{"id":9147,"date":"2020-10-23T07:25:06","date_gmt":"2020-10-23T14:25:06","guid":{"rendered":"https:\/\/todaysveterinarybusiness.com\/?p=9147"},"modified":"2022-06-15T17:46:37","modified_gmt":"2022-06-15T17:46:37","slug":"innovations-to-watch-in-veterinary-medicine","status":"publish","type":"post","link":"https:\/\/navc.sitepreview.app\/todaysveterinarybusiness.com\/innovations-to-watch-in-veterinary-medicine\/","title":{"rendered":"Innovations to Watch in Veterinary Medicine"},"content":{"rendered":"

Sixty-seven percent of U.S. households, or about 85 million families, own a pet, according to the 2019-2020 National Pet Owners Survey conducted by the American Pet Products Association (APPA, <\/span>americanpetproducts.org<\/span><\/a>). With the increasing number of pet owners, the demand for quality veterinary services is also experiencing strong growth. Keeping up to date on the latest trends, breakthrough innovations and extraordinary advances<\/a> that are transforming veterinary medicine can help you not only provide the best care for your patients but can also improve your practice\u2019s bottom line. Here are the trends to watch in 2021 and beyond.<\/span><\/p>\n

The Impact of Big Data<\/h3>\n

Big data analytics are used to understand health risks and minimize the impact of adverse animal health issues.<\/span><\/p>\n

\u201cArtificial intelligence and other digital tools won\u2019t replace a veterinarian,\u201d says Aaron Massecar, assistant director of Colorado State University\u2019s Translational Medicine Institute (<\/span>tmi.colostate.edu<\/span><\/a>), \u201cbut they will replace a practitioner who doesn\u2019t use them.\u201d<\/span><\/p>\n

In \u201cThe Not-Too-Distant Future<\/a>,\u201d a June 2019 article published in Today\u2019s Veterinary Business, Massecar noted, \u201cWe are awash in unstructured data. Everything from text, images, multimedia, and sensors and devices provide data in new, interesting ways, but the data has little structure. There is no meaning. These isolated moments pass through our virtual space, only to disappear into the digital ether.\u201d <\/span><\/p>\n

Today, information and data are being organized into actionable recommendations. In the clinic, for example, veterinarians can use electronic health record systems to monitor not only individual patients but also to uncover epidemiological trends within the data.<\/span><\/p>\n

The Explosion of Wearable Medical Devices<\/h3>\n

The use of wearable medical devices \u2014 GPS trackers, radio-frequency identification sensors, motion sensors, accelerometer sensors, Bluetooth, cameras, antennas and transmitters \u2014 shows no sign of slowing down as both pet owners and veterinarians embrace the technology they offer. These devices are not new, but due to their role in gathering significant amounts of data, they are having a profound impact on veterinary medicine. <\/span><\/p>\n

Initially, these devices were basic GPS or single-activity trackers. \u201cIf you look at some of the early companies on the market, they were trying to solve a really basic problem \u2014 lost dogs,\u201d says Massecar. <\/span><\/p>\n

But then these devices evolved to include activity tracking capabilities. Eventually, some companies began developing \u201csmart\u201d collars that incorporated sensors to continuously monitor dogs or cats for vital health and behavior attributes \u2014 body temperature, heart rate, respiration rate, pH levels and activity levels. <\/span><\/p>\n

\u201cThe activity trackers moved away from this really basic, not well-defined tool in terms of diagnostics into the big data area,\u201d says Massecar. \u201cAnd once it jumped into the big data area, they could run their analytics on it and look at thousands of users simultaneously.\u201d<\/span><\/p>\n

The Future of Biomarker Tools<\/h3>\n

Another area where big data is making its impact felt is in the development of predictive biomarker tools that make it possible for clinicians to intervene earlier to manage disease in dogs and cats. <\/span><\/p>\n

These tools differ from diagnostic biomarkers, says Massecar. \u201c[With diagnostic biomarkers], you can, at an earlier stage in the life cycle of the disease or pathology, identify things that are going to happen in the future and that\u2019s the most important benefit,\u201d says Massecar. \u201cIn six months, there\u2019s going to be \u2018x\u2019 problem, and we have the biomarkers that have given us an indication of this, so let\u2019s start doing something about it, let\u2019s start treating it, let\u2019s start engaging in preventive care so that the acute onset is not going to be as traumatic.\u201d <\/span><\/p>\n

