Publications by authors named "Camilla Pegram"

There is growing evidence supporting clinically important associations between age at neutering in bitches and subsequent urinary incontinence (UI), although much of this evidence to date is considered weak. Target trial emulation is an innovative approach in causal inference that has gained substantial attention in recent years, aiming to simulate a hypothetical randomised controlled trial by leveraging observational data. Using anonymised veterinary clinical data from the VetCompass Programme, this study applied the target trial emulation framework to determine whether later-age neutering (≥ 7 to ≤ 18 months) causes decreased odds of early-onset UI (diagnosed < 8.

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Article Synopsis
  • The study uses target trial emulation to analyze veterinary data, focusing on the effects of surgical versus non-surgical management for cranial cruciate ligament (CCL) rupture in dogs.
  • It involved dogs aged 1.5 to 12 years diagnosed with unilateral CCL rupture in 2019, utilizing a framework to account for various factors that could influence outcomes, like age and comorbidities.
  • Results showed that surgical management significantly reduced short-term lameness by 25.7% compared to non-surgical treatments, providing insights into better treatment options for this condition.
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Problem behaviours are a leading cause of relinquishment and euthanasia of young dogs. Previous research has identified associations between owner-reported problem behaviours and risk factors, including how dogs were acquired as puppies, early socialisation experiences, and owners' experience levels. Puppies acquired during the 2020 phase of the UK COVID-19 pandemic ("Pandemic Puppies") were more likely to be exposed to many of these risk factors compared to puppies acquired in 2019; however, consequences for their adult behaviour are, as yet, unexplored.

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Target trial emulation applies design principles from randomised controlled trials to the analysis of observational data for causal inference and is increasingly used within human epidemiology. Veterinary electronic clinical records represent a potentially valuable source of information to estimate real-world causal effects for companion animal species. This study employed the target trial framework to evaluate the usefulness on veterinary observational data.

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Article Synopsis
  • The COVID-19 pandemic sparked a significant increase in puppy purchases in the UK, known as the "Pandemic Puppy" phenomenon, but this surge often compromised canine welfare due to changes in buying practices.
  • Research comparing puppy purchase behaviors from 2019 to 2020 and into 2021 found that while many pandemic-related changes reverted to pre-pandemic norms, some, like video pre-purchase viewings and off-site puppy collection, persisted.
  • There was also a notable rise in puppies sold with passports, with over 10% of 2021 puppies having them, a significant increase since 2019, raising concerns about the legal age for import and the need for increased awareness and regulatory measures.
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Objectives: The objectives of this study were to generate a robust evidence base on the prevalence of common disorders in cats and develop a deeper understanding of disorder associations with sex and age that could offer important opportunities for targeted veterinary care to improve feline health and welfare.

Methods: A random sample of 18,249 cats was obtained from 1,255,130 cats under primary care during 2019 within VetCompass, an epidemiological research programme based on anonymised primary care veterinary clinical records. All disorders recorded during 2019 were extracted and reported, and associations with sex and age were examined.

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Background: In spring 2021 increasing numbers of cats presenting with severe pancytopenia were noted in United Kingdom (UK).

Objective: To describe process and outcome of the investigation performed into the outbreak of pancytopenia in cats.

Animals: Five hundred and eighty client owned cats that presented with severe bi- or pancytopenia of unknown cause.

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Background: Hypothyroidism is a commonly diagnosed endocrinopathy in dogs. This study aimed to investigate the frequency and risk factors for diagnosis of hypothyroidism in UK primary-care practice. Dogs diagnosed with hypothyroidism were identified by searching electronic patient records of primary-care practices participating in VetCompass.

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Skin fold dermatitis (intertrigo) is an inflammatory process of closely apposing skin surfaces. Extreme conformations towards folded skin in many dog breeds are linked with higher risk. Using anonymised primary-care veterinary data from the VetCompass Programme, this study aimed to report the frequency, demographic risk factors and clinical management for skin fold dermatitis in the UK.

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Background: The English Bulldog has risen sharply in popularity over the past decade but its distinctive and extreme conformation is linked to several serious health conditions. Using multivariable analysis of anonymised veterinary clinical data from the VetCompass Programme, this study compared the odds of common disorders between English Bulldogs and all remaining dogs in the UK during 2016.

Results: From 905,544 dogs under veterinary care during 2016, the analysis included a random sample of 2,662 English Bulldogs and 22,039 dogs that are not English Bulldogs.

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Background: Pugs are a brachycephalic dog breed that has become phenomenally popular over recent decades. However, there is growing concern about serious health and welfare issues in the breed. To augment the evidence-base on the comparative health of Pugs, this study aimed to compare the odds of common disorders between Pugs and all remaining dogs under primary veterinary care in the UK during 2016.

