Systematic review and meta-analysis of non RCT's on health related quality of life after radical cystectomy using validated questionnaires: Better results with orthotopic neobladder versus ileal conduit.

PURPOSE: The current literature on the impact of different urinary diversions on patients' health related quality of life (HR-QoL) showed a marginally better quality of life scores of orthotopic neobladder (ONB) compared to ileal conduit (IC). The aim of this study was to update the review of all relevant published studies on the comparison between ONB and IC. MATERIALS AND METHODS: Studies were identified by searching multiple literature databases, including MEDLINE, CINAHL, the Cochrane Library, PubMed Data were synthesized using meta-analytic methods conformed to the PRISMA statement. RESULTS: The current meta-analysis was based on 18 papers that reported a HR-QoL comparison between IC and ONB using at least a validate questionnaire. Pooled effect sizes of combined QoL outcomes for IC versus ONB showed a slight, but not significant, better QoL in patients with ONB (Hedges' g = 0.150; p = 0.066). Patients with ileal ONB showed a significant better QoL than those with IC (Hedges' g = 0.278; p = 0.000); in case series with more than 65% males, ONB group showed a slight significant better QoL than IC (Hedges' g = 0.190; p = 0.024). Pooled effects sizes of all EORTC-QLQ-C30 aspects showed a significant better QoL in patients with ONB (Hedges' g = 0.400; p = 0.0000). CONCLUSIONS: This meta-analysis of not-randomized comparative studies on the impact of different types of urinary diversions on HR-QoL showed demonstrated a significant advantage of ileal ONB compared to IC in terms of HR-QoL.

Synthetic rubber surface as an alternative to concrete to improve welfare and performance of finishing beef cattle reared on fully slatted flooring.

The aim of this study was to compare a fully slatted concrete floor (concrete slatted (CS)) with the same floor on which synthetic rubber slats were placed on the concrete slats (rubber slatted (RS)) as housing solution for finishing beef cattle. The present study involved five commercial beef cattle farms in which the floor of at least three pens was kept as fully slatted, and in an equal number of pens a rubber cover was placed on the floor, tightly matching the gap profile of the concrete slats to allow the drainage of manure. A total of 326 finishing beef bulls were used (153 on CS and 173 on RS), and regardless of the floor treatment animals were housed in groups of 6 to 12 bulls/pen with a space allowance of 3.1 ± 0.2 m2/bull. Bulls had similar initial live weights (422.3 kg on CS and 425.0 kg on RS), but bulls on RS were heavier at the end of the finishing period with a higher average daily gain than bulls kept on CS (1.53 v. 1.46 kg/day; P<0.05). The proportion of bulls treated for locomotor problems was lower in RS pens compared with CS. Rubber covering prevented the occurrence of bursitis, but it increased the odds for hoof overgrowth at end of the finishing period. Hoof overgrowth detected in vivo in bulls on RS was confirmed at the slaughterhouse by the longer dorsal wall and diagonal lengths of the hoof as well as by a more acute toe angle. Compared with bulls on CS, bulls on RS showed less inactivity and resting time, increased social interactions, decreased abnormal lying down and unsuccessful attempts to lie down, as well as shortened the time for lying down. Bulls in RS pens were dirtier compared with those in CS pens, likely due to the draining gaps being reduced to 11.6 ± 1.2% of the total pen surface compared with the 16.9 ± 1.7% in CS pens. This study gave further evidence about the positive effects of the RS floor on growth performance and welfare of finishing beef cattle, although compromising cleanliness and hoof overgrowth.

Can novel methods be useful for pain assessment of castrated piglets?

Given that surgical castration is a painful practice performed on millions of pigs every year, a need to identify novel reliable pain assessment tools exists in order to test anaesthetic and analgesic protocols that may reduce related pain. Two treatments were considered: handling (H) and surgical castration (C). Physiological (cortisol, lactate, glycaemia, rectal and eye temperature) and behavioural variables (latency to move after treatment and alterations in posture and walking) were analysed. Cortisol showed the greatest level in C piglets within 20 min after the surgical procedure and a positive correlation with glucose concentration. Eye temperature was higher in C piglets, and the same difference was detected for rectal temperature 3 h after castration. Behavioural parameters revealed that C piglets had longer latency to move and a higher percentage of them showed alterations in posture and walking. Results of this study showed that, in castrated piglets behavioural and physiological alterations occur mainly in the first 3 h from treatment. Latency to move