TY - JOUR
T1 - Long-term incidence and risk of noncardiovascular and all-cause mortality in apparently healthy cats and cats with preclinical hypertrophic cardiomyopathy
AU - Fox, Philip R.
AU - Keene, Bruce W.
AU - Lamb, Kenneth
AU - Schober, Karsten E.
AU - Chetboul, Valérie
AU - Luis Fuentes, Virginia
AU - Payne, Jessie Rose
AU - Wess, Gerhard
AU - Hogan, Daniel F.
AU - Abbott, Jonathan A.
AU - Häggström, Jens
AU - Culshaw, Geoffrey
AU - Fine-Ferreira, Deborah
AU - Cote, Etienne
AU - Trehiou-Sechi, Emilie
AU - Motsinger-Reif, Alison A.
AU - Nakamura, Reid K.
AU - Singh, Manreet
AU - Ware, Wendy A.
AU - Riesen, Sabine C.
AU - Borgarelli, Michele
AU - Rush, John E.
AU - Vollmar, Andrea
AU - Lesser, Michael B.
AU - Van Israel, Nicole
AU - Lee, Pamela Ming Show
AU - Bulmer, Barret
AU - Santilli, Roberto
AU - Bossbaly, Maribeth J.
AU - Quick, Nadine
AU - Bussadori, Claudio
AU - Bright, Janice
AU - Estrada, Amara H.
AU - Ohad, Dan G.
AU - del Palacio, Maria Josefa Fernández
AU - Brayley, Jennifer Lunney
AU - Schwartz, Denise S.
AU - Gordon, Sonya G.
AU - Jung, Seung Woo
AU - Bove, Christina M.
AU - Brambilla, Paola G.
AU - Moïse, N. Sydney
AU - Stauthammer, Christopher
AU - Quintavalla, Cecilia
AU - Manczur, Ferenc
AU - Stepien, Rebecca L.
AU - Mooney, Carmel
AU - Hung, Yong Wei
AU - Lobetti, Remo
AU - Tamborini, Alice
AU - Oyama, Mark A.
AU - Komolov, Andrey
AU - Fujii, Yoko
AU - Pariaut, Romain
AU - Uechi, Masami
AU - Yukie Tachika Ohara, Victoria
N1 - Publisher Copyright:
© 2019 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals, Inc. on behalf of the American College of Veterinary Internal Medicine.
PY - 2019/11/1
Y1 - 2019/11/1
N2 - Background: Epidemiologic knowledge regarding noncardiovascular and all-cause mortality in apparently healthy cats (AH) and cats with preclinical hypertrophic cardiomyopathy (pHCM) is limited, hindering development of evidence-based healthcare guidelines. Objectives: To characterize/compare incidence rates, risk, and survival associated with noncardiovascular and all-cause mortality in AH and pHCM cats. Animals: A total of 1730 client-owned cats (722 AH, 1008 pHCM) from 21 countries. Methods: Retrospective, multicenter, longitudinal, cohort study. Long-term health data were extracted by medical record review and owner/referring veterinarian interviews. Results: Noncardiovascular death occurred in 534 (30.9%) of 1730 cats observed up to 15.2 years. Proportion of noncardiovascular death did not differ significantly between cats that at study enrollment were AH or had pHCM (P =.48). Cancer, chronic kidney disease, and conditions characterized by chronic weight-loss-vomiting-diarrhea-anorexia were the most frequently recorded noncardiovascular causes of death. Incidence rates/risk of noncardiac death increased with age in AH and pHCM. All-cause death proportions were greater in pHCM than AH (65% versus 40%, respectively; P <.001) because of higher cardiovascular mortality in pHCM cats. Comparing AH with pHCM, median survival (study entry to noncardiovascular death) did not differ (AH, 9.8 years; pHCM, 8.6 years; P =.10), but all-cause survival was significantly shorter in pHCM (P =.0001). Conclusions and Clinical Importance: All-cause mortality was significantly greater in pHCM cats due to disease burden contributed by increased cardiovascular death superimposed upon noncardiovascular death.
AB - Background: Epidemiologic knowledge regarding noncardiovascular and all-cause mortality in apparently healthy cats (AH) and cats with preclinical hypertrophic cardiomyopathy (pHCM) is limited, hindering development of evidence-based healthcare guidelines. Objectives: To characterize/compare incidence rates, risk, and survival associated with noncardiovascular and all-cause mortality in AH and pHCM cats. Animals: A total of 1730 client-owned cats (722 AH, 1008 pHCM) from 21 countries. Methods: Retrospective, multicenter, longitudinal, cohort study. Long-term health data were extracted by medical record review and owner/referring veterinarian interviews. Results: Noncardiovascular death occurred in 534 (30.9%) of 1730 cats observed up to 15.2 years. Proportion of noncardiovascular death did not differ significantly between cats that at study enrollment were AH or had pHCM (P =.48). Cancer, chronic kidney disease, and conditions characterized by chronic weight-loss-vomiting-diarrhea-anorexia were the most frequently recorded noncardiovascular causes of death. Incidence rates/risk of noncardiac death increased with age in AH and pHCM. All-cause death proportions were greater in pHCM than AH (65% versus 40%, respectively; P <.001) because of higher cardiovascular mortality in pHCM cats. Comparing AH with pHCM, median survival (study entry to noncardiovascular death) did not differ (AH, 9.8 years; pHCM, 8.6 years; P =.10), but all-cause survival was significantly shorter in pHCM (P =.0001). Conclusions and Clinical Importance: All-cause mortality was significantly greater in pHCM cats due to disease burden contributed by increased cardiovascular death superimposed upon noncardiovascular death.
KW - cancer
KW - chronic kidney disease
KW - epidemiology
KW - mortality
KW - survival
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U2 - 10.1111/jvim.15609
DO - 10.1111/jvim.15609
M3 - Article
C2 - 31605422
AN - SCOPUS:85074037808
SN - 0891-6640
VL - 33
SP - 2572
EP - 2586
JO - Journal of veterinary internal medicine
JF - Journal of veterinary internal medicine
IS - 6
ER -