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Frontiers in veterinary science2020; 7; 266; doi: 10.3389/fvets.2020.00266

Conflict Between Direct Experience and Research-Based Evidence Is a Key Challenge to Evidence-Based Respiratory Medicine on British Racing Yards.

Abstract: Inflammatory airway disease (IAD) is a commonly diagnosed but variably defined syndrome of equine lower airway inflammation. The most recent American College of Veterinary Internal Medicine (ACVIM) consensus statement, informed by research evidence, recommends a case definition based on clinical signs (poor performance or occasional coughing of at least 3 weeks duration), increased endoscopically-visible tracheal mucus, and bronchoalveolar lavage cytology, and proposes that the condition should be termed 'mild-moderate equine asthma' (mEA). In British Thoroughbred racehorses, research to date has focused on airway inflammation defined by increased tracheal mucus and inflammatory tracheal wash sample cytology. It has been unclear whether or to what extent the ACVIM consensus statement has influenced the practice of British racing veterinarians. The aim of this qualitative study was to characterize and understand rationales for current practices relating to diagnosing and managing airway inflammation in British racehorses. Audio-recorded focus group discussions were conducted with 25 participants from four veterinary practices in England. Practices were purposively selected to represent those responsible for different types of racehorse, in different geographical regions. Thematic analysis of transcripts identified (i) an over-arching theme of within which two further themes (ii) and (iii) were nested. The requirement to serve the racing industry was a key driver of clinical approaches, strongly influenced in particular by the trainer. Participants widely disregarded the consensus case definition of IAD/mEA for British racehorses because of perceived differences in etiology, perceived lack of practicability, particularly of BAL sampling, and perceived lack of understanding of the British racing context by consensus authors. Participants shared a strong professional identity as pragmatic clinicians providing an individualized clinical approach based on direct experience, which was often prioritized as the most valuable evidence with which to inform clinical decision-making. Lack of alignment with international consensus presents a barrier to practicing and furthering evidence-based medicine. Improved dialogue and partnership in research would be valuable and further research tailored for this population, including continuing development of contextually acceptable diagnostic methods, may be required.
Copyright © 2020 Kinnison and Cardwell.
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Publication Date: 2020-05-27 PubMed ID: 32537459PubMed Central: PMC7267464DOI: 10.3389/fvets.2020.00266Google Scholar: Lookup
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Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

The study investigates current practices and the reasons behind them in terms of diagnosing and managing inflammatory airway disease (now referred to as mild-moderate equine asthma) in British racehorses. Researchers found that many veterinarians ignored the standardized, research-backed definition and treatment on the basis of practicality and personal experience, presenting a challenge to evidence-based medicine.

Study Objective and Methodology

  • This qualitative research aims to comprehend and outline the existing practices related to the diagnosis and management of airway inflammation in British racehorses.
  • Twenty-five participants from four distinct veterinary practices in England became part of the audio-recorded focus group discussions. The practices were specifically picked to symbolize those catering to various types of racehorses, situated in different geographical regions.
  • A thematic analysis of the transcripts was conducted to identify the main themes discussed during these group discussions.

Findings and Themes

  • From the thematic analysis, the authors identified an overarching theme: the conflict between direct experience and research-based evidence, under which two more themes: the service to the racing industry and professional identity as pragmatic clinicians were nested.
  • Participants commonly rejected the consensus definition (as given by the American College of Veterinary Internal Medicine) for equine mild asthma because they felt it did not take into account the unique factors associated with British racehorses.
  • The refusal to follow the consensus case definition was influenced by several factors including perceived differences in causation of the disease, perceived impracticality of bronchoalveolar lavage sampling, and lack of understanding of the British racing context by consensus authors.
  • Participants shared the identification as pragmatic clinicians who preferred their direct experience over research-based evidence when making decisions about treatment of the racehorses.

Conclusion and Implications

  • The study concluded that the disparity with the international consensus presents an obstacle for practising and promoting evidence-based medicine.
  • This research suggests that improved dialogue and partnership are needed in the research domain along with further research specifically tailored for the target population.
  • Moreover, it concludes that the continued development of contextually acceptable diagnostic techniques may be necessary to help align the practices of British racing veterinarians with evidence-based medicine.

