Evidence‐based farriery – does it exist?

Weller, R.; Barstow, A.; Price, Henry L.; Pfau, Thilo

doi:10.1111/evj.12978

Cited by 9 publications

(5 citation statements)

References 10 publications

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“…A similar association was identified at the intermediate multivariable modelling stage of farriery-related risk factors and laminitis by Wylie et al [9] but was not retained in the final multivariable model. The majority of the animals in the current study were trimmed by farriers and there is scope to involve farriers to a greater extent in laminitis research [36, 37]. Active involvement of farriers in future epidemiological studies would further quantify the relationship between hoof care and laminitis, as well as contribute to knowledge of foot characteristics associated with previous laminitis episodes.…”

Section: Discussionmentioning

confidence: 99%

Identification of modifiable factors associated with owner-reported equine laminitis in Britain using a web-based cohort study approach

et al. 2019

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BackgroundEquine laminitis is a complex disease that manifests as pain and lameness in the feet, often with debilitating consequences. There is a paucity of data that accounts for the multifactorial nature of laminitis and considers time-varying covariates that may be associated with disease development; particularly those that are modifiable and present potential interventions. A previous case-control study identified a number of novel, modifiable factors associated with laminitis which warranted further investigation and corroboration. The aim of this study was to identify factors associated with equine laminitis in horses/ponies in Great Britain (GB) using a prospective, web-based cohort study design, with particular interest in evaluating modifiable factors previously identified in the case-control study.ResultsSelf-selected horse/pony owners in GB submitted initial baseline and follow-up health and management questionnaires for 1070 horses/ponies between August 2014 and December 2016. The enrolled horses/ponies contributed 1068 horse-years at risk with a median of 38 days between questionnaire submissions. Owners reported 123 owner-recognised and/or veterinary-diagnosed episodes of active laminitis using a previously-validated laminitis reporting form. Multivariable Cox regression modelling identified 16 risk/protective factors associated with laminitis development. In keeping with the previous case-control study, a prior history of laminitis (particularly non-veterinary-diagnosed episodes), soreness after shoeing/trimming and weight gain were associated with higher rates of laminitis. There is now strong evidence that these risk factors should be used to guide future recommendations in disease prevention. Factors with some prior evidence of association included breed, steroidal anti-inflammatory administration, transport and worming. The modifiable factors amongst these should be the focus of future laminitis studies. The remainder of the identified factors relating to health, turnout and grazing management and feeding are novel, and require further investigation to explore their relationship with laminitis and their applicability as potential interventions.ConclusionsThis study has demonstrated a temporal relationship between a number of horse- and management-level factors and laminitis, identifying potential interventions and important risk groups for which these interventions would be of particular importance. These results serve as a sound evidence-base towards the development of strategic recommendations for the horse/pony-owning population to reduce the rate of laminitis in GB.Electronic supplementary materialThe online version of this article (10.1186/s12917-019-1798-8) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Identification of modifiable factors associated with owner-reported equine laminitis in Britain using a web-based cohort study approach

et al. 2019

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“…There is a lack of peer‐reviewed data to support the efficacy of many farriery interventions for the treatment of laminitis. The reasons for this gap in evidence include technical challenges and lack of funding, which are expanded upon by Weller et al in a recent editorial published in the EVJ. The type of therapeutic shoes applied to animals with chronic laminitis is one such area of controversy and the addition of new data to support their use is certainly welcome.…”

Section: How Should We Treat the Obese Equid With Equine Metabolic Symentioning

confidence: 99%

Clinical insights: Treatment of laminitis

Bamford

2019

Equine Veterinary Journal

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“…There is growing recognition of the importance of evidence‐based farriery in the management of hoof related issues in the horse (Weller et al . ). However, there are no previous studies describing the incidence and subsequent racing performance of quarter cracks occurring in Thoroughbred racehorses during training.…”

Section: Introductionmentioning

confidence: 97%

Quarter cracks in Thoroughbred racehorses trained in Hong Kong over a 9‐year period (2007–2015): incidence, clinical presentation, and future racing performance

McGlinchey

Robinson

Porter³

et al. 2019

Equine Veterinary Education

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A quarter crack is a defect of the hoof wall that is caused by a combination of factors that affect the quality of the hoof horn. To date, no peer-reviewed studies have described the incidence of quarter cracks in Thoroughbred racehorses during training. Further, there is limited information regarding the clinical presentation and racing performance following a quarter crack. Therefore, the objectives of the current study were to describe the incidence, clinical presentation and outcome of quarter cracks sustained by horses in racing and training at the Hong Kong Jockey Club. Horses with quarter cracks that required attention from a farrier and/or veterinarian were identified using farrier and veterinary clinical records. Data were described, including the affected foot, presence of lameness, treatment, reoccurrence and racing data for case and control horses. There was no significant difference between case and control horses for total career length, and the total number of starts, wins and places. Seventy-four horses experienced at least one quarter crack during the study period, for a total of 114 quarter cracks. Half of the horses experiencing a quarter crack were not lame on presentation. Most quarter cracks occurred in the right fore (n = 56/102; 54.9%) and in a medial position (n = 90/102; 88.2%). Horses returned to racing a median of 50 days after the first treatment, for a median of 18 starts. Six horses retired due to the occurrence of a quarter crack. Although the incidence of quarter cracks in racehorses is low and the majority of horses returned to a racing career comparable to unaffected horses, the reoccurrence rate is high, putting an emphasis on ongoing hoof management and farrier care to help prevent the reoccurrence.

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Evidence‐based farriery – does it exist?

Cited by 9 publications

References 10 publications

Identification of modifiable factors associated with owner-reported equine laminitis in Britain using a web-based cohort study approach

Identification of modifiable factors associated with owner-reported equine laminitis in Britain using a web-based cohort study approach

Clinical insights: Treatment of laminitis

Quarter cracks in Thoroughbred racehorses trained in Hong Kong over a 9‐year period (2007–2015): incidence, clinical presentation, and future racing performance

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