Predictive biomarkers can be used to intervene even earlier because they show the probability of disease onset. One example was RenalTech (<\/span>antechdiagnostics.com<\/span><\/a>), developed by Waltham Petcare Science Institute, a Mars Petcare company located in the U.K. Researchers evaluated 20 years of data from 150,000 cats treated at Banfield Pet Hospital locations and looked at 35 possible parameters, such as age, sex, breed, signalment and various lab values. In the end, the researchers identified six laboratory parameters that appeared to be the most important for identifying cats at high risk of chronic kidney disease (CKD) development. <\/span><\/p>\n

\u201cTraditionally, the cat is diagnosed when the owner notices their cat isn\u2019t doing well and takes it to the veterinarian,\u201d says Kay O\u2019Donnell, vice president of Waltham Petcare Science Institute (<\/span>waltham.com<\/span><\/a>). \u201cBy the time [CKD] has become noticeable, the cat is in trouble. Between 40% and 70% of kidney function can be lost. The advantage to RenalTech is that you can pick it up much earlier.<\/span><\/p>\n

\u201cWe are on the edge of something quite remarkable that will increase the quality of life for the pets that we serve,\u201d she says. <\/span><\/p>\n

The key is having the data and being able to connect and integrate that data. \u201cWhat can we understand about early disease identification? My prediction is that we will see more tools developed that will assess the risk of disease development,\u201d says O\u2019Donnell. \u201cWe will be able to intervene earlier and have the chance to change the outcome for our patients.\u201d<\/span><\/p>\n

Can DNA Tests Help Animals?<\/h3>\n

DNA tests are yet another game-changing category that has seen explosive growth recently. Along with revealing breed type, these tests reveal genetic predisposition to certain diseases, such as polycystic kidney disease, dilated cardiomyopathy in dogs and hypertrophic cardiomyopathy in cats.<\/span><\/p>\n

\u201cThere is much more information available for clients to learn about their pet beyond just learning the breed makeup,\u201d says Travis Arndt, director of the Animal Medical Center of Mid-America (<\/span>amcma.org<\/span><\/a>). \u201cAnd though most early versions tested for one condition only, newer genetic tests allow for multiple genetic conditions to be tested at one time, with a single blood draw.\u201d <\/span><\/p>\n

A number of tests can be run by the lab, including full genetic attribute profiles that test for multiple medical conditions and traits and individual genetic tests for when there is a concern about a specific, single medical issue.<\/span><\/p>\n

Armed with the knowledge that a dog or cat may be more likely to have certain conditions or diseases, the veterinarian can create a customized health plan. \u201cConditions such as lens luxation, degenerative myelopathy and metabolic diseases would benefit from early diagnosis and intervention,\u201d says Arndt. \u201cAnd people seem to be willing to pay for that.\u201d<\/span><\/p>\n

Is Virtual Care the Wave of the Future?<\/h3>\n

In the NAVC\u2019s 2019 Voice of the Veterinary Community Survey<\/a>, pet owners were asked: \u201cIf your veterinarian offered telemedicine, would that increase the number of visits to the vet?\u201d Of the 501 pet owners who responded, just over half \u2014 56% \u2014 said yes, but only 37% of the 608 veterinary professional respondents said telemedicine was something they\u2019d offer. <\/span><\/p>\n

Veterinarians may be missing an opportunity by not offering clients the convenience of telemedicine through digital applications. <\/span><\/p>\n

\u201cIn 1900, if you asked people what they wanted for transportation, they would just say \u2018a faster horse,\u2019\u201d says Massecar. \u201cThey had no idea that the automobile was right around the corner. And so people don\u2019t necessarily see the capabilities before they start using [something like telemedicine]. What people are actually doing, by the thousands if not hundreds of thousands, are asking really basic questions \u2014 derm conditions, behavior, vomiting, urination. They might be able to go to petmd.com for those answers, but they\u2019d much rather interact with a human.\u201d<\/span><\/p>\n