Cite This Article

APA
Kinnison T, Cardwell JM. (2020). Conflict Between Direct Experience and Research-Based Evidence Is a Key Challenge to Evidence-Based Respiratory Medicine on British Racing Yards. Front Vet Sci, 7, 266. https://doi.org/10.3389/fvets.2020.00266

Publication

Frontiers in veterinary science
ISSN: 2297-1769
NlmUniqueID: 101666658
Country: Switzerland
Language: English
Volume: 7
Pages: 266
PII: 266

Researcher Affiliations

Kinnison, Tierney
  • Royal Veterinary College (RVC), London, United Kingdom.
Cardwell, Jacqueline M
  • Royal Veterinary College (RVC), London, United Kingdom.

References

This article includes 53 references
  1. Burrell MH, Wood JL, Whitwell KE, Chanter N, Mackintosh ME, Mumford JA. Respiratory disease in thoroughbred horses in training: the relationships between disease and viruses, bacteria and environment.. Vet Rec 1996 Sep 28;139(13):308-13.
    doi: 10.1136/vr.139.13.308pubmed: 8893488google scholar: lookup
  2. Wood JL, Newton JR, Chanter N, Mumford JA. Association between respiratory disease and bacterial and viral infections in British racehorses.. J Clin Microbiol 2005 Jan;43(1):120-6.
    doi: 10.1128/JCM.43.1.120-126.2005pmc: PMC540098pubmed: 15634959google scholar: lookup
  3. Wood JL, Newton JR, Chanter N, Mumford JA. Inflammatory airway disease, nasal discharge and respiratory infections in young British racehorses.. Equine Vet J 2005 May;37(3):236-42.
    doi: 10.2746/0425164054530579pubmed: 15892233google scholar: lookup
  4. Jeffcott LB, Rossdale PD, Freestone J, Frank CJ, Towers-Clark PF. An assessment of wastage in thoroughbred racing from conception to 4 years of age.. Equine Vet J 1982 Jul;14(3):185-98.
    doi: 10.1111/j.2042-3306.1982.tb02389.xpubmed: 7106081google scholar: lookup
  5. Rossdale PD, Hopes R, Digby NJ, offord K. Epidemiological study of wastage among racehorses 1982 and 1983.. Vet Rec 1985 Jan 19;116(3):66-9.
    doi: 10.1136/vr.116.3.66pubmed: 3976145google scholar: lookup
  6. Dyson PK, Jackson BF, Pfeiffer DU, Price JS. Days lost from training by two- and three-year-old Thoroughbred horses: a survey of seven UK training yards.. Equine Vet J 2008 Nov;40(7):650-7.
    doi: 10.2746/042516408X363242pubmed: 19165934google scholar: lookup
  7. Cardwell JM, Smith KC, Wood JL, Newton JR. Infectious risk factors and clinical indicators for tracheal mucus in British National Hunt racehorses.. Equine Vet J 2014 Mar;46(2):150-5.
    doi: 10.1111/evj.12109pubmed: 23738942google scholar: lookup
  8. Millerick-May ML, Karmaus W, Derksen FJ, Berthold B, Holcombe SJ, Robinson NE. Local airborne particulate concentration is associated with visible tracheal mucus in Thoroughbred racehorses.. Equine Vet J 2013 Jan;45(1):85-90.
    doi: 10.1111/j.2042-3306.2012.00568.xpubmed: 22494157google scholar: lookup
  9. Ivester KM, Couëtil LL, Moore GE, Zimmerman NJ, Raskin RE. Environmental exposures and airway inflammation in young thoroughbred horses.. J Vet Intern Med 2014 May-Jun;28(3):918-24.
    doi: 10.1111/jvim.12333pmc: PMC4895475pubmed: 24773603google scholar: lookup
  10. Holcombe SJ, Jackson C, Gerber V, Jefcoat A, Berney C, Eberhardt S, Robinson NE. Stabling is associated with airway inflammation in young Arabian horses.. Equine Vet J 2001 May;33(3):244-9.
    doi: 10.2746/042516401776249606pubmed: 11352345google scholar: lookup
  11. Sweeney CR, Humber KA, Roby KA. Cytologic findings of tracheobronchial aspirates from 66 thoroughbred racehorses.. Am J Vet Res 1992 Jul;53(7):1172-5.
    pubmed: 1497188
  12. Moore BR, Krakowka S, Robertson JT, Cummins JM. Cytologic evaluation of bronchoalveolar lavage fluid obtained from standardbred racehorses with inflammatory airway disease.. Am J Vet Res 1995 May;56(5):562-7.
