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英国基层医疗实践中犬淋巴瘤诊断的发病率及风险因素

Incidence and risk factors for the diagnosis of lymphoma in dogs in UK primary-care practice.

作者信息

Pittaway C, Schofield I, Dobson J, O'Neill D G, Brodbelt D C

机构信息

The Queen's Veterinary School Hospital, Department of Veterinary Medicine, University of Cambridge, Cambridge, CB3 0ES, UK.

Pathobiology and Population Sciences, The Royal Veterinary College, Hatfield, Herts, AL9 7TA, UK.

出版信息

J Small Anim Pract. 2019 Oct;60(10):581-588. doi: 10.1111/jsap.13054. Epub 2019 Jul 22.

Abstract

OBJECTIVES

To identify the incidence, risk factors and presenting signs of lymphoma in dogs presenting to primary-care practice in the UK using analysis of data within the VetCompass™ programme.

MATERIALS AND METHODS

Case records from the VetCompass™ programme from primary-care practices in the UK were searched for newly diagnosed lymphoma in dogs within a 1-year period: 2013. Diagnosis was based on clinical records with or without laboratory confirmation. Signalment was evaluated as risk factors for lymphoma diagnosis using multivariable logistic regression.

RESULTS

There were 286 presumed newly diagnosed cases identified during 2013 from 455,553 dogs (overall incidence risk 63 of 100,000 dogs per year) of which 193 (67%) were laboratory confirmed (42 of 100,000 dogs per year). Advanced age, dogs older than 12 years, dogs weighing more than 30 kg and some specific breeds were significantly associated with lymphoma diagnosis. Only 18 dogs (6%) of the population identified were referred to a specialist clinic.

CLINICAL SIGNIFICANCE

This study concurs with others that age, bodyweight and breed are significant risk factors for lymphoma. Results of this study highlight: (1) the low number of dogs with lymphoma that are referred to specialists in the UK and (2) that few dogs undergo immunophenotyping (which can carry prognostic importance), emphasising the importance of epidemiological programmes that evaluate diseases presented to primary-care veterinarians.

摘要

目的

通过分析VetCompass™项目中的数据,确定英国初级保健机构接诊的犬淋巴瘤的发病率、风险因素及临床表现。

材料与方法

检索VetCompass™项目中英国初级保健机构1年内(2013年)新诊断为淋巴瘤的犬病例记录。诊断基于临床记录,有无实验室确诊均可。采用多变量逻辑回归评估信号特征作为淋巴瘤诊断的风险因素。

结果

2013年从455,553只犬中确定了286例疑似新诊断病例(每年每100,000只犬的总体发病风险为63例),其中193例(67%)经实验室确诊(每年每100,000只犬中有42例)。高龄、12岁以上的犬、体重超过30 kg的犬以及一些特定品种与淋巴瘤诊断显著相关。在确定的病例中,只有18只犬(6%)被转诊至专科诊所。

临床意义

本研究与其他研究一致,表明年龄、体重和品种是淋巴瘤的重要风险因素。本研究结果突出了两点:(1)在英国转诊至专科医生处的淋巴瘤犬数量较少;(2)很少有犬接受免疫表型分析(这可能具有预后重要性),强调了评估初级保健兽医接诊疾病的流行病学项目的重要性。

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