犬乳腺肿瘤:危险因素及其在哥伦比亚马尼萨莱斯的流行病学影响

Pub Date : 2020-09-01 DOI:10.21897/rmvz.1888
A. Clavijo-Maldonado, J. M. Pérez-Zapata, Ê. Ferreira, C. Vargas-Hernández, F. A. Rivera-Páez
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摘要

目标。描述2014-2017年哥伦比亚马尼萨莱斯市女性犬乳腺肿瘤(CMT)的患病率。材料和方法。合并了15961例患者的数据库。分析的变量包括肿瘤品种、年龄、生殖史、体重、饮食类型和临床特征,肿瘤-淋巴结-转移分期系统。统计学分析采用连续性的Pearson卡方检验和Fisher精确检验(p<0.05),相对风险和优势比(CI95%),生存分析采用Kaplan-Meier估计。结果。纯种犬发病率为79.14%,平均年龄9.3岁为高峰。Pearson卡方检验、相对危险度和比值比均显示纯种犬患病风险较高(p分别为0.019、3.96/100、1.64)。年龄在9到12岁之间的女性患乳腺肿瘤的可能性为74%。没有发现体重或生育阶段有显著关系,但与自制饮食有高度关联(p<0.001)。腹股沟乳对受影响最大(6.9%)。Kaplan-Meier估计显示,手术干预患者的生存率更高,手术诊断后的生存时间为2013天,而未手术的生存时间为1484天。结论。该研究证实了危险因素、品种类型、年龄、身体状况和饮食类型与乳腺肿瘤表现的相关性。此外,考虑到兽医诊断信息系统在公共卫生中的重要性,它强调了改进和整合兽医诊断信息系统的必要性。
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Canine mammary gland tumors: risk factors and their epidemiological influence in Manizales-Colombia
Objective. To describe the prevalence of canine mammary gland tumors (CMT) in females in the municipality of Manizales-Colombia from 2014-2017. Materials and methods. A database of 15961 patients was consolidated. The variables analyzed were, breed, age, reproductive history, weight, diet type and clinical characterization of the tumor with the TNM (tumor-node-metastases) staging system. The statistical analysis include Pearson’s chi-squared test with Yates correction for continuity and Fisher’s exact test (p<0.05), relative risk and odds ratio (CI95%) and Kaplan-Meier estimator for survival analysis. Results. The incidence in purebred dogs was 79.14%, with a peak at the average age of 9.3 years old. Pearson’s chi-squared test and the relative risk and odds ratios indicated a high risk for purebreds (p=0.019, 3.96/100, 1.64, respectively). Females of ages between 9 and 12 years old showed a 74% likelihood of developing a mammary tumor. No found significant relation to weight or reproductive stage but indeed a high association with homemade diet (p<0.001). The inguinal mammary pairs were the most affected (6.9%). The Kaplan-Meier estimate showed a higher survival of surgically-intervened patients, with 2013 days of survival after diagnosis with surgery compared to 1484 days without surgery. Conclusions. The study confirmed the relevance of risk factors, breed type, age, body condition and diet type in the mammary tumor presentation. Furthermore, it highlights the need for improving and integrating the veterinary diagnostic information systems, considering their importance in public health.
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