Risk factors, predictive diagnosticsĪ Feb. Vaden offered recommendations for controlling aspects of nutrition, proteinuria, hypertension, anemia, metabolic acidosis, renal secondary mineral disorders, hypokalemia, and gastrointestinal signs ( see sidebar). So again, trying to look at those as a mosaic and trying to see what we need to address, what we can address to make an animal feel better.”ĭr. And some of these problems are interrelated. “Rather than one-size-fits-all, I try to identify which problems are present and then address those. “When I look at the management of chronic kidney disease, I look at it as a mosaic,” Dr. Vaden characterizes and treats the many complications of chronic kidney disease. Vaden starts evaluating and managing factors inherently associated with progression. For a cat in late stage 2 or stage 3, Dr. Vaden said.įor a cat in stage 1 or early stage 2, it is important to identify and treat any underlying primary renal disease, if the veterinarian is able to identify a disease that is treatable. “The staging becomes important because it’s a way to communicate where we are diagnostically, where we are therapeutically, where the animal is in regards to expected progression and symptomatology,” Dr. The staging system also offers substaging on the basis of severity of proteinuria and hypertension. The IRIS stages, from 1-4, are based on serum creatinine and SDMA concentrations, the latter added recently. Jessica Quimby, an associate professor of small animal internal medicine at The Ohio State University College of Veterinary Medicine, who studies CKD in cats. (Photos courtesy of Antech Diagnostics) Sophie lived to be 19 before dying of chronic kidney disease. RenalTech, a new predictive diagnostic tool from Antech Diagnostics based on artificial intelligence, predicted that Billy (above right), a neutered 12-year-old male cat, would develop chronic kidney disease in the next two years, and predicted that Amber (above left), a spayed 7-year-old female cat, would not. The next step is staging according to the system from the International Renal Interest Society. “When we look at that and we’re talking about treating some of these cats for three years or more, we really need to be very thoughtful in what we do and use an evidence-based approach to our treatment and diagnostics,” she said.Ĭhronic kidney disease is usually diagnosed via imaging or by finding persistent azotemia or an increase in serum symmetric dimethylarginine concentration. The recent advances in diagnostics and medical management mean veterinarians can now be treating some cats for extended periods. Vaden said about 2%-20% of all cats and 30% of cats over the age of 10 have chronic kidney disease. Jessica Quimby, an associate professor of small animal internal medicine at The Ohio State University College of Veterinary Medicine, spoke about trying to develop a deeper understanding of CKD in cats while still improving on practical aspects of treatment.ĭr. Another convention presentation focused on RenalTech, a new tool from Antech Diagnostics that uses artificial intelligence to predict which cats will develop chronic kidney disease in the next two years.ĭuring an October 2020 webinar from Morris Animal Foundation, Dr. Vaden was speaking during the New Therapeutic Approaches to Chronic Care Symposium at the AVMA Virtual Convention 2020 this past August. “We’ve also made many improvements in medical management.”ĭr. Vaden, a professor of internal medicine at North Carolina State University College of Veterinary Medicine. “It’s been a very exciting time over the last decade or so in that we’ve really enhanced our abilities to diagnose and detect chronic kidney disease,” said Dr. American Veterinary Medical Foundation (AVMF)Ĭats with chronic kidney disease can now live longer, better lives than ever before.American Journal of Veterinary Research (AJVR).Journal of the American Veterinary Medical Association (JAVMA).AVMA Center for Veterinary Education Accreditation.AVMA Congressional Advocacy Network (CAN). Donate to American Veterinary Medical Foundation (AVMF).
0 Comments
Leave a Reply. |
Details
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |