Pyometra Management Practices in the High Quality, High Volume Spay-Neuter Environment

McCallin, Ashlee J.; Hough, Veronica A.; Kreisler, Rachael

doi:10.1016/j.tcam.2020.100499

Cited by 15 publications

(45 citation statements)

References 14 publications

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“…Lastly, improved communication between veterinary hospitals and access to care organizations could help to facilitate referrals for treatable disease processes or injuries that otherwise would result in euthanasia due to cost of treatment. One study has shown that 97% of surveyed high quality, high volume spay-neuter clinics were willing to accept referrals for pyometra ( 35 ). This is a critical example of communication between organizations about the availability of low-cost services in the face of an emergency could help owners seek affordable care and avoid making a cost-based euthanasia decision.…”

Section: Discussionmentioning

confidence: 99%

Opportunities for Expanding Access to Veterinary Care: Lessons From COVID-19

et al. 2022

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The COVID-19 pandemic impacted people and professions around the world, including veterinary medicine. The epidemiology of SARS-CoV-2 broadened the definition of vulnerability in human populations, and the virus' economic impacts exacerbated well-established financial barriers to providing equal access to medical care. The objective of this study was to explore how the pandemic was impacting access to companion animal care in the months March-September of 2020, with a focus on traditionally vulnerable as well as newly vulnerable populations. Additionally, this study sought to identify areas on which the veterinary profession can focus in order to help increase access to veterinary care, including the veterinary school curriculum, continuing education, and telemedicine. We conducted surveys and interviews with animal owners (n = 1009), veterinarians and clinic staff (n = 516), and access to veterinary care organizations (n = 17). Collectively, these responses highlighted how the COVID-19 pandemic created new, and amplified existing, issues with accessing and providing veterinary care. Three critical themes arose; (1) opportunities for further learning for the veterinary profession; including curricula around telemedicine, financially resilient business models and understanding health disparities and vulnerable populations; (2) a need for a network of collaboration and communication across veterinary clinics and access to care organizations and (3) future preparedness for health, economic or other crises response. Overall, the pandemic emphasized the complexity of access to care, as well as the role of veterinarians in public health. This information can be used to develop strategies to aid in increased access to veterinary care now and in the face of future disasters.

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Section: Discussionmentioning

confidence: 99%

Opportunities for Expanding Access to Veterinary Care: Lessons From COVID-19

et al. 2022

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“…10,11 Although the standard treatment of pyometra is an OHE, affected patients often present in a severely compromised state on an emergency basis; thus, the cost of OHE for pyometra can be more than 10 times that of a routine spay. 12 This financial burden can influence and even preclude…”

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confidence: 99%

Findings and prognostic indicators of outcomes for bitches with pyometra treated surgically in a nonspecialized setting

Pailler

Slater

Lesnikowski

et al. 2022

javma

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OBJECTIVE To determine the rate of survival to hospital discharge and identify indicators associated with poor outcomes among female dogs (bitches) with pyometra treated with ovariohysterectomy (OHE) in a nonspecialized setting. ANIMALS 405 bitches diagnosed with pyometra at the American Society for the Prevention of Cruelty to Animals Animal Hospital from January 1, 2017, to February 8, 2019. PROCEDURES For this retrospective study, medical records were searched and data collected including patient history, clinical signs, serum biochemical analyses results, and outcome (survival to hospital discharge, length of hospital stay, and uterine rupture). Logistic regression models were used to assess multivariable associations and identify potential predictive variables. RESULTS The rate of survival to hospital discharge for bitches with pyometra treated with OHE was 97% (394/405); 44% (174/394) stayed in the hospital ≥ 2 nights, and 3% (11/390) had a ruptured uterus. Bitches with a high BUN concentration or heart murmur had greater odds of death after OHE; however, the model had low predictive power. Those with uterine rupture, inappetence, high concentrations of BUN or serum creatinine, low PCV, or dehydration had greater odds of hospitalization ≥ 2 nights. There were no significant predictors of uterine rupture. CLINICAL RELEVANCE The rate of survival to hospital discharge was high for bitches with pyometra treated with OHE in a nonspecialized setting; therefore, general practitioners could expect similar outcomes. With this important procedure widely available in general practices, more pets can receive treatment for this life-threatening disease.

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“…A spectrum of care treatment option might be to manage a feline obstruction case by performing a perineal urethrostomy earlier in the disease course rather than conservatively managing the problem with multiple costly emergency visits ( 21 ). Another spectrum of care treatment option is the timely referral of pyometra cases to spay-neuter clinics rather than performing emergency surgery in full-service clinics ( 22 ). Such examples allow veterinarians to provide quality care while minimizing expenses for clients.…”

Section: Introductionmentioning

confidence: 99%

Assessing the Impact of a Virtual Shelter Medicine Rotation on Veterinary Students' Knowledge, Skills, and Attitudes Regarding Access to Veterinary Care

2021

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Strong bonds commonly form between companion animals and people of all socio-demographic backgrounds, yet many pet owners face numerous barriers to accessing veterinary care for their companion animals. For example, they may have difficulties paying for care; they may lack veterinary practices in their community; and they may experience language barriers that impede their ability to utilize veterinary services. Various strategies exist that can help veterinarians address the diverse needs of pet owners in their communities, but these techniques are not commonly covered in the veterinary school curriculum. This study explored how including in-depth, purposefully curated information about access to veterinary care issues within a required shelter medicine rotation impacted fourth-year veterinary students' knowledge, skills, and attitudes regarding the problems clients commonly face when seeking access to veterinary care. Students participated either in a control group of a virtual, four-week rotation delivered via Zoom meetings and self-study, or in an experimental group that additionally completed an interactive online learning module. The online module heavily featured issues surrounding access to veterinary care. Irrespective of which version of the rotation students enrolled, their opinions grew more favorable from pretest to post-test regarding the role of not-for-profit veterinary clinics in communities, as did their expectations that veterinarians should provide affordable treatment options. Additionally, students in the experimental group demonstrated from pretest to post-test increased awareness of the potential for implicit bias toward pet owners within veterinary practice and showed a reduction in their tendency to be judgmental of veterinary clients. By the end of the study, students in the experimental group also expressed greater confidence in their ability to offer incremental care treatment options to veterinary clients. These findings suggest that providing content that focuses on increasing access to veterinary care enhances students' awareness of the need to offer a variety of treatment and payment options to clients. Findings from this study can inform curriculum design in veterinary schools and continuing education programs for veterinary professionals.

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Pyometra Management Practices in the High Quality, High Volume Spay-Neuter Environment

Cited by 15 publications

References 14 publications

Opportunities for Expanding Access to Veterinary Care: Lessons From COVID-19

Opportunities for Expanding Access to Veterinary Care: Lessons From COVID-19

Findings and prognostic indicators of outcomes for bitches with pyometra treated surgically in a nonspecialized setting

Assessing the Impact of a Virtual Shelter Medicine Rotation on Veterinary Students' Knowledge, Skills, and Attitudes Regarding Access to Veterinary Care

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