A systematic review of criteria used to report complications in soft tissue and oncologic surgical clinical research studies in dogs and cats

Follette, Christelle M.; Giuffrida, Michelle A.; Balsa, Ingrid M.; Culp, William T. N.; Mayhew, Philipp D.; Oblak, Michelle L.; Singh, Ameet; Steffey, Michele A.

doi:10.1111/vsu.13279

Cited by 57 publications

(92 citation statements)

References 16 publications

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“…Complications after lung lobectomy performed because of LLT range from 8% to 24%, with no standardized criteria to evaluate the complications described among the reports . In our population, only 3% of dogs had intraoperative complications, and 14% had postoperative complications.…”

Section: Discussionmentioning

confidence: 75%

Long‐term survival after treatment of idiopathic lung lobe torsion in 80 cases

Rossanese

Wustefeld‐Janssens

Price³

et al. 2020

Veterinary Surgery

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Objective: To report outcomes of dogs treated for lung lobe torsion (LLT) and to determine prognostic factors for survival.Study design: Retrospective multicenter study from four veterinary teaching hospitals.Animals: Dogs (n = 80) with LLT. Methods: Medical records were reviewed for clinical and histopathological findings. Long-term outcome was assessed with an owner questionnaire. Lung lobe torsion was classified as idiopathic or secondary on the basis of the etiology. Results: The most represented breeds were pugs (47.5%) and sighthounds (16.2%). The cause of the LLT was considered primary in 77%, secondary in 21%, and unknown in 2% of dogs. Postoperative complications were recorded in 14% of dogs. Overall, 95% of dogs survived to discharge, and median followup was 1095 days (range, 7-3809). Owners assessed outcomes and quality of life as excellent in 93% and 89% of dogs, respectively. Primary LLT was associated with a longer survival (median not reached in the study) compared with secondary LLT (921 days; range, 7-2073; P = .001). Conclusion:Overall long-term survival after lung lobectomy for LLT was excellent. Primary LLT was associated with longer survival compared with secondary LLT. Long-term owner evaluation of clinical outcome for dogs undergoing lung lobectomy for LLT was considered excellent. Clinical impact: Dogs with primary LLT undergoing lung lobectomy have a longer survival time compared with dogs with secondary LLT and have an excellent postoperative outcome.

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Section: Discussionmentioning

confidence: 75%

Long‐term survival after treatment of idiopathic lung lobe torsion in 80 cases

Rossanese

Wustefeld‐Janssens

Price³

et al. 2020

Veterinary Surgery

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“…Post-operative complications were classified into four grades. Grade 1 complications required only minor interventions that could be performed bedside, such as intravenous catheters, urinary catheters, nasogastric tubes, etc (Follette et al 2019). Medications allowed in the mild category included antiemetics, antipyretics, analgesics, diuretics and electrolytes (Follette et al 2019).…”

Section: Methodsmentioning

confidence: 99%

“…Grade 1 complications required only minor interventions that could be performed bedside, such as intravenous catheters, urinary catheters, nasogastric tubes, etc (Follette et al 2019). Medications allowed in the mild category included antiemetics, antipyretics, analgesics, diuretics and electrolytes (Follette et al 2019). Examples of grade 1 complications included diarrhoea, regurgitation, vomiting, hyperthermia lasting less than 24 hours, hypoglycemia, inappetence and hypertension.…”

Section: Methodsmentioning

confidence: 99%

Clinical findings for dogs undergoing elective and nonelective cholecystectomies for gall bladder mucoceles

Friesen

Upchurch

Hollenbeck

et al. 2021

J of Small Animal Practice

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The purpose of this study was to describe elective and nonelective post-cholecystectomy complications and mortality rates in dogs with a gall bladder mucocele. The secondary purpose was to report complications and mortality rates for different methods of common bile duct catheterisation.Materials and MethOds: A multi-institutional retrospective case series was performed to identify dogs with a gall bladder mucocele between 2004 and 2018 that underwent a cholecystectomy. Dogs were classified into nonelective or elective based on the presence or absence, respectively, of gall bladder rupture, biliary duct distension, clinical signs or hyperbilirubinemia. Each cholecystectomy was classified into three groups: duodenotomy and retrograde catheterisation, normograde catheterisation or no catheterisation. Complications were divided into four grades based on increasing severity and mortality rates were assessed for each. results: The mortality rate was 2 (6%) out of 31 for dogs undergoing an elective cholecystectomy and 21 (23%) out of 90 for dogs undergoing a nonelective cholecystectomy. The complication rate was 52% for the elective cholecystectomy and 50% for nonelective cholecystectomy. The majority of the complications in the elective category were grade 1 (mild). Post-operative hyperthermia developed in 35% of dogs that had a duodenotomy and retrograde common bile duct catheterisation, in 4% of dogs with a normograde common bile duct catheterisation and in 7% of dogs that did not have the common bile duct catheterised. clinical significance: Elective cholecystectomy in dogs with a gall bladder mucocele in this study carried a low mortality rate and a relatively high frequency of minor complications.

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“…Because of the absence of standardized definitions of study time frames in small animal soft tissue surgery, comparison of complication rates between studies is challenging. In a very recent systematic review of criteria used to report complications in soft tissue and oncologic surgery, the term perioperative was found to refer to time frames ranging from during anesthesia to within 14 days postoperatively 84 . The authors of that systemic review discouraged the use of the term perioperative because of its variable meaning.…”

Section: Discussionmentioning

confidence: 99%

A systematic review of complications related to laparoscopic and laparoscopic‐assisted procedures in dogs

et al. 2020

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Objective To evaluate and report the quality of the scientific literature reporting complications associated with laparoscopic and laparoscopic‐assisted procedures in client‐owned or healthy research dogs and to report and illustrate laparoscopic complications related to individual organ systems. Study design Systematic review. Animals Client‐owned or healthy research dogs. Methods A literature review was performed by using PubMed and CAB abstracts for English‐language studies providing descriptions of complications related to laparoscopic and laparoscopic‐assisted procedures in dogs. Study selection used PRISMA (Preferred Reporting Items for Systematic reviews and Meta‐Analyses) guidelines. Quality assessment was performed by using a MINORS (Methodological Items for Non‐Randomized Studies) scoring system and a grading scale of level of evidence. Descriptive statistics were used. Results In total, 741 manuscripts were identified, with 64 manuscripts eligible for data extraction and quality assessment. The most represented organ system was the female genital tract, represented by 22 (34.4%) studies. The most commonly reported intraoperative and postoperative complications were related to abdominal entry and portal incisions, respectively. In 53 of 54 non‐randomized studies, high risk of bias was found. Forty‐eight (75%) studies provided level III or IV evidence. Conclusion This report provides an updated review of complications related to laparoscopic and laparoscopic‐assisted procedures in dogs, classified by organ system. The overall quality of evidence was low, limiting direct comparison of complication rates between studies. Clinical significance There is a need for implementation of standardized criteria for defining complications, study time frames and greater numbers of high quality prospective randomized trials in veterinary laparoscopy to permit comparison of complication and conversion rates between published studies and across organ systems.

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A systematic review of criteria used to report complications in soft tissue and oncologic surgical clinical research studies in dogs and cats

Cited by 57 publications

References 16 publications

Long‐term survival after treatment of idiopathic lung lobe torsion in 80 cases

Long‐term survival after treatment of idiopathic lung lobe torsion in 80 cases

Clinical findings for dogs undergoing elective and nonelective cholecystectomies for gall bladder mucoceles

A systematic review of complications related to laparoscopic and laparoscopic‐assisted procedures in dogs

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