Implementing a Successful Senior/Geriatric Health Care Program for Veterinarians, Veterinary Technicians, and Office Managers

Fortney, William D.

doi:10.1016/j.cvsm.2012.04.011

Cited by 46 publications

(71 citation statements)

References 4 publications

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“…Owners of the remaining 29 dogs did not manage to collect free catch urine, with dogs not being cooperative as the main reason. Of the 71 included dogs, 27 were senior and 44 geriatric, based on the “Age Analogy Chart” . Thirty‐seven dogs were female (8 intact, 29 neutered), and 34 were male (22 intact, 12 neutered).…”

Section: Resultsmentioning

confidence: 99%

“…Using their ideal bodyweight, dogs were selected based on the “Age Analogy Chart” by Fortney and Goldston (0 to <10 kg: from 8 years; 10 to <25 kg: from 7 years; 25 to <50 kg: from 6 years; and >50 kg: from 4 years). The distinction between senior and geriatric was also based on this chart . Exclusion criteria were use of medication within 2 months before consultation and during the study period.…”

Section: Methodsmentioning

confidence: 99%

“…Life expectancy of dogs and cats is increasing, and senior pets represent 30–40% of patients in veterinary practice . Aging pets and their associated health concerns, together with an increasing demand for higher standard of care by owners, favor routine health screening in this population . The goal of health screening is to detect subclinical abnormalities at a time when therapeutic intervention might have most benefit …”

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confidence: 99%

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Proteinuria in Apparently Healthy Elderly Dogs: Persistency and Comparison Between Free Catch and Cystocentesis Urine

Marynissen

Willems

Paepe

et al. 2016

Veterinary Internal Medicne

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BackgroundUp to 25% of elderly humans have proteinuria, often associated with underlying lesions. Data concerning the presence of proteinuria in elderly dogs is scarce.ObjectivesTo describe the presence and persistence of proteinuria and to compare urinary protein : creatinine ratio (UPC) between free catch and cystocentesis urine samples in apparently healthy elderly dogs.AnimalsHundred apparently healthy elderly dogs.MethodsProspective study. Owners of 100 elderly dogs were asked to collect 2 free catch urine samples. Dogs were considered healthy based on owner's perception and an age chart, based on ideal bodyweight, was used to define dogs as senior or geriatric. UPC of urine collected by free catch and cystocentesis were compared. Overt proteinuria and borderline proteinuria were defined as UPC >0.5 and between 0.2 and 0.5, respectively, if examination of sediment did not explain proteinuria. Proteinuria was considered persistent if present at both sampling times.ResultsAt baseline, 71 owners succeeded in collecting urine. Eleven percent of dogs had overt proteinuria, 14% were borderline proteinuric, and 75% nonproteinuric. Thirty‐seven repeated urine samples, with a median time interval of 31 days (range 10–90), were available. Nineteen percent of dogs had a persistently increased UPC (>0.2), with persistent overt proteinuria present in 8%. A strong correlation (ρ = 0.88) was found between UPC of urine collected by free catch and cystocentesis.Conclusions and Clinical ImportanceAs 19% of study dogs had persistent proteinuria, our findings emphasize that measurement of proteinuria should be part of geriatric health screening. For UPC in dogs, free catch urine provides a good alternative to cystocentesis.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

mentioning

confidence: 99%

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Proteinuria in Apparently Healthy Elderly Dogs: Persistency and Comparison Between Free Catch and Cystocentesis Urine

Marynissen

Willems

Paepe

et al. 2016

Veterinary Internal Medicne

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“…Older pets are becoming increasingly important in everyday practice. Guidelines and care programs have been developed, but prospective studies that have recorded abnormalities and their significance are scarce . This study describes an extensive health screening in a population of elderly dogs “apparently healthy” for their owner.…”

Section: Discussionmentioning

confidence: 99%

“…T here is a growing interest in health and wellness of elderly dogs. [1][2][3][4][5] Older pets represent 30-40% of patients in general practice and this proportion is likely to increase in the future as dogs live longer. 2,3 This age group has specific needs and is more prone to develop chronic illness.…”

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confidence: 99%

Results of Screening of Apparently Healthy Senior and Geriatric Dogs

Willems

Paepe

Marynissen

et al. 2016

Veterinary Internal Medicne

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BackgroundThere is a growing interest in health care of elderly dogs; however, scientific information about physical and laboratory examination findings in this age group is limited.ObjectivesTo describe systolic blood pressure (SBP), and results of physical examination and laboratory tests in senior and geriatric dogs that were judged by the owner to be healthy.AnimalsHundred client‐owned dogs.MethodsDogs were prospectively recruited. Owners completed a questionnaire. SBP measurement, physical, orthopedic and neurologic examination, direct fundoscopy and Schirmer tear test were performed. Complete blood count, serum biochemistry, and urinalysis were evaluated.ResultsForty‐one senior and 59 geriatric dogs were included. Mean SBP was 170 ± 38 mmHg, and 53 dogs had SBP > 160 mmHg. Thirty‐nine animals were overweight. A heart murmur was detected in 22, severe calculus in 21 and 1 or more (sub)cutaneous masses in 56 dogs. Thirty‐two dogs had increased serum creatinine, 29 hypophosphatemia, 27 increased ALP, 25 increased ALT, and 23 leukopenia. Crystalluria, mostly amorphous crystals, was commonly detected (62/96). Overt proteinuria and borderline proteinuria were detected in 13 and 18 of 97 dogs, respectively. Four dogs had a positive urine bacterial culture. Frequency of orthopedic problems, frequency of (sub)cutaneous masses, and platelet count were significantly higher in geriatric compared with senior dogs. Body temperature, hematocrit, serum albumin, and serum total thyroxine concentration were significantly lower in geriatric compared with senior dogs.Conclusions and Clinical ImportancePhysical and laboratory abnormalities are common in apparently healthy elderly dogs. Veterinarians play a key role in implementing health screening and improving health care for elderly pets.

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Proactive Maintenance of the Aging Feline Immune System

Nordone¹

2016

August's Consultations in Feline Internal Medicine, Volume 7

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Implementing a Successful Senior/Geriatric Health Care Program for Veterinarians, Veterinary Technicians, and Office Managers

Cited by 46 publications

References 4 publications

Proteinuria in Apparently Healthy Elderly Dogs: Persistency and Comparison Between Free Catch and Cystocentesis Urine

Proteinuria in Apparently Healthy Elderly Dogs: Persistency and Comparison Between Free Catch and Cystocentesis Urine

Results of Screening of Apparently Healthy Senior and Geriatric Dogs

Proactive Maintenance of the Aging Feline Immune System

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