Telemedicine and telehealth tools can help alleviate some of these client issues, such as scheduling problems and pet anxiety. <\/span><\/p>\n

\u201cThe two main barriers people have for accessing health care are cost and convenience,\u201d says Massecar. \u201cAnd anything that can help reduce those barriers is going to provide access for more animals.\u201d<\/span><\/p>\n

Massecar says offering telehealth tools impacts the clinic\u2019s bottom line, too. \u201cPeople are getting the answers to really basic questions, but when they do need to bring their pet to a veterinarian, they\u2019re way more likely to go in because someone has just told them they need to come in,\u201d he says. \u201cAnd they spend about 25% more than the average client.\u201d<\/span><\/p>\n

3D Printing Shows Promise<\/h3>\n

Advances in three-dimensional (3D) printing to make orthotics and prosthetics aid in surgical reconstruction and create practice models offer exciting possibilities for the veterinary profession. It\u2019s a time-consuming, meticulous process, but once a file is created, infinite copies can be printed.<\/span><\/p>\n

\u201cIt is really incredible the different functions it can serve \u2014 everything from anatomic teaching, model and simulations and even clinical case preparation,\u201d says Mike Karlin, DVM, MS, DACVS-Large Animal, DACVS-Small Animal, assistant professor and veterinary orthopedic surgeon, at the Cummings School of Veterinary Medicine, Tufts University (<\/span>vet.tufts.edu<\/span><\/a>). <\/span><\/p>\n

The Future Looks Bright<\/h3>\n

Exciting advances and developments in veterinary medicine and animal health offer promising solutions that emphasize a customized, patient-centered approach \u2014 and opportunities for growth for practitioners.<\/span><\/p>\n

\n

The Value of Fear Free<\/span><\/h2>\n

You reap benefits when patients are treated with a little TLC<\/h3>\n

While the intangible benefits of a Fear Free veterinary practice (fearfreepets.com<\/a>) are often inherently clear \u2014 calmer patients and less stressed-out team members \u2014 the rewards don\u2019t stop there, say the proponents of this movement that has swept the profession in the last 10 years. Some of the advantages are more subtle.<\/p>\n

For example, veterinary practices receive a 20% discount on their workers\u2019 compensation insurance with one major provider if they have three or more certified individuals on staff, says Marty Becker, DVM, who founded the Fear Free movement and practices in northern Idaho. The reason? Fewer injuries happen in these clinics.<\/p>\n

Also, pet owners are more likely to finish vaccination series, bring their pets in for progress exams, and bring their cats to the clinic for any type of care if a practice is Fear Free, according to a recent report titled \u201cThe Positive Impact of Fear Free Certification in Veterinary Practices.\u201d<\/p>\n

\u201cConsider all the times a pet is brought to the vet and the pet freaks out so much that the client just wants to get out and go home,\u201d says Louise Dunn, the report\u2019s author and CEO of Snowgoose Veterinary Management Consulting (snowgoosevet.com<\/span><\/a>) in Pfafftown, North Carolina.<\/p>\n

Now consider the calm pet and the calm client, Dunn continues. This client is able to focus on what is being said and engage in dialogue with the veterinary team. This client is more likely to approve recommendations \u2014 be it a toenail trim or lab work.<\/p>\n

\u00a0A common objection Dr. Becker hears is that Fear Free takes too much time and costs too much money. He counters that, based on his organization\u2019s research, it takes just 29 seconds longer to do an exam using Fear Free methodology. \u201cPlus the exam time is better because there\u2019s no rugby scrum, no rodeo, no judo throw,\u201d he says. \u201cAnd the cost is 50\u00a0cents to $1 per exam, based on the quality of treats you use.\u201d<\/p>\n

It all comes down to prioritizing an animal\u2019s emotional well-being as highly as its physical health. \u201cWhen you focus on emotional well-being by doing Fear Free, a lot of dogs end up dragging their owners into the hospital, and cats are at least neutral,\u201d Dr.\u00a0Becker says. \u201cCan you imagine that pet parent when they talk about having to drag their dog out of the vet because it wanted to stay? You\u2019re meeting their needs on an emotional level \u2014 on a deep soul level.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"

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