    pubmed: 7661448
  13. Ward CL, Wood JL, Houghton SB, Mumford JA, Chanter N. Actinobacillus and Pasteurella species isolated from horses with lower airway disease.. Vet Rec 1998 Sep 5;143(10):277-9.
    doi: 10.1136/vr.143.10.277pubmed: 9787421google scholar: lookup
  14. Chapman PS, Green C, Main JP, Taylor PM, Cunningham FM, Cook AJ, Marr CM. Retrospective study of the relationships between age, inflammation and the isolation of bacteria from the lower respiratory tract of thoroughbred horses.. Vet Rec 2000 Jan 22;146(4):91-5.
    doi: 10.1136/vr.146.4.91pubmed: 10682693google scholar: lookup
  15. Christley RM, Hodgson DR, Rose RJ, Hodgson JL, Wood JL, Reid SW. Coughing in thoroughbred racehorses: risk factors and tracheal endoscopic and cytological findings.. Vet Rec 2001 Jan 27;148(4):99-104.
    doi: 10.1136/vr.148.4.99pubmed: 11232940google scholar: lookup
  16. Kusano K, Ishikawa Y, Seki K, Kusunose R. Characteristic of inflammatory airway disease in Japanese thoroughbred racehorses.. J Equine Sci 2008;19(2):25-9.
    doi: 10.1294/jes.19.25pmc: PMC4013942pubmed: 24833952google scholar: lookup
  17. Ramzan PH, Parkin TD, Shepherd MC. Lower respiratory tract disease in Thoroughbred racehorses: analysis of endoscopic data from a UK training yard.. Equine Vet J 2008 Jan;40(1):7-13.
    doi: 10.2746/042516407X241059pubmed: 18083654google scholar: lookup
  18. Cardwell JM, Wood JL, Smith KC, Newton JR. Descriptive results from a longitudinal study of airway inflammation in British National Hunt racehorses.. Equine Vet J 2011 Nov;43(6):750-5.
    doi: 10.1111/j.2042-3306.2010.00338.xpubmed: 21496098google scholar: lookup
  19. Couëtil LL, Rosenthal FS, DeNicola DB, Chilcoat CD. Clinical signs, evaluation of bronchoalveolar lavage fluid, and assessment of pulmonary function in horses with inflammatory respiratory disease.. Am J Vet Res 2001 Apr;62(4):538-46.
    doi: 10.2460/ajvr.2001.62.538pubmed: 11327461google scholar: lookup
  20. Depecker M, Richard EA, Pitel PH, Fortier G, Leleu C, Couroucé-Malblanc A. Bronchoalveolar lavage fluid in Standardbred racehorses: influence of unilateral/bilateral profiles and cut-off values on lower airway disease diagnosis.. Vet J 2014 Jan;199(1):150-6.
    doi: 10.1016/j.tvjl.2013.10.013pubmed: 24225534google scholar: lookup
  21. Leclere M, Lavoie-Lamoureux A, Lavoie JP. Acute phase proteins in racehorses with inflammatory airway disease.. J Vet Intern Med 2015 May-Jun;29(3):940-5.
    doi: 10.1111/jvim.12587pmc: PMC4895423pubmed: 25857218google scholar: lookup
  22. Richard EA, Depecker M, Defontis M, Leleu C, Fortier G, Pitel PH, Couroucé-Malblanc A. Cytokine concentrations in bronchoalveolar lavage fluid from horses with neutrophilic inflammatory airway disease.. J Vet Intern Med 2014 Nov-Dec;28(6):1838-44.
    doi: 10.1111/jvim.12464pmc: PMC4895612pubmed: 25269933google scholar: lookup
  23. Couëtil LL, Cardwell JM, Gerber V, Lavoie JP, Léguillette R, Richard EA. Inflammatory Airway Disease of Horses--Revised Consensus Statement.. J Vet Intern Med 2016 Mar-Apr;30(2):503-15.
    doi: 10.1111/jvim.13824pmc: PMC4913592pubmed: 26806374google scholar: lookup
  24. Burrell MH. Endoscopic and virological observations on respiratory disease in a group of young Thoroughbred horses in training.. Equine Vet J 1985 Mar;17(2):99-103.
    doi: 10.1111/j.2042-3306.1985.tb02059.xpubmed: 2985380google scholar: lookup
  25. Christley RM, Hodgson DR, Rose RJ, Wood JL, Reids SW, Whitear KG, Hodgson JL. A case-control study of respiratory disease in Thoroughbred racehorses in Sydney, Australia.. Equine Vet J 2001 May;33(3):256-64.
    doi: 10.2746/042516401776249796pubmed: 11352347google scholar: lookup
