Pyometra Management in the Private Practice Setting

McCallin, Ashlee J.; Turner, Jennifer W.-C.; Kreisler, Rachael

doi:10.1016/j.tcam.2022.100695

Cited by 3 publications

(34 citation statements)

References 22 publications

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“…Two previously published surveys conducted to assess pyometra management in HQHVSNCs 19 (June to July 2020) and PPs 18 (June to July 2021) were analyzed for opportunities to increase partnership for pyometra treatment. The HQHVSNC survey (Supplementary Material S1) sought to identify how pyometra is managed in HQHVSNCs and whether they might serve as a referral clinic for these cases.…”

Section: Methodsmentioning

confidence: 99%

“…private practitioners are often wary of referral to a lowcost surgery facility. 18 Two settings for pyometra treatment are highquality, high-volume spay-neuter clinics (HQHVSNCs) and private practices (PPs). 12,18,19 High-quality, highvolume spay-neuter clinics specialize in efficient, cost-effective sterilization surgeries, including ovariohysterectomies, 12,19,21 whereas PPs offer a wider array of care options for both sick and well pets.…”

mentioning

confidence: 99%

“…18 Two settings for pyometra treatment are highquality, high-volume spay-neuter clinics (HQHVSNCs) and private practices (PPs). 12,18,19 High-quality, highvolume spay-neuter clinics specialize in efficient, cost-effective sterilization surgeries, including ovariohysterectomies, 12,19,21 whereas PPs offer a wider array of care options for both sick and well pets. 18 This manuscript compares results from 2 previously published surveys aimed at determining how pyometra is treated in HQHVSNCs 19 and PPs.…”

mentioning

confidence: 99%

“…12,18,19 High-quality, highvolume spay-neuter clinics specialize in efficient, cost-effective sterilization surgeries, including ovariohysterectomies, 12,19,21 whereas PPs offer a wider array of care options for both sick and well pets. 18 This manuscript compares results from 2 previously published surveys aimed at determining how pyometra is treated in HQHVSNCs 19 and PPs. 18 The results of these studies were analyzed with a specific focus on identifying opportunities for partnership between the clinic types to improve access to care in pyometra treatment.…”

mentioning

confidence: 99%

“…18 This manuscript compares results from 2 previously published surveys aimed at determining how pyometra is treated in HQHVSNCs 19 and PPs. 18 The results of these studies were analyzed with a specific focus on identifying opportunities for partnership between the clinic types to improve access to care in pyometra treatment.…”

mentioning

confidence: 99%

See 4 more Smart Citations

Promoting access to care in pyometra treatment: pathways to collaboration between high-quality, high-volume spay-neuter clinics and private practices

Turner,

McCallin,

Kreisler

2024

javma

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OBJECTIVE To compare results from 2 previously published surveys aimed at determining how pyometra is treated in high-quality, high-volume spay-neuter clinics (HQHVSNCs) and private practices (PPs), with a specific focus on identifying opportunities for partnership between the clinic types to improve access to care in pyometra treatment. SAMPLE Responses from 123 PPs and 87 HQHVSNCs. METHODS A previously published survey of PPs conducted from June to July 2021 and a similar previously published survey of HQHVSNCs conducted from June to July 2020 were compared regarding demographics, pyometra treatment availability, estimated outcome, alternative outcome, disruption, cost, and protocol between HQHVSNCs and PPs. A comparison was also run of the surveys’ responses regarding referral of a pyometra to an HQHVSNC by a PP. RESULTS Although PPs estimated that economic euthanasia is the most likely alternative outcome for 13% of patients unable to access care at their practice, 80% would be reluctant to refer to an HQHVSNC. The 3 primary reasons indicated by PPs with a reluctance to refer were a perceived lack of prompt appointment availability (20%), lack of aftercare (18%), and lack of adequate equipment (14%). In contrast, most HQHVSNCs estimated that they generally accept referrals the same day (50%) or the next day (30%) and 95% of HQHVSNCs reported having the resources needed to treat most pyometras. CLINICAL RELEVANCE There are several opportunities for partnership between PPs and HQHVSNCs in the treatment of pyometra. The most frequent concerns expressed by PPs regarding referral to HQHVSNCs were not shared by HQHVSNCs or could be ameliorated by referral to an HQHVSNC for surgery and transfer back to the PP for aftercare.

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Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Promoting access to care in pyometra treatment: pathways to collaboration between high-quality, high-volume spay-neuter clinics and private practices

Turner,

McCallin,

Kreisler

2024

javma

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Antimicrobials administration, treatment outcome and bacterial susceptibility in canine pyometra cases subjected to ovariohysterectomy

Bertero,

Corrò,

Spagnolo

et al. 2024

The Veterinary Journal

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Manejo endoscópico de la piometra canina: Reporte y discusión de un caso

Briceño¹,

Riquelme

2023

Rev. investig. vet. Perú

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Se describe el caso de una perra Alaskan Malamute de 15 meses de edad, presentada a consulta por flujo vaginal purulento y decaimiento, aproximadamente 2 a 3 semanas del estro. En la evaluación clínica y ecográfica se diagnostica piometra de cérvix abierto, y considerando la edad de la hembra, así como su valor genético, se instaura una terapia que incluye antibióticos, aglepristone y lavado intrauterino con suero ozonificado vía endoscópica. Se logró la recuperación de la paciente en un corto plazo.

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Pyometra Management in the Private Practice Setting

Cited by 3 publications

References 22 publications

Promoting access to care in pyometra treatment: pathways to collaboration between high-quality, high-volume spay-neuter clinics and private practices

Promoting access to care in pyometra treatment: pathways to collaboration between high-quality, high-volume spay-neuter clinics and private practices

Antimicrobials administration, treatment outcome and bacterial susceptibility in canine pyometra cases subjected to ovariohysterectomy

Manejo endoscópico de la piometra canina: Reporte y discusión de un caso

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