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Hunter J. Piegols Brittany E. Abrams Janis M. Lapsley Megan T. Cray Josephine A. Dornbusch Christina Murphy Brandan G. Wustefeld-Janssens Carlos H. Souza Marine Traverson Pierre Amsellem Elroy Williams Owen T. Skinner Julius M. Liptak Julie A. Stephens Laura E. Selmic 《Veterinary and comparative oncology》2023,21(4):673-684
Adrenalectomies for canine adrenal tumours are associated with peri-operative morbidity and mortality. Objectives of this study included assessing the prognostic value of tumour- or surgery-related variables in predicting peri-operative mortality and overall survival in dogs undergoing adrenalectomies for primary adrenal tumours as well as pre-treatment with phenoxybenzamine on survival to discharge with pheochromocytomas specifically. A multi-institutional retrospective cohort study was performed across nine institutions. Electronic medical record searches identified 302 dogs which met the inclusion criteria. Data collected included dog-related, tumour-related, treatment-related, surgery-related, and outcome variables. Univariate and multivariable logistic regression and cox proportional hazards models were used to identify variables associated with death prior to discharge and tumour-related survival. Overall, 87% of dogs survived to discharge with a tumour-related survival time of 3.96 years. Post-operative complications were reported in 25%. Increased surgical time (p = 0.002) and pre-surgical medical treatment other than phenoxybenzamine (p = 0.024) were significantly associated with increased peri-operative mortality while ureteronephrectomy (p = 0.021), post-operative pancreatitis (p = 0.025), and post-operative aspiration pneumonia (p < 0.001) were significantly associated with decreased overall survival. Phenoxybenzamine pretreatment had no effect on peri-operative mortality. Thirty-seven of 45 (82%) dogs with pheochromocytomas not pretreated survived to discharge, and 50 of 59 (85%) dogs with pheochromocytomas pretreated with phenoxybenzamine survived to discharge (p = 0.730). This study provides information on risk factors for death prior to discharge and tumour-related survival that may help guide clinical management and owner expectations. In addition, the study findings challenge the previously reported benefit of phenoxybenzamine for pretreatment of dogs undergoing adrenalectomies for pheochromocytomas. 相似文献
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Zhang X McEwen B Mann E Martin W 《The Canadian veterinary journal. La revue veterinaire canadienne》2005,46(6):517-523
The temporal patterns of Salmonella serovars isolated from animals in Ontario by 2 major laboratories between 1991 and 2001 were identified. Overall, the number of isolates remained relatively stable and the more frequent isolates were dominant, as in earlier surveys. However, the temporal patterns of specific isolates and the serovars isolated differed depending on the laboratory, species of animal, and reason for obtaining the culture (monitoring versus diagnostic sample). A number of temporal clusters were identified, but their dates of occurrence differed by laboratory. Whereas the laboratories serve an essential role for diagnosis and monitoring, the summary information should be interpreted cautiously. The importance of additional information, such as demographic source, specimen type, and appropriate denominator, when interpreting the data is discussed. 相似文献
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