  26. Holcombe SJ, Robinson NE, Derksen FJ, Bertold B, Genovese R, Miller R, de Feiter Rupp H, Carr EA, Eberhart SW, Boruta D, Kaneene JB. Effect of tracheal mucus and tracheal cytology on racing performance in Thoroughbred racehorses.. Equine Vet J 2006 Jul;38(4):300-4.
    doi: 10.2746/042516406777749191pubmed: 16866195google scholar: lookup
  27. Widmer A, Doherr MG, Tessier C, Koch C, Ramseyer A, Straub R, Gerber V. Association of increased tracheal mucus accumulation with poor willingness to perform in show-jumpers and dressage horses.. Vet J 2009 Dec;182(3):430-5.
    doi: 10.1016/j.tvjl.2008.08.015pubmed: 18835198google scholar: lookup
  28. Fraipont A, Van Erck E, Ramery E, Richard E, Denoix JM, Lekeux P, Art T. Subclinical diseases underlying poor performance in endurance horses: diagnostic methods and predictive tests.. Vet Rec 2011 Aug 6;169(6):154.
    doi: 10.1136/vr.d4142pubmed: 21795311google scholar: lookup
  29. Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol (2006) 3:77–101.
    doi: 10.1191/1478088706qp063oagoogle scholar: lookup
  30. Rcvs Knowledge.nWhat is EBVM? (2019) Available Online at: https://knowledge.rcvs.org.uk/evidence-based-veterinary-medicine/what-is-ebvm/ (accessed October 7, 2019).
  31. May SA. Veterinary ethics, professionalism and society. In: Wathes CM, Corr SA, May SA, McCulloch SP, Whiting MC, editors. Veterinary and Animal Ethics. Oxford: Blackwell Publishing Ltd; (2012). p. 44–58.
    doi: 10.1002/9781118384282.ch4google scholar: lookup
  32. Campbell ML. The role of veterinarians in equestrian sport: a comparative review of ethical issues surrounding human and equine sports medicine.. Vet J 2013 Sep;197(3):535-40.
    doi: 10.1016/j.tvjl.2013.05.021pmc: PMC3898908pubmed: 23773811google scholar: lookup
  33. Evans DL, Kiddell L, Smith CL. Pulmonary function measurements immediately after exercise are correlated with neutrophil percentage in tracheal aspirates in horses with poor racing performance.. Res Vet Sci 2011 Jun;90(3):510-5.
    doi: 10.1016/j.rvsc.2010.07.003pubmed: 20678784google scholar: lookup
  34. Wichtel M, Gomez D, Burton S, Wichtel J, Hoffman A. Relationships between equine airway reactivity measured by flowmetric plethysmography and specific indicators of airway inflammation in horses with suspected inflammatory airway disease.. Equine Vet J 2016 Jul;48(4):466-71.
    doi: 10.1111/evj.12482pubmed: 26174367google scholar: lookup
  35. Richard EA, Fortier GD, Pitel PH, Dupuis MC, Valette JP, Art T, Denoix JM, Lekeux PM, Erck EV. Sub-clinical diseases affecting performance in Standardbred trotters: diagnostic methods and predictive parameters.. Vet J 2010 Jun;184(3):282-9.
    doi: 10.1016/j.tvjl.2009.04.016pubmed: 19477143google scholar: lookup
  36. Coyne LA, Pinchbeck GL, Williams NJ, Smith RF, Dawson S, Pearson RB, Latham SM. Understanding antimicrobial use and prescribing behaviours by pig veterinary surgeons and farmers: a qualitative study.. Vet Rec 2014 Dec 13;175(23):593.
    doi: 10.1136/vr.102686pubmed: 25200432google scholar: lookup
  37. Speksnijder DC, Wagenaar JA. Reducing antimicrobial use in farm animals: how to support behavioral change of veterinarians and farmers.. Anim Front 2018 Apr;8(2):4-9.
    doi: 10.1093/af/vfy006pmc: PMC6951992pubmed: 32002213google scholar: lookup
  38. King C, Smith M, Currie K, Dickson A, Smith F, Davis M, Flowers P. Exploring the behavioural drivers of veterinary surgeon antibiotic prescribing: a qualitative study of companion animal veterinary surgeons in the UK.. BMC Vet Res 2018 Nov 7;14(1):332.
    doi: 10.1186/s12917-018-1646-2pmc: PMC6223057pubmed: 30404649google scholar: lookup
