Urolithiasis in cats: Evaluation of trends in urolith composition and risk factors (2005‐2018)

Abstract Background Urolithiasis is an important upper and lower urinary tract disease in cats that results in morbidity and mortality. Objective To describe trends in composition of uroliths in cats and evaluate risk factors related to age, breed, sex, urolith location, and bacterial urolith cultur...

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Autores principales:	Lucy Kopecny, Carrie A. Palm, Gilad Segev, Jennifer A. Larsen, Jodi L. Westropp
Formato:	article
Lenguaje:	EN
Publicado:	Wiley 2021
Materias:	calcium oxalate feline struvite urate urolithiasis Veterinary medicine SF600-1100
Acceso en línea:	https://doaj.org/article/f39b12f96b954fffab6b7d79c954b39b
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spelling	oai:doaj.org-article:f39b12f96b954fffab6b7d79c954b39b2021-11-30T17:01:03ZUrolithiasis in cats: Evaluation of trends in urolith composition and risk factors (2005‐2018)1939-16760891-664010.1111/jvim.16121https://doaj.org/article/f39b12f96b954fffab6b7d79c954b39b2021-05-01T00:00:00Zhttps://doi.org/10.1111/jvim.16121https://doaj.org/toc/0891-6640https://doaj.org/toc/1939-1676Abstract Background Urolithiasis is an important upper and lower urinary tract disease in cats that results in morbidity and mortality. Objective To describe trends in composition of uroliths in cats and evaluate risk factors related to age, breed, sex, urolith location, and bacterial urolith cultures. Sample Population A total of 3940 uroliths and the cats from which they were obtained. Methods The database of the UC Davis Gerald V. Ling Urinary Stone Analysis Laboratory was searched for all urolith submissions from cats between January 2005 and December 2018. Mineral type, age, breed, sex, and urolith location and culture results were recorded. Trends were evaluated and variables compared to evaluate risk factors. Results A significant decrease in the proportion of calcium oxalate (CaOx)‐containing uroliths occurred over time (P = .02), from 50.1% (204/407) of all submissions in 2005 to 37.7% (58/154) in 2018. In contrast, the proportion of struvite‐containing uroliths increased significantly (P = .002), from 41.8% (170/407) in 2005 to 54.5% (84/154) in 2018. The proportion of CaOx‐containing uroliths in the upper urinary tract was significantly higher compared to the proportion of other urolith types in the upper urinary tract. Urate‐containing uroliths were the third most common type (361/3940, 9.2%). Overall, sex and age predispositions were similar to those reported previously. Conclusions and Clinical Importance The decrease in the proportion of CaOx‐containing uroliths and increase in the proportion of struvite‐containing uroliths warrants investigation. Further education regarding the efficacy of medical dissolution of struvite‐containing uroliths is recommended.Lucy KopecnyCarrie A. PalmGilad SegevJennifer A. LarsenJodi L. WestroppWileyarticlecalcium oxalatefelinestruviteurateurolithiasisVeterinary medicineSF600-1100ENJournal of Veterinary Internal Medicine, Vol 35, Iss 3, Pp 1397-1405 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	calcium oxalate feline struvite urate urolithiasis Veterinary medicine SF600-1100
spellingShingle	calcium oxalate feline struvite urate urolithiasis Veterinary medicine SF600-1100 Lucy Kopecny Carrie A. Palm Gilad Segev Jennifer A. Larsen Jodi L. Westropp Urolithiasis in cats: Evaluation of trends in urolith composition and risk factors (2005‐2018)
description	Abstract Background Urolithiasis is an important upper and lower urinary tract disease in cats that results in morbidity and mortality. Objective To describe trends in composition of uroliths in cats and evaluate risk factors related to age, breed, sex, urolith location, and bacterial urolith cultures. Sample Population A total of 3940 uroliths and the cats from which they were obtained. Methods The database of the UC Davis Gerald V. Ling Urinary Stone Analysis Laboratory was searched for all urolith submissions from cats between January 2005 and December 2018. Mineral type, age, breed, sex, and urolith location and culture results were recorded. Trends were evaluated and variables compared to evaluate risk factors. Results A significant decrease in the proportion of calcium oxalate (CaOx)‐containing uroliths occurred over time (P = .02), from 50.1% (204/407) of all submissions in 2005 to 37.7% (58/154) in 2018. In contrast, the proportion of struvite‐containing uroliths increased significantly (P = .002), from 41.8% (170/407) in 2005 to 54.5% (84/154) in 2018. The proportion of CaOx‐containing uroliths in the upper urinary tract was significantly higher compared to the proportion of other urolith types in the upper urinary tract. Urate‐containing uroliths were the third most common type (361/3940, 9.2%). Overall, sex and age predispositions were similar to those reported previously. Conclusions and Clinical Importance The decrease in the proportion of CaOx‐containing uroliths and increase in the proportion of struvite‐containing uroliths warrants investigation. Further education regarding the efficacy of medical dissolution of struvite‐containing uroliths is recommended.
format	article
author	Lucy Kopecny Carrie A. Palm Gilad Segev Jennifer A. Larsen Jodi L. Westropp
author_facet	Lucy Kopecny Carrie A. Palm Gilad Segev Jennifer A. Larsen Jodi L. Westropp
author_sort	Lucy Kopecny
title	Urolithiasis in cats: Evaluation of trends in urolith composition and risk factors (2005‐2018)
title_short	Urolithiasis in cats: Evaluation of trends in urolith composition and risk factors (2005‐2018)
title_full	Urolithiasis in cats: Evaluation of trends in urolith composition and risk factors (2005‐2018)
title_fullStr	Urolithiasis in cats: Evaluation of trends in urolith composition and risk factors (2005‐2018)
title_full_unstemmed	Urolithiasis in cats: Evaluation of trends in urolith composition and risk factors (2005‐2018)
title_sort	urolithiasis in cats: evaluation of trends in urolith composition and risk factors (2005‐2018)
publisher	Wiley
publishDate	2021
url	https://doaj.org/article/f39b12f96b954fffab6b7d79c954b39b
work_keys_str_mv	AT lucykopecny urolithiasisincatsevaluationoftrendsinurolithcompositionandriskfactors20052018 AT carrieapalm urolithiasisincatsevaluationoftrendsinurolithcompositionandriskfactors20052018 AT giladsegev urolithiasisincatsevaluationoftrendsinurolithcompositionandriskfactors20052018 AT jenniferalarsen urolithiasisincatsevaluationoftrendsinurolithcompositionandriskfactors20052018 AT jodilwestropp urolithiasisincatsevaluationoftrendsinurolithcompositionandriskfactors20052018
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Urolithiasis in cats: Evaluation of trends in urolith composition and risk factors (2005‐2018)

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