Rigas Konstantinos, Tanis Jean-Benoit, Morello Emanuela, Polton Gerry, Marconato Laura, Carroll Marlon, Ciriano Cerda EstelLa, Ramos Sofia, Baker Charlotte, Finotello Riccardo
Department of Small Animal Clinical Sciences, Institute of Veterinary Science, University of Liverpool, Neston CH64 7TE, UK.
Southfields Veterinary Specialists, Basildon SS14 3AP, UK.
Vet Sci. 2023 Aug 1;10(8):495. doi: 10.3390/vetsci10080495.
Hematological indices play a prognostic role in human osteosarcoma (OSA), but data are limited in dogs. The aim of this retrospective multicentric cohort study was to investigate the prognostic significance of pre-operative hematological/inflammatory indices in a cohort of client-owned dogs with appendicular OSA receiving standardized treatment. Cut-offs associated with progression-free survival (PFS) for pre-operative hematological values/ratios were established using the minimal -value approach. Historical prognostic factors were also assessed. Statistical analyses were performed for the whole population and after the exclusion of sighthounds. Fifty-nine dogs were included (13 were sighthounds). Multivariable analysis revealed that a low neutrophil count (<4.37 × 10/L, HR0.28, CI 95% 0.13-0.61, = 0.001), a high red blood cell count (≥7.91, HR3.5, CI 95% 1.56-7.9, = 0.002), and a proximal humerus location (HR3.0, CI 95% 1.48-6.1, = 0.002) were associated with shorter PFS. In the sighthound-only population, only OSA location was significantly associated with PFS in univariable analysis. When sighthounds were excluded, a low neutrophil count, a low monocyte count, and a proximal humerus location were associated with shorter PFS, in multivariable analysis. Neutrophil count and possibly monocyte and red blood cell counts can be useful prognostic markers in canine OSA treated with amputation and adjuvant carboplatin. However, not all indices are appropriate in sighthounds.
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