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Article Synopsis
  • A life table is a statistical tool that shows life expectancy and mortality data for specific ages in a population, used in this study to analyze UK companion dogs.
  • The research included data from 30,563 dogs that died between 2016 and 2020, revealing an overall life expectancy of 11.23 years, with female dogs living longer than males (11.41 vs. 11.07 years).
  • Breed-specific differences were significant, with Jack Russell Terriers having the longest life expectancy at 12.72 years and French Bulldogs having the shortest at 4.53 years, providing insights for better canine health and welfare.
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The UK recorded sharp rises in puppy purchasing during the 2020 phase of the COVID-19 pandemic, with many first-time dog owners purchasing puppies to improve their mental health during this challenging period. Government restrictions on movement and social interaction during the pandemic led to animal welfare concerns over puppies’ reduced time-sensitive exposures to key environmental and social stimuli during their critical developmental period. This study aimed to compare demographics, health and early-life experiences of puppies purchased and brought home < 16 weeks of age between 23 March−31 December 2020 (“Pandemic Puppies”), with dogs purchased and brought home < 16 weeks during the same date period in 2019 (“2019 puppies”).

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Background: Prolapsed nictitating membrane gland (PNMG) is the most common disorder of the third eyelid in dogs. However, the epidemiology of PNMG in the wider dog population remains understudied.

Methods: Using de-identified clinical data from the VetCompass Programme, this cohort study aimed to report the prevalence, demographic and breed-related risk factors of PNMG in dogs attending UK primary care veterinary practices in 2016.

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Undesirable behaviours (UBs) in dogs are common and important issues with serious potential welfare consequences for both the dogs and their owners. This study aimed to investigate the usage of drug therapy for UBs in dogs and assess demographic risk factors for drug-prescribed UBs within the dog population under primary-care veterinary care in the UK in 2013. Dogs receiving drug therapy for UB were identified through the retrospective analysis of anonymised electronic patient records in VetCompass™.

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Background: The French Bulldog is a highly popular dog breed but is linked with many serious health issues. A holistic view of breed health in French Bulldogs would assist efforts to appreciate the overall health strengths and weaknesses in the French Bulldog and to take appropriate steps to mitigate these. Based on random sampling of French Bulldogs and non-French Bulldogs under primary veterinary care during 2016 within the VetCompass Programme, a cohort study design was used to estimate the one-year (2016) period prevalence of the most commonly diagnosed disorders in each group.

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To evaluate the incidence and risk factors for aural haematoma in dogs under primary veterinary care in the UK. A cohort study design. Dogs diagnosed with aural haematoma during 2016 were identified from the VetCompass database.

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Widespread media reports suggest that unusually high numbers of the public purchased, or sought to purchase, puppies following the first 'lockdown' phase of the COVID-19 pandemic in the UK, dubbed "Pandemic Puppies". This study aimed to explore this phenomenon by comparing pre-purchase motivations and behaviours, and purchase behaviours of UK owners purchasing puppies aged < 16 weeks from 23 March 2020-31 December 2020 with those of owners who purchased puppies during the same date-period in 2019. An online survey was conducted during November-December 2020, from which 5517 valid responses were analysed (2019 puppies: = 1148; 2020 'Pandemic Puppies': = 4369).

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Background: Otitis externa is a commonly diagnosed disorder in dogs and can carry a high welfare impact on affected animals. This study aimed to report the prevalence and explore the role of breed and aural conformation as predisposing factors for canine otitis externa in the UK. The study used a cohort design of dogs under UK primary veterinary care at clinics participating in the VetCompass Programme during 2016.

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The Labrador Retriever is one of the most popular dog breeds worldwide, therefore it is important to have reliable evidence on the general health issues of the breed. Using anonymised veterinary clinical data from the VetCompass Programme, this study aimed to explore the relative risk to common disorders in the Labrador Retriever. The clinical records of a random sample of dogs were reviewed to extract the most definitive diagnoses for all disorders recorded during 2016.

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Article Synopsis
  • * Six specific disorders were identified with higher odds of resulting in euthanasia compared to unassisted death, including poor quality of life and undesirable behavior.
  • * Factors such as breed, larger body weight, and increased age also contributed to the likelihood of euthanasia, emphasizing the importance of these findings for both veterinarians and pet owners in preparing for end-of-life decisions.
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Background: Although dogs are a commonly owned companion animal in the UK, the species experiences many health problems that are predictable from demographic information. This study aimed to use anonymised veterinary clinical data from the VetCompass™ Programme to report the frequency of common disorders of dogs under primary veterinary care in the UK during 2016 and to explore effects associated with age, sex and neuter status.

Results: From an available population of 905,543 dogs under veterinary care at 886 veterinary clinics during 2016, the current study included a random sample of 22,333 (2.

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A prolonged length of stay (LOS) in a rehoming shelter can be detrimental to cat behaviour, health and welfare. Research shows LOS is impacted by animal signalment, behaviour and personality, whether or not previously owned or a stray, and considerations such as cage placement, cage design and the provision of enrichment. A retrospective study was undertaken at a charity organisation that rehomes surrendered and stray cats from three UK shelters.

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Lipomas are relatively common and biologically benign masses of mesenchymal origin consisting of adipocytes. This study reports benchmark data on the clinical management and outcomes of lipomas in dogs under UK primary veterinary care. The study used a cross-sectional analysis of cohort clinical data from dogs that were under veterinary care at practices participating within VetCompass from January 1, 2013 to December 31, 2013.

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Objective: To report the prevalence, configuration, risk factors, fixation methods and outcomes after repair of humeral condylar fractures (HCF) in dogs.

Study Design: Retrospective nested cohort study.

Sample Population: One hundred twelve dogs.

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