  39. Smith M, King C, Davis M, Dickson A, Park J, Smith F, Currie K, Flowers P. Pet owner and vet interactions: exploring the drivers of AMR.. Antimicrob Resist Infect Control 2018;7:46.
    doi: 10.1186/s13756-018-0341-1pmc: PMC5879597pubmed: 29619213google scholar: lookup
  40. Lucas PJ, Cabral C, Hay AD, Horwood J. A systematic review of parent and clinician views and perceptions that influence prescribing decisions in relation to acute childhood infections in primary care.. Scand J Prim Health Care 2015 Mar;33(1):11-20.
    doi: 10.3109/02813432.2015.1001942pmc: PMC4377734pubmed: 25716427google scholar: lookup
  41. Elwyn G, Gwyn R, Edwards A, Grol R. Is 'shared decision-making' feasible in consultations for upper respiratory tract infections? Assessing the influence of antibiotic expectations using discourse analysis.. Health Expect 1999 May;2(2):105-117.
    doi: 10.1046/j.1369-6513.1999.00045.xpmc: PMC5061443pubmed: 11281884google scholar: lookup
  42. Newton JR, Daly JM, Spencer L, Mumford JA. Description of the outbreak of equine influenza (H3N8) in the United Kingdom in 2003, during which recently vaccinated horses in Newmarket developed respiratory disease.. Vet Rec 2006 Feb 11;158(6):185-92.
    doi: 10.1136/vr.158.6.185pubmed: 16474051google scholar: lookup
  43. Schwechler J, van den Hoven R, Schoster A. Antimicrobial prescribing practices by Swiss, German and Austrian equine practitioners.. Vet Rec 2016 Feb 27;178(9):216.
    doi: 10.1136/vr.103438pubmed: 26880787google scholar: lookup
  44. Raidal SL. Antimicrobial stewardship in equine practice.. Aust Vet J 2019 Jul;97(7):238-242.
    doi: 10.1111/avj.12833pubmed: 31236925google scholar: lookup
  45. Hughes LA, Pinchbeck G, Callaby R, Dawson S, Clegg P, Williams N. Antimicrobial prescribing practice in UK equine veterinary practice.. Equine Vet J 2013 Mar;45(2):141-7.
    doi: 10.1111/j.2042-3306.2012.00602.xpubmed: 22994559google scholar: lookup
  46. Hardefeldt LY, Browning GF, Thursky K, Gilkerson JR, Billman-Jacobe H, Stevenson MA, Bailey KE. Antimicrobials used for surgical prophylaxis by equine veterinary practitioners in Australia.. Equine Vet J 2018 Jan;50(1):65-72.
    doi: 10.1111/evj.12709pubmed: 28608525google scholar: lookup
  47. Johnson LS. From knowledge transfer to knowledge translation: applying research to practice. Occup Ther Now (2005) 7:11–4.
  48. Fisher R. “A gentleman's handshake”: the role of social capital and trust in transforming information into usable knowledge. J Rural Stud (2013) 31:13–22.
    doi: 10.1016/j.jrurstud.2013.02.006google scholar: lookup
  49. van Schaik SM, O'Sullivan PS, Eva KW, Irby DM, Regehr G. Does source matter? Nurses' and Physicians' perceptions of interprofessional feedback.. Med Educ 2016 Feb;50(2):181-8.
    doi: 10.1111/medu.12850pubmed: 26812997google scholar: lookup
  50. Burford B. Group processes in medical education: learning from social identity theory.. Med Educ 2012 Feb;46(2):143-52.
    doi: 10.1111/j.1365-2923.2011.04099.xpubmed: 22239328google scholar: lookup
  51. Malikides N, Hughes KJ, Hodgson DR, Hodgson JL. Comparison of tracheal aspirates and bronchoalveolar lavage in racehorses. 2. Evaluation of the diagnostic significance of neutrophil percentage.. Aust Vet J 2003 Nov;81(11):685-7.
    doi: 10.1111/j.1751-0813.2003.tb12540.xpubmed: 15086110google scholar: lookup
  52. Salz RO, Ahern BJ, Boston R, Begg LM. Association of tracheal mucus or blood and airway neutrophilia with racing performance in Thoroughbred horses in an Australian racing yard.. Aust Vet J 2016 Apr;94(4):96-100.
    doi: 10.1111/avj.12422pubmed: 26952960google scholar: lookup
  53. Bryman A. sampling in qualitative research. In: Social Research Methods. Oxford: Oxford University Press; (2016). p. 407–421.

