Prudic R A, Saba C F, Lourenço B N, Bugbee A C
Department of Small Animal Medicine & Surgery, College of Veterinary Medicine, University of Georgia, Athens, Georgia, 30602, USA.
J Small Anim Pract. 2018 Apr 2. doi: 10.1111/jsap.12840.
To evaluate the point prevalence of proteinuria in dogs presenting to the University of Georgia Oncology Service for the first time.
In this prospective study, 60 client-owned dogs with a confirmed cancer diagnosis were included but those with lower urinary tract neoplasia were excluded. Each dog's signalment, cancer diagnosis, previous cancer treatments, current medications and travel history were recorded. Renal values, electrolytes, packed cell volume, total solids, systolic blood pressure, urinalysis, urine protein:urine creatinine and retinal examinations were recorded. Non-proteinuric, borderline proteinuria and overt proteinuria were defined as urine protein:urine creatinine <0·2, ≥0·2 but <0·5, and ≥0·5, respectively. Urine culture was performed in dogs with active urine sediments or overt proteinuria.
Twenty-nine dogs were non-proteinuric (48·3%), 22 (36·7%) borderline proteinuric and nine (15%) overtly proteinuric. None were azotaemic. Hypertension (systolic blood pressure ≥160 mmHg) was detected in 18 (30%) dogs. Of these, six were non-proteinuric, nine borderline proteinuric, and three overtly proteinuric. Proteinuria was detected in 51% of dogs presented to our oncology service, the majority of which were classified as borderline.
The high proportion of proteinuria in dogs in this study suggests that screening for proteinuria in dogs with cancer may be prudent. Larger studies are required to correlate specific cancer types and the impact of treatment with the development, magnitude and persistence of proteinuria.
评估首次就诊于佐治亚大学肿瘤服务中心的犬蛋白尿的点患病率。
在这项前瞻性研究中,纳入了60只确诊患有癌症的客户拥有的犬,但排除了下尿路肿瘤的犬。记录每只犬的特征、癌症诊断、既往癌症治疗情况、当前用药及旅行史。记录肾脏指标、电解质、红细胞压积、总固体量、收缩压、尿液分析、尿蛋白:尿肌酐及视网膜检查结果。非蛋白尿、临界蛋白尿和显性蛋白尿分别定义为尿蛋白:尿肌酐<0.2、≥0.2但<0.5以及≥0.5。对有活动性尿沉渣或显性蛋白尿的犬进行尿培养。
29只犬为非蛋白尿(48.3%),22只(36.7%)为临界蛋白尿,9只(15%)为显性蛋白尿。无一例出现氮血症。18只(30%)犬检测到高血压(收缩压≥160 mmHg)。其中,6只为非蛋白尿,9只为临界蛋白尿,3只为显性蛋白尿。在就诊于我们肿瘤服务中心的犬中,51%检测到蛋白尿,其中大多数被归类为临界蛋白尿。
本研究中犬蛋白尿比例较高,提示对患癌犬进行蛋白尿筛查可能是谨慎的。需要更大规模的研究来关联特定癌症类型以及治疗对蛋白尿的发生、程度和持续时间的影响。