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是否被过度诊断了?猫胰腺炎。

Is It Being Overdiagnosed? Feline Pancreatitis.

机构信息

Manor Farm Business Park, Higham Gobion, Hitchin, Hertfordshire SG53HR, UK.

Queen's Veterinary School Hospital, University of Cambridge, Madingley Road, Cambridge CB30ES, UK.

出版信息

Vet Clin North Am Small Anim Pract. 2020 Sep;50(5):1107-1121. doi: 10.1016/j.cvsm.2020.06.006. Epub 2020 Jul 14.

Abstract

In recent years, increased awareness of feline pancreatitis by the veterinary profession and improved diagnostic modalities have led to an increased frequency of diagnosis of pancreatitis in this species. Consequently, pancreatic diseases, especially chronic pancreatitis, are considered highly prevalent, even in populations of apparently healthy individuals. This prevalence has led to the suspicion that the condition may be overdiagnosed. This article summarizes the difficulties of diagnosis of acute and chronic pancreatitis, assesses the reasons why this is a challenging disease to recognize, and considers whether these difficulties could result in either overdiagnosis or underdiagnosis.

摘要

近年来,兽医界对猫胰腺炎的认识不断提高,诊断方法也不断改进,导致这种疾病的诊断频率有所增加。因此,胰腺疾病,特别是慢性胰腺炎,被认为在健康个体的人群中也很常见。这种流行率导致人们怀疑这种情况可能被过度诊断。本文总结了急性和慢性胰腺炎诊断的困难,评估了为什么这种疾病难以识别的原因,并考虑了这些困难是否会导致过度诊断或漏诊。

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