Chronic kidney disease in cats attending primary care practice in the UK: a VetCompassTM study

Megan Conroy1, David C Brodbelt1, Dan O'Neill1

  • 1Department of Veterinary Clinical Sciences, Royal Veterinary College-Hawkshead Campus, Hatfield, UK.

The Veterinary Record
|April 27, 2019
PubMed

Insights

Chronic kidney disease (CKD) affects 1.2% of UK cats. Early diagnosis and management, including renal diets, improve survival times for feline CKD patients.

Area of Science:

  • Veterinary Medicine
  • Epidemiology
  • Animal Health

Background:

  • Chronic kidney disease (CKD) is a prevalent condition in feline populations.
  • It is a leading cause of mortality in cats over five years old.
  • Limited research exists on feline CKD within UK primary care settings.

Purpose of the Study:

  • To estimate the prevalence of CKD in cats in UK primary care practices.
  • To identify risk factors associated with CKD diagnosis.
  • To investigate survival rates for cats diagnosed with CKD.

Main Methods:

  • A nested case-control and cohort study design was employed.
  • Data were collected from 353,448 cats attending 244 UK primary care veterinary practices between January 1, 2012, and December 31, 2013.
  • Prevalence, diagnostic investigations, management, and survival times were analyzed.

Main Results:

  • The prevalence of CKD was estimated at 1.2% (95% CI 1.1–1.3%).
  • Most CKD cats (66.6%) presented with clinical signs.
  • Diagnostic monitoring (serum creatinine, urine protein:creatinine ratio, blood pressure) and use of renal diets were variable.
  • Median survival time post-diagnosis was 388 days.

Conclusions:

  • This study provides generalizable evidence on feline CKD prevalence and outcomes in UK primary care.
  • Findings can assist veterinarians in improving the diagnosis and management of feline CKD.
  • Enhanced understanding can improve the health and welfare of cats with CKD.

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