The odds of neoplasia in dogs with and without diabetes mellitus

Abstract Background Increased risk of neoplasia in humans with diabetes mellitus (DM) is well documented. It is unknown if dogs with DM have increased risk of neoplasia. Objective Determine if dogs with DM have an overall increased risk of neoplasia and risk for specific forms of neoplasia compared...

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Main Authors: Sindumani A. Manoharan, Rebecka S. Hess
Format: Article
Language:English
Published: Wiley 2022-03-01
Series:Journal of Veterinary Internal Medicine
Subjects:
Online Access:https://doi.org/10.1111/jvim.16370
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author Sindumani A. Manoharan
Rebecka S. Hess
author_facet Sindumani A. Manoharan
Rebecka S. Hess
author_sort Sindumani A. Manoharan
collection DOAJ
description Abstract Background Increased risk of neoplasia in humans with diabetes mellitus (DM) is well documented. It is unknown if dogs with DM have increased risk of neoplasia. Objective Determine if dogs with DM have an overall increased risk of neoplasia and risk for specific forms of neoplasia compared to dogs without DM. Animals Seven hundred dogs with DM and 700 breed, age, and sex‐matched dogs without DM, examined during the same years. Methods Retrospective case‐control study. Odds ratios (OR), corresponding 95% confidence intervals (CI), and P‐values were calculated using conditional logistic regression to determine if dogs with DM had increased odds of developing neoplasia compared to dogs without DM. Results The overall odds of developing neoplasia were not significantly different in dogs with and without DM. However, dogs with DM had significantly higher odds of developing an adrenal mass (OR, 4; 95% CI, 1.1‐14.2; P = .03) compared to dogs without DM. The odds of developing a splenic mass in dogs with DM (OR, 1.2; 95% CI, 0.99‐1.39) were increased compared to dogs without DM, but this difference was not significant (P = .07). Conclusions and Clinical Importance Dogs with DM may be at increased risk for adrenal neoplasia. Awareness of this risk can facilitate early diagnosis of this life‐threatening comorbidity. Larger studies are needed to confirm these findings.
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spelling doaj.art-41191e1d1fd74bd9b021e1ad250ffab82022-12-21T21:19:10ZengWileyJournal of Veterinary Internal Medicine0891-66401939-16762022-03-0136272673210.1111/jvim.16370The odds of neoplasia in dogs with and without diabetes mellitusSindumani A. Manoharan0Rebecka S. Hess1Department of Clinical Sciences and Advanced Medicine School of Veterinary Medicine, University of Pennsylvania Philadelphia Pennsylvania USADepartment of Clinical Sciences and Advanced Medicine School of Veterinary Medicine, University of Pennsylvania Philadelphia Pennsylvania USAAbstract Background Increased risk of neoplasia in humans with diabetes mellitus (DM) is well documented. It is unknown if dogs with DM have increased risk of neoplasia. Objective Determine if dogs with DM have an overall increased risk of neoplasia and risk for specific forms of neoplasia compared to dogs without DM. Animals Seven hundred dogs with DM and 700 breed, age, and sex‐matched dogs without DM, examined during the same years. Methods Retrospective case‐control study. Odds ratios (OR), corresponding 95% confidence intervals (CI), and P‐values were calculated using conditional logistic regression to determine if dogs with DM had increased odds of developing neoplasia compared to dogs without DM. Results The overall odds of developing neoplasia were not significantly different in dogs with and without DM. However, dogs with DM had significantly higher odds of developing an adrenal mass (OR, 4; 95% CI, 1.1‐14.2; P = .03) compared to dogs without DM. The odds of developing a splenic mass in dogs with DM (OR, 1.2; 95% CI, 0.99‐1.39) were increased compared to dogs without DM, but this difference was not significant (P = .07). Conclusions and Clinical Importance Dogs with DM may be at increased risk for adrenal neoplasia. Awareness of this risk can facilitate early diagnosis of this life‐threatening comorbidity. Larger studies are needed to confirm these findings.https://doi.org/10.1111/jvim.16370adrenalcancercaninediabetichyperadrenocorticismtumor
spellingShingle Sindumani A. Manoharan
Rebecka S. Hess
The odds of neoplasia in dogs with and without diabetes mellitus
Journal of Veterinary Internal Medicine
adrenal
cancer
canine
diabetic
hyperadrenocorticism
tumor
title The odds of neoplasia in dogs with and without diabetes mellitus
title_full The odds of neoplasia in dogs with and without diabetes mellitus
title_fullStr The odds of neoplasia in dogs with and without diabetes mellitus
title_full_unstemmed The odds of neoplasia in dogs with and without diabetes mellitus
title_short The odds of neoplasia in dogs with and without diabetes mellitus
title_sort odds of neoplasia in dogs with and without diabetes mellitus
topic adrenal
cancer
canine
diabetic
hyperadrenocorticism
tumor
url https://doi.org/10.1111/jvim.16370
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