Interventions for treatment of cutaneous melanoma in horses: a structured literature review.
Abstract: Several therapies have been developed to treat equine cutaneous melanoma, but formal comparisons among different treatment options are currently unavailable. It was our intent to assess the efficacy of different treatment protocols and the quality of the studies based on the original published data, and summarize the knowledge concerning the outcome after equine cutaneous melanoma management. This structured review followed PRISMA procedure to search for treatment protocols on equine cutaneous melanoma published from 1960 until June 2021. Studies were assessed for the risk of bias. A descriptive analysis was performed, considering the disease control rate, the recurrence rate of the tumor, comorbidities, need for anesthesia, and horses' welfare. Twenty-three studies were included, from which the treatment outcomes of 173 horses were assessed. The homogeneity of the included trials was low. The percentages of each treatment arm achieving a partial response and curative effects accounted for 93.1% (surgical intervention), 90% (medication), and 39.4% (immunotherapies), respectively. A variable efficacy of different therapies of equine cutaneous melanoma was observed. Surgical intervention performed the best from the perspective of local antitumor effects alone. This literature review and descriptive analysis can serve as a source to assist in designing quality therapy research and can potentially aid in providing a clinical treatment reference for equine cutaneous melanoma.
© 2022. The Author(s), under exclusive licence to Springer Nature B.V.
Publication Date: 2022-11-04 PubMed ID: 36329228PubMed Central: 6705183DOI: 10.1007/s11259-022-10023-8Google Scholar: Lookup
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Summary
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This research article summarizes a review of studies on different treatment methods for cutaneous melanoma in horses. The review evaluates the effectiveness of these treatments, their respective outcomes, and the quality of each study.
Summary of Methods
- The researchers conducted a structured literature review following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) procedure.
- They searched for studies on various treatment protocols for equine cutaneous melanoma published between 1960 and June 2021.
- The team assessed each study for potential bias and performed a descriptive analysis to evaluate the effectiveness of the treatments.
Findings
- Twenty-three studies met the criteria and were included in the review.
- The outcomes of 173 horses from these studies were assessed, but there was found to be low homogeneity among the trials, meaning the studies’ designs, treatments, and outcomes varied widely.
- The analysis considered multiple factors, such as disease control rate, recurrence of the tumor, associated health conditions (co-morbidities), need for anesthesia, and the overall welfare of the horses.
Treatment Outcomes: Comparison
- On comparing the effects of different treatments, the review found that surgical interventions had the highest partial response rate at 93.1%.
- Medication treatments followed closely, achieving a 90% rate.
- Immunotherapies had the lowest rate at 39.4%.
- This suggested variable efficacy among the different therapies, with surgical intervention performing best in terms of localized antitumor effects.
Implications
- This literature review and descriptive analysis are useful for designing high-quality research into therapy options for equine cutaneous melanoma.
- The results may also aid clinicians in selecting the most suitable treatment options for this condition in horses.
Cite This Article
APA
Yi Z, Gao Y, Yu F, Zhu Y, Liu H, Li J, Murua Escobar H.
(2022).
Interventions for treatment of cutaneous melanoma in horses: a structured literature review.
Vet Res Commun, 47(2), 347-360.
https://doi.org/10.1007/s11259-022-10023-8 Publication
Researcher Affiliations
- Equine Clinical Diagnostic Center, College of Veterinary Medicine, China Agriculture University, No. 2 Yuanmingyuan West Road, 100094, Beijing, China.
- University of Veterinary Medicine Hannover Foundation, Hannover, Germany.
- College of Veterinary Medicine, China Agriculture University, Beijing, China.
- Equine Clinical Diagnostic Center, College of Veterinary Medicine, China Agriculture University, No. 2 Yuanmingyuan West Road, 100094, Beijing, China.
- Equine Clinical Diagnostic Center, College of Veterinary Medicine, China Agriculture University, No. 2 Yuanmingyuan West Road, 100094, Beijing, China.
- Equine Clinical Diagnostic Center, College of Veterinary Medicine, China Agriculture University, No. 2 Yuanmingyuan West Road, 100094, Beijing, China. jlivet@cau.edu.cn.
- Department of Hematology, Oncology and Palliative Medicine, Department of Medicine III, Rostock University Medical Center, Ernst Heydemann Street No. 6, 18057, Rostock, Germany. hugo.murua.escobar@med.uni-rostock.de.
MeSH Terms
- Horses
- Animals
- Melanoma / therapy
- Melanoma / veterinary
- Skin Neoplasms / therapy
- Skin Neoplasms / veterinary
- Horse Diseases / therapy
Grant Funding
- 1051-2221002 / The Talent Fund of China Agricultural University Veterinary Teaching Hospital (Beijing Zhongnongda Veterinary Hospital Co., Ltd.)
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