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  1. Cullinane A, Garvey M, Walsh C, Gibbons J, Creighton A. A Scoping Review of Non-Structural Airway Disease as a Cause of Poor Performance in Racehorses. Animals (Basel) 2023 Jan 27;13(3).
    doi: 10.3390/ani13030429pubmed: 36766318google scholar: lookup
  2. Gunasekara YD, Kinnison T, Kottawatta SA, Kalupahana RS, Silva-Fletcher A. Exploring Barriers to One Health Antimicrobial Stewardship in Sri Lanka: A Qualitative Study among Healthcare Professionals. Antibiotics (Basel) 2022 Jul 19;11(7).
    doi: 10.3390/antibiotics11070968pubmed: 35884221google scholar: lookup
  3. Holmes TQ, Brown AF. Champing at the Bit for Improvements: A Review of Equine Welfare in Equestrian Sports in the United Kingdom. Animals (Basel) 2022 May 5;12(9).
    doi: 10.3390/ani12091186pubmed: 35565612google scholar: lookup
  4. Lee GKC, Beeler-Marfisi J, Viel L, Piché É, Kang H, Sears W, Bienzle D. Bronchial brush cytology, endobronchial biopsy, and SALSA immunohistochemistry in severe equine asthma. Vet Pathol 2022 Jan;59(1):100-111.
    doi: 10.1177/03009858211048635pubmed: 34903109google scholar: lookup
  5. Secombe C, Adler A, Hosgood G, Raisis A, Mosing M. Can bronchoconstriction and bronchodilatation in horses be detected using electrical impedance tomography?. J Vet Intern Med 2021 Jul;35(4):2035-2044.
    doi: 10.1111/jvim.16152pubmed: 33977584google scholar: lookup
  6. Couetil L, Cardwell JM, Leguillette R, Mazan M, Richard E, Bienzle D, Bullone M, Gerber V, Ivester K, Lavoie JP, Martin J, Moran G, Niedźwiedź A, Pusterla N, Swiderski C. Equine Asthma: Current Understanding and Future Directions. Front Vet Sci 2020;7:450.
    doi: 10.3389/fvets.2020.00450pubmed: 32903600google scholar: lookup
  7. Bozzola C, Sala G, Stancari G, Ferrucci F, Zucca E. Comparison Between Tracheal Wash and Bronchoalveolar Lavage Cytology for the Assessment of Airway Inflammation in Racehorses Affected by Exercise-Induced Pulmonary Hemorrhage. Animals (Basel) 2025 Sep 5;15(17).
    doi: 10.3390/ani15172609pubmed: 40941404google scholar: lookup
  8. Smith R, Pinchbeck G, McGowan C, Ireland J, Perkins E. Challenges for the veterinary profession: A grounded theory study of veterinarians' experiences of caring for older horses. Equine Vet J 2025 Jul;57(4):1053-1064.
    doi: 10.1111/evj.14444pubmed: 39604101google scholar: lookup
  9. Leite RO, Albertino LG, Sperandio LMS, Campos F, Campos R, Borges AS, Oliveira-Filho JP. Evaluation of variants in the ENTPD1 and ENTPD2 genes in athletic horses with exercise-induced pulmonary haemorrhage. BMC Vet Res 2024 Aug 6;20(1):346.
    doi: 10.1186/s12917-024-04192-8pubmed: 39103835google scholar: lookup
  10. Smith R, Pinchbeck G, McGowan C, Ireland J, Perkins E. Becoming a matter of veterinary concern. Front Vet Sci 2024;11:1355996.
    doi: 10.3389/fvets.2024.1355996pubmed: 38872799google scholar: lookup
  11. van den Brom-Spierenburg AJ, Mureșan AN, Westermann CM. Antimicrobial Prescription Behavior in Equine Asthma Cases: An International Survey. Animals (Basel) 2024 Jan 30;14(3).
    doi: 10.3390/ani14030457pubmed: 38338101google scholar: lookup
  12. Simões J, Tilley P. Decision Making in Severe Equine Asthma-Diagnosis and Monitoring. Animals (Basel) 2023 Dec 16;13(24).
    doi: 10.3390/ani13243872pubmed: 38136909google scholar: lookup
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