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Prevalence of Disorders Recorded in Dogs Attending Primary-Care Veterinary Practices in England

机译:在英格兰参加初级保健兽医活动的狗中记录的疾病患病率

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摘要

Purebred dog health is thought to be compromised by an increasing occurence of inherited diseases but inadequate prevalence data on common disorders have hampered efforts to prioritise health reforms. Analysis of primary veterinary practice clinical data has been proposed for reliable estimation of disorder prevalence in dogs. Electronic patient record (EPR) data were collected on 148,741 dogs attending 93 clinics across central and south-eastern England. Analysis in detail of a random sample of EPRs relating to 3,884 dogs from 89 clinics identified the most frequently recorded disorders as otitis externa (prevalence 10.2%, 95% CI: 9.1–11.3), periodontal disease (9.3%, 95% CI: 8.3–10.3) and anal sac impaction (7.1%, 95% CI: 6.1–8.1). Using syndromic classification, the most prevalent body location affected was the head-and-neck (32.8%, 95% CI: 30.7–34.9), the most prevalent organ system affected was the integument (36.3%, 95% CI: 33.9–38.6) and the most prevalent pathophysiologic process diagnosed was inflammation (32.1%, 95% CI: 29.8–34.3). Among the twenty most-frequently recorded disorders, purebred dogs had a significantly higher prevalence compared with crossbreds for three: otitis externa (P = 0.001), obesity (P = 0.006) and skin mass lesion (P = 0.033), and popular breeds differed significantly from each other in their prevalence for five: periodontal disease (P = 0.002), overgrown nails (P = 0.004), degenerative joint disease (P = 0.005), obesity (P = 0.001) and lipoma (P = 0.003). These results fill a crucial data gap in disorder prevalence information and assist with disorder prioritisation. The results suggest that, for maximal impact, breeding reforms should target commonly-diagnosed complex disorders that are amenable to genetic improvement and should place special focus on at-risk breeds. Future studies evaluating disorder severity and duration will augment the usefulness of the disorder prevalence information reported herein.
机译:人们认为,纯种狗的健康会因遗传疾病的增加而受到损害,但是有关常见疾病的流行率数据不足,阻碍了优先进行健康改革的努力。已经提出了对主要兽医实践临床数据的分析,以可靠地估计狗的疾病患病率。电子病历(EPR)数据收集了在英格兰中部和东南部93家诊所就诊的148741条狗。对来自89家诊所的3,884只狗的EPR随机样本进行的详细分析发现,记录最频繁的疾病为外耳道炎(患病率10.2%,95%CI:9.1-11.3),牙周疾病(9.3%,95%CI:8.3) –10.3)和肛门囊撞击(7.1%,95%CI:6.1-8.1)。根据症状分类,受影响最大的身体部位是头颈部(32.8%,95%CI:30.7-34.9),受影响最大的器官系统是皮被(36.3%,95%CI:33.9-38.6) ),诊断出的最普遍的病理生理过程是炎症(32.1%,95%CI:29.8-34.3)。在二十种最频繁记录的疾病中,纯种犬的患病率明显高于杂种犬,三种犬:外耳道炎(P = 0.001),肥胖症(P = 0.006)和皮肤肿块(P = 0.033),并且流行的品种有所不同在五个方面的患病率之间存在显着差异:牙周疾病(P = 0.002),指甲长满(P = 0.004),退行性关节疾病(P = 0.005),肥胖症(P = 0.001)和脂肪瘤(P = 0.003)。这些结果填补了疾病患病率信息中的关键数据空白,并有助于疾病患病优先排序。结果表明,为获得最大的影响,育种改革应针对通常被诊断为适合遗传改良的复杂疾病,并应特别关注高危品种。评估疾病严重程度和持续时间的未来研究将增加本文报道的疾病流行信息的有用性。

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