A Survey of Veterinarians’ Attitudes toward Euthanasia of Companion Animals in Japan

Sugita, Hizuru; Irimajiri, Mami

doi:10.1080/08927936.2016.1152722

Cited by 9 publications

(7 citation statements)

References 5 publications

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“…A retrospective study in Japan found a significant difference in survival times in those treated with trilostane and those untreated. Interestingly, due to cultural preferences, euthanasia was rarely conducted in Japan reducing some bias that can easily be introduced into observational veterinary studies 6 33 . A future study could be warranted to further investigate the benefits of trilostane treatment.…”

Section: Discussionmentioning

confidence: 99%

Survival analysis of 219 dogs with hyperadrenocorticism attending primary care practice in England

et al. 2020

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BackgroundHyperadrenocorticism is an endocrine disease routinely encountered within primary care practice; however, few studies evaluating survival beyond diagnosis have studied this population.MethodsThis retrospective cohort study analysed the electronic patient records of 219 cases of hyperadrenocorticism from a sample of dogs attending primary care practices in England. Kaplan-Meier plots examined the cumulative survival and Cox proportional hazard regression modelling identified factors associated with the hazard of all-cause mortality.ResultsIn the analysis, 179/219 (81.7 per cent) hyperadrenocorticism cases died during the study period with a median survival time from first diagnosis of 510 days (95% CI 412 to 618 days). Trilostane was used in 94.1 per cent of cases and differentiation between pituitary-dependent and adrenal-dependent disease was made in 20.1 per cent of cases. In the multivariable analysis, dogs weighing greater than or equal to 15 kg (HR 1.51, 95% CI 1.06 to 2.15, P=0.023) and those diagnosed greater than or equal to 13 years of age (HR 3.74, 95% CI 2.29 to 6.09, P<0.001) had increased hazards of all-cause mortality. Dogs that had their initial trilostane dose increased had a favourable prognosis (HR 0.49, 95% CI 0.32 to 0.76, P=0.015).ConclusionThis study shows that survival from diagnosis of hyperadrenocorticism appears fair for many dogs and provides primary care practitioners with relatable benchmark prognostic figures.

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Section: Discussionmentioning

confidence: 99%

Survival analysis of 219 dogs with hyperadrenocorticism attending primary care practice in England

et al. 2020

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“…However, results of a US survey 26 demonstrate that as veterinarians age, willingness to comply with client's wishes increased relative to the interests of patients. Given the importance of decisions associated with ethical dilemmas to animal welfare, animal owners and veterinarians, there is limited scientific literature examining how veterinarians balance or prioritise client and animal interests when these are at odds, the relationship between specific clinical situations veterinarians encounter and stress 7 27 or the opinions of small animal veterinarians regarding the ethical context of euthanasia 22 24 28 29 …”

Section: Introductionmentioning

confidence: 99%

Ethical dilemmas encountered by small animal veterinarians: characterisation, responses, consequences and beliefs regarding euthanasia

2018

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Small animal veterinarians' opinions were investigated regarding the frequency and nature of ethical dilemmas encountered, beliefs regarding euthanasia and balancing client and animal interests, prevalence and value of ethics training and proposals to mitigate the stressful effects of ethical dilemmas. The majority (52 per cent) of 484 respondents in the USA indicated via an online survey experiencing an ethical dilemma regarding the interests of clients and those of their patients at least weekly. Scenarios involving client financial concerns were commonly reported causes of ethical conflicts. While only 20 per cent of respondents indicated that other practitioners prioritise patient interests, 50 per cent of respondents characterised their own behaviour as prioritising patients. Most respondents (52 per cent) reported that ethical dilemmas are the leading cause, or are one of many equal causes, of work-related stress. Less experienced practitioners, general practitioners and associate veterinarians were more likely to encounter situations they defined as ethical dilemmas, and female respondents were more likely to find ethical dilemmas stressful. Most small animal veterinarians experience ethical dilemmas regularly, which contribute to moral stress. Results suggested that most small animal practitioners believe that greater awareness of moral stress and providing training in ethical theories and tools for coping with ethical dilemmas can ameliorate moral stress.

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“…While it is difficult to determine the cause of disengagement at lower levels of euthanasia frequency, potential causes include low skill utilization driving disengagement or self‐selecting out of performing euthanasia for reasons related to disengagement. Sugita and Irimajiri (2016) found that 20% of the veterinarians surveyed had not participated in euthanasia in the past year. This supports the potential for veterinarians to opt‐out of participating in euthanasia, while remaining in the profession.…”

Section: Discussionmentioning

confidence: 99%

“…Animal euthanasia has been described as "the best and the worst" of the veterinary profession (Morris, 2012a(Morris, , 2012b. Practitioners report that it is meaningful and positive to end the suffering of animals and avert future suffering, and to be present for clients during this experience (Sugita & Irimajiri, 2016). Román-Muñiz et al (2021) illustrate this in their research with dairy caretakers.…”

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confidence: 99%

The moderating role of different forms of empathy on the association between performing animal euthanasia and career sustainability

Crane

Kho

Thomas

et al. 2023

J Applied Social Pyschol

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Veterinarian work may take an emotional toll on practitioners and their mental health, potentially driving premature exit from the profession. Performing animal euthanasia is frequently identified as a potential risk factor for sustainable mental health. Yet, research has demonstrated mixed results between euthanasia performance and detrimental mental health outcomes, suggesting the potential for factors that moderate this association. In this three‐wave longitudinal survey study, including 110 currently practicing veterinarians (88% female), we examined whether the type of empathy experienced by these practitioners plays a role in the association between performing animal euthanasia and career sustainability. Two types of empathy, cognitive empathy (i.e., understanding the affective experience of another) and emotional empathy (i.e., experiencing another's emotional state) were assessed. Job disengagement at 12 months was predicted by the interaction between animal euthanasia frequency in the past 12 months and emotional empathy in the past 6 or 12 months. Perceived resilience at 12 months was predicted by the interaction between animal euthanasia frequency in the past 12 months and emotional empathy a year prior. For these outcomes, the effects of performing animal euthanasia on career sustainability were moderated by emotional empathy. Higher levels of emotional empathy were associated with worse outcomes. Veterinarians may seek to understand the affective experience of the client or patient and provide compassionate care in a sustainable way. However, they should do so while avoiding the costs of emotional empathy. This work has implications for veterinarian training to support career sustainability.

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A Survey of Veterinarians’ Attitudes toward Euthanasia of Companion Animals in Japan

Cited by 9 publications

References 5 publications

Survival analysis of 219 dogs with hyperadrenocorticism attending primary care practice in England

Survival analysis of 219 dogs with hyperadrenocorticism attending primary care practice in England

Ethical dilemmas encountered by small animal veterinarians: characterisation, responses, consequences and beliefs regarding euthanasia

The moderating role of different forms of empathy on the association between performing animal euthanasia and career sustainability

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