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Preventive veterinary medicine2006; 77(1-2); 122-136; doi: 10.1016/j.prevetmed.2006.07.002

Association between costly veterinary-care events and 5-year survival of Swedish insured warmblooded riding horses.

Abstract: Our objective was to estimate the 5-year survival to death in insured warmblooded riding horses (as reflected by a life-insurance claim) in horses with or without at least one costly veterinary-care event (VCE) in 1997. We also determined the impacts of gender, age, previous diagnosis of veterinary claim, geographic variables, cost for veterinary claims and life-insurance value upon the survival. The design was a retrospective cohort study using a population of warmblooded riding horses insured in a Swedish animal-insurance company (Agria Insurance, P.O. 70306, SE-107 23 Stockholm, Sweden) in 1997. All horses in this population had insurance both for veterinary-care and life ("complete" insurance reimbursing the insurance holder for most medical problems). We followed two cohorts (2,495 horses with > or = 1 VCE and 15,576 horses with no VCE in year 1997). The median VCE cost in horses with > or =1 VCE was 3,800 SEK, with 10th and 90th percentiles of 1,400 and 11,400 SEK respectively. In total 944 of the 2,495 horses (38%) in the VCE-positive cohort and 2,962 of the 15,576 horses (19%) in the VCE-negative cohort had died (had a settled life-insurance claim) after the follow-up time. An exponential-regression model showed that geldings had a higher risk of claimed death compared to mares and mares had a higher risk compared to stallions. The risk of death increased linearly with age. The risk of death increased with increasing life-insurance value. Horses with previous lameness had the lowest survival, and for high-cost claims this increased risk was not associated with age.
Publication Date: 2006-08-28 PubMed ID: 16935370DOI: 10.1016/j.prevetmed.2006.07.002Google Scholar: Lookup
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  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

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The research article investigates the association between costly veterinary care events (VCE) and the five-year survival rate of insured warmblooded riding horses in Sweden. The study additionally explores the influence of several factors such as gender, age, previous diagnoses, geographic variables, and costs for veterinary claims on horse survival rate.

Methodology of the Study

The research conducted is retrospective and involves the analysis of a cohort of warmblooded riding horses insured under a Swedish insurance company, Agria Insurance, in the year 1997. The analyzed cohort comprises two distinct groups:

  • Horses which had undergone at least one costly VCE in 1997 (2,495 horses)
  • Horses which had not undergone any VCE in 1997 (15,576 horses)

These horses were insured both for veterinary care and life, allowing the researchers to track their health status and survival over a period of five years.

Findings of the Study

From the group that underwent costly VCE, 38% of the horses died during the five-year follow up period, while from the group that did not have any VCE, 19% died. The median cost for VCE in the group that had at least one VCE was 3,800 SEK, with 10th and 90th percentiles of 1,400 and 11,400 SEK respectively.

Analytical Observations

The research findings were analyzed using an exponential-regression model which revealed several correlations:

  • Geldings (castrated male horses) were observed to have a higher risk of death as compared to mares (female horses), and mares were at a higher risk compared to stallions (intact male horses).
  • The risk of death was found to increase linearly with age.
  • Horses with a higher life-insurance value were observed to have an increased risk of death.
  • Horses previously diagnosed with lameness (difficulty in movement) had the lowest survival rate. The increased risk associated with high-cost claims was not influenced by the age of the horse.

These observations suggest that various factors, including costly veterinary care, gender, age, and previous medical conditions, significantly impact the survival of warmblooded riding horses.

Cite This Article

APA
Egenvall A, Bonnett BN, Olson P, Penell J, Emanuelson U. (2006). Association between costly veterinary-care events and 5-year survival of Swedish insured warmblooded riding horses. Prev Vet Med, 77(1-2), 122-136. https://doi.org/10.1016/j.prevetmed.2006.07.002

Publication

ISSN: 0167-5877
NlmUniqueID: 8217463
Country: Netherlands
Language: English
Volume: 77
Issue: 1-2
Pages: 122-136

Researcher Affiliations

Egenvall, Agneta
  • Department of Clinical Sciences, Faculty of Veterinary Medicine and Animal Husbandry, Swedish University of Agricultural Sciences, Uppsala, Sweden. Agneta.Egenvall@kv.slu.se
Bonnett, Brenda N
    Olson, Pekka
      Penell, Johanna
        Emanuelson, Ulf

          MeSH Terms

          • Age Distribution
          • Animals
          • Cohort Studies
          • Cost-Benefit Analysis
          • Female
          • Horse Diseases / economics
          • Horse Diseases / mortality
          • Horses
          • Insurance, Health / economics
          • Lameness, Animal / mortality
          • Male
          • Mortality
          • Retrospective Studies
          • Risk Factors
          • Sex Distribution
          • Survival Analysis
          • Sweden
          • Time Factors
          • Veterinary Medicine / economics

          Citations

          This article has been cited 1 times.
          1. Egenvall A, Nødtvedt A, Penell J, Gunnarsson L, Bonnett BN. Insurance data for research in companion animals: benefits and limitations. Acta Vet Scand 2009 Oct 29;51(1):42.
            doi: 10.1186/1751-0147-51-42pubmed: 19874612google scholar: lookup