Evaluation of Weight Change During Carboplatin Therapy in Dogs With Appendicular Osteosarcoma

J Vet Intern Med. 2017 Jul;31(4):1159-1162. doi: 10.1111/jvim.14724. Epub 2017 May 15.

Abstract

Background: The prevalence of cancer cachexia in veterinary medicine has not been studied widely, and as of yet, no definitive diagnostic criteria effectively assess this syndrome in veterinary patients.

Objectives: (1) To determine the patterns of weight change in dogs with appendicular osteosarcoma treated with amputation and single-agent carboplatin during the course of adjuvant chemotherapy; and (2) to determine whether postoperative weight change is a negative prognostic indicator for survival time in dogs with osteosarcoma.

Animals: Eighty-eight dogs diagnosed with appendicular osteosarcoma. Animals were accrued from 3 veterinary teaching hospitals.

Methods: Retrospective, multi-institutional study. Dogs diagnosed with appendicular osteosarcoma and treated with limb amputation followed by a minimum of 4 doses of single-agent carboplatin were included. Data analyzed in each patient included signalment, tumor site, preoperative serum alkaline phosphatase activity (ALP), and body weight (kg) at each carboplatin treatment.

Results: A slight increase in weight occurred over the course of chemotherapy, but this change was not statistically significant. Weight change did not have a significant effect on survival. Institution, patient sex, and serum ALP activity did not have a significant effect on survival.

Conclusions and clinical importance: Weight change was not a prognostic factor in these dogs, and weight loss alone may not be a suitable method of determining cancer cachexia in dogs with appendicular osteosarcoma.

Keywords: Cachexia; Canine; Chemotherapy; Oncology.

Publication types

  • Multicenter Study

MeSH terms

  • Alkaline Phosphatase / blood
  • Amputation, Surgical / veterinary
  • Animals
  • Antineoplastic Agents / adverse effects
  • Antineoplastic Agents / therapeutic use*
  • Body Weight / drug effects
  • Bone Neoplasms / drug therapy
  • Bone Neoplasms / mortality
  • Bone Neoplasms / veterinary*
  • Carboplatin / adverse effects
  • Carboplatin / therapeutic use*
  • Dog Diseases / drug therapy*
  • Dog Diseases / mortality
  • Dogs
  • Extremities / surgery
  • Female
  • Male
  • Osteosarcoma / drug therapy
  • Osteosarcoma / mortality
  • Osteosarcoma / veterinary*
  • Retrospective Studies

Substances

  • Antineoplastic Agents
  • Carboplatin
  • Alkaline Phosphatase