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Veterinary journal (London, England : 1997)2011; 189(3); 248-256; doi: 10.1016/j.tvjl.2011.04.014

Frequency of equine laminitis: a systematic review with quality appraisal of published evidence.

Abstract: Equine laminitis is a highly debilitating disease of the foot. Despite its perceived importance, epidemiological characteristics are poorly understood and the true frequency of the disease remains unclear. The objective of this study was to retrospectively assess previous research to identify publications which provide the best evidence of the frequency of naturally-occurring equine laminitis. A systematic review of English language publications was conducted using MEDLINE (1950-2010), CAB Direct (1910-2010) and IVIS (1997-2010). Additional publications were included by searching bibliographies. Search terms included laminitis, equine, frequency, prevalence and incidence. Studies that allowed frequency estimations to be made for naturally-occurring equine laminitis were included. Information was extracted using predefined data fields, including 13 study quality indicators. Sixty-nine publications were appraised. Ten were considered to provide the most reliable information, estimating the frequency of equine laminitis ranging from 1.5% to 34%. Previous publications estimating laminitis frequency were generally poor quality. Laminitis frequency varied across publications however the publications included in this review focussed on many of the different underlying laminitis aetiologies and comparison of the frequencies between groups would be inappropriate. High-quality evidence-based studies are needed to estimate the true disease frequency in different equine populations.
Publication Date: 2011-06-12 PubMed ID: 21665498DOI: 10.1016/j.tvjl.2011.04.014Google Scholar: Lookup
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  • Journal Article
  • Research Support
  • Non-U.S. Gov't
  • Review
  • Systematic Review

Summary

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This research article aims to identify the true frequency of equine laminitis – a severe foot disease in horses – through a systematic review of past research and data. The study discovered that existing estimates range from 1.5% to 34% with a general lack of high-quality evidence to support these figures.

Methodology

As a part of the systematic review, the researchers conducted a detailed search of three databases – MEDLINE (from 1950 to 2010), CAB Direct (from 1910 to 2010) and IVIS (from 1997 to 2010). They further augmented their analysis by scouring through bibliographies for additional useful publications. The search terms utilized included “laminitis”, “equine”, “frequency”, “prevalence”, and “incidence”.

  • The researchers included only those studies that allowed frequency estimations for naturally-occurring equine laminitis.
  • A total of 69 publications were scrutinized for this study, with data being extracted according to 13 predefined quality indicators.

Findings

The study found that out of the 69 publications reviewed, only 10 were deemed as providing reliable information. These 10 publications provided a frequency range between 1.5% – 34% for equine laminitis.

  • The quality of the remaining publications was generally poor and didn’t provide any substantial information for determining the disease frequency.
  • Even though laminitis frequency varied across these reviewed publications, it’s important to bear in mind that these publications investigated different underpinning causes of laminitis, hence direct comparison of frequency across groups may be misleading.

Conclusion

The research concludes by stating the need for high-quality evidence-based studies to estimate the true disease frequency within various equine populations. Given the debilitating nature of equine laminitis and its direct impact on the quality of life of equines, accurate estimates are instrumental in developing effective preventive and treatment strategies.

Cite This Article

APA
Wylie CE, Collins SN, Verheyen KL, Richard Newton J. (2011). Frequency of equine laminitis: a systematic review with quality appraisal of published evidence. Vet J, 189(3), 248-256. https://doi.org/10.1016/j.tvjl.2011.04.014

Publication

ISSN: 1532-2971
NlmUniqueID: 9706281
Country: England
Language: English
Volume: 189
Issue: 3
Pages: 248-256

Researcher Affiliations

Wylie, Claire E
  • Epidemiology Department, Centre for Preventive Medicine, Animal Health Trust, Lanwades Park, Kentford, Newmarket, Suffolk, UK. claire.wylie@aht.org.uk
Collins, Simon N
    Verheyen, Kristien L P
      Richard Newton, J

        MeSH Terms

        • Animals
        • Foot Diseases / epidemiology
        • Foot Diseases / pathology
        • Foot Diseases / physiopathology
        • Foot Diseases / veterinary
        • Hoof and Claw / pathology
        • Hoof and Claw / physiopathology
        • Horse Diseases / epidemiology
        • Horse Diseases / pathology
        • Horse Diseases / physiopathology
        • Horses
        • Incidence
        • Prevalence
        • Research Design / standards

        Citations

        This article has been cited 12 times.
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