSION

Radiographically visible DJD is very common in domesticated cats, even in young animals and is strongly associated with age.

CLINICAL RELEVANCE

DJD is a common disease of domesticated cats that requires further investigation of its associated clinical signs.

摘要

目的

确定在随机选取的家猫样本中退行性关节病(DJD)的影像学征象患病率。

研究设计

前瞻性观察研究。

动物

客户拥有的猫。

方法

从单一诊所随机选取100只猫(无论健康状况如何),并平均分为4个年龄组(0 - 5岁;5 - 10岁;10 - 15岁和15 - 20岁),对所有关节和脊柱进行正交X线摄影投影时给予镇静。采用拟泊松回归分析来研究患者人口统计学、血液生化、血液学和尿液分析变量与DJD严重程度之间的关系。

结果

大多数(92%)猫有DJD的影像学证据;91%有至少1个附肢关节DJD部位,55%有≥1个脊柱轴关节DJD部位。受累关节按频率降序排列为髋关节、膝关节、跗关节和肘关节。脊柱的胸段比腰骶段更常受累。尽管许多变量与DJD显著相关,但当变量合并时,只有年龄与DJD之间的关联显著(P <.0001)。猫的年龄每增加1岁,预期的总DJD评分估计增加13.6%(95%置信区间:10.6%,16.8%)。

结论

影像学可见的DJD在家养猫中非常常见,即使在幼猫中也是如此,并且与年龄密切相关。

临床意义

DJD是家猫的常见疾病,需要对其相关临床体征进行进一步研究。

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