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Efficacy of thermal cautery for intermittent dorsal displacement of the soft palate as compared to conservatively treated horses: results from 78 treadmill diagnosed horses.
Equine Vet J. 2009 Jan; 41(1):65-9.EV

Abstract

REASONS FOR PERFORMING STUDY

Previously, objective comparisons of surgical procedures to relieve dorsal displacement of the soft palate (DDSP) have been limited by the presumptive basis of the diagnostic measures applied.

OBJECTIVES

To assess and compare the efficacy of thermal cautery surgery to conservatively treated controls in racehorses definitively diagnosed with idiopathic intermittent DDSP.

HYPOTHESIS

Both conservative and surgical treatments have a beneficial result on racing performance in racehorses affected with DDSP.

METHODS

Race records were obtained for Thoroughbred racehorses definitively diagnosed with DDSP using high-speed treadmill endoscopy. Racing performance was assessed based on prize money won.

RESULTS

Forty-eight horses that underwent thermal cautery and 30 conservatively treated controls were included. Pretreatment earnings significantly decreased in the race immediately prior to diagnosis. A high proportion of previously raced horses returned to racing after both treatments (90-96%). Intrahorse comparison of earnings in 3 races pre- vs. post treatment showed that 53% of conservatively treated horses and 36% of the thermal cautery group had improved performance. Although the difference between these 2 groups may be interpreted as being clinically significant, it was not statistically significant.

CONCLUSIONS AND POTENTIAL RELEVANCE

A higher percentage of conservatively treated controls had improved individual performance compared to horses treated with thermal cautery. Thermal cautery appears less effective than other previously published surgical treatments for DDSP. Comparison of the 2 treatment methods should be interpreted cautiously because treatments were not randomised, resulting in baseline variability between groups.

Authors+Show Affiliations

Royal (Dick) School of Veterinary Studies, University of Edinburgh, Easter Bush Veterinary Centre, Easter Bush, Roslin, Midlothian EH25 9RG, UK.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19301584

Citation

Barakzai, S Z., et al. "Efficacy of Thermal Cautery for Intermittent Dorsal Displacement of the Soft Palate as Compared to Conservatively Treated Horses: Results From 78 Treadmill Diagnosed Horses." Equine Veterinary Journal, vol. 41, no. 1, 2009, pp. 65-9.
Barakzai SZ, Boden LA, Hillyer MH, et al. Efficacy of thermal cautery for intermittent dorsal displacement of the soft palate as compared to conservatively treated horses: results from 78 treadmill diagnosed horses. Equine Vet J. 2009;41(1):65-9.
Barakzai, S. Z., Boden, L. A., Hillyer, M. H., Marlin, D. J., & Dixon, P. M. (2009). Efficacy of thermal cautery for intermittent dorsal displacement of the soft palate as compared to conservatively treated horses: results from 78 treadmill diagnosed horses. Equine Veterinary Journal, 41(1), 65-9.
Barakzai SZ, et al. Efficacy of Thermal Cautery for Intermittent Dorsal Displacement of the Soft Palate as Compared to Conservatively Treated Horses: Results From 78 Treadmill Diagnosed Horses. Equine Vet J. 2009;41(1):65-9. PubMed PMID: 19301584.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Efficacy of thermal cautery for intermittent dorsal displacement of the soft palate as compared to conservatively treated horses: results from 78 treadmill diagnosed horses. AU - Barakzai,S Z, AU - Boden,L A, AU - Hillyer,M H, AU - Marlin,D J, AU - Dixon,P M, PY - 2009/3/24/entrez PY - 2009/3/24/pubmed PY - 2009/5/7/medline SP - 65 EP - 9 JF - Equine veterinary journal JO - Equine Vet J VL - 41 IS - 1 N2 - REASONS FOR PERFORMING STUDY: Previously, objective comparisons of surgical procedures to relieve dorsal displacement of the soft palate (DDSP) have been limited by the presumptive basis of the diagnostic measures applied. OBJECTIVES: To assess and compare the efficacy of thermal cautery surgery to conservatively treated controls in racehorses definitively diagnosed with idiopathic intermittent DDSP. HYPOTHESIS: Both conservative and surgical treatments have a beneficial result on racing performance in racehorses affected with DDSP. METHODS: Race records were obtained for Thoroughbred racehorses definitively diagnosed with DDSP using high-speed treadmill endoscopy. Racing performance was assessed based on prize money won. RESULTS: Forty-eight horses that underwent thermal cautery and 30 conservatively treated controls were included. Pretreatment earnings significantly decreased in the race immediately prior to diagnosis. A high proportion of previously raced horses returned to racing after both treatments (90-96%). Intrahorse comparison of earnings in 3 races pre- vs. post treatment showed that 53% of conservatively treated horses and 36% of the thermal cautery group had improved performance. Although the difference between these 2 groups may be interpreted as being clinically significant, it was not statistically significant. CONCLUSIONS AND POTENTIAL RELEVANCE: A higher percentage of conservatively treated controls had improved individual performance compared to horses treated with thermal cautery. Thermal cautery appears less effective than other previously published surgical treatments for DDSP. Comparison of the 2 treatment methods should be interpreted cautiously because treatments were not randomised, resulting in baseline variability between groups. SN - 0425-1644 UR - https://www.unboundmedicine.com/medline/citation/19301584/Efficacy_of_thermal_cautery_for_intermittent_dorsal_displacement_of_the_soft_palate_as_compared_to_conservatively_treated_horses:_results_from_78_treadmill_diagnosed_horses_ L2 - https://doi.org/10.2746/042516408x330383 DB - PRIME DP - Unbound Medicine ER -