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英国初级兽医护理下犬类附肢骨关节炎的流行率、持续时间和危险因素。

Prevalence, duration and risk factors for appendicular osteoarthritis in a UK dog population under primary veterinary care.

机构信息

University of Lincoln, School of Life Sciences, Lincoln, LN6 7DL, UK.

Royal Veterinary College, Department of Pathobiology and Population Science, Hatfield, AL9 7TA, UK.

出版信息

Sci Rep. 2018 Apr 4;8(1):5641. doi: 10.1038/s41598-018-23940-z.

Abstract

Osteoarthritis is the most common joint disease diagnosed in veterinary medicine and poses considerable challenges to canine welfare. This study aimed to investigate prevalence, duration and risk factors of appendicular osteoarthritis in dogs under primary veterinary care in the UK. The VetCompass programme collects clinical data on dogs attending UK primary-care veterinary practices. The study included all VetCompass dogs under veterinary care during 2013. Candidate osteoarthritis cases were identified using multiple search strategies. A random subset was manually evaluated against a case definition. Of 455,557 study dogs, 16,437 candidate osteoarthritis cases were identified; 6104 (37%) were manually checked and 4196 (69% of sample) were confirmed as cases. Additional data on demography, clinical signs, duration and management were extracted for confirmed cases. Estimated annual period prevalence (accounting for subsampling) of appendicular osteoarthritis was 2.5% (CI: 2.4-2.5%) equating to around 200,000 UK affected dogs annually. Risk factors associated with osteoarthritis diagnosis included breed (e.g. Labrador, Golden Retriever), being insured, being neutered, of higher bodyweight and being older than eight years. Duration calculation trials suggest osteoarthritis affects 11.4% of affected individuals' lifespan, providing further evidence for substantial impact of osteoarthritis on canine welfare at the individual and population level.

摘要

骨关节炎是兽医临床诊断中最常见的关节疾病,对犬只福利构成了重大挑战。本研究旨在调查英国初级兽医护理犬四肢骨关节炎的流行率、持续时间和危险因素。VetCompass 计划收集了在英国初级兽医诊所就诊的犬只的临床数据。本研究纳入了 2013 年期间接受 VetCompass 护理的所有犬只。使用多种搜索策略确定候选骨关节炎病例。随机选择一部分病例进行手动评估,以对照病例定义进行验证。在 455557 只研究犬中,确定了 16437 例候选骨关节炎病例;对其中 6104 例(37%)进行了手动检查,4196 例(样本的 69%)被确认为病例。为确诊病例提取了关于人口统计学、临床症状、持续时间和管理的附加数据。四肢骨关节炎的估计年度期间流行率(考虑到抽样)为 2.5%(95%CI:2.4-2.5%),相当于英国每年约有 20 万只受影响的犬。与骨关节炎诊断相关的危险因素包括品种(例如拉布拉多犬、金毛寻回犬)、是否投保、是否绝育、体重较高以及年龄大于 8 岁。持续时间计算试验表明,骨关节炎影响了 11.4%受影响个体的寿命,这进一步证明了骨关节炎对犬只个体和群体福利的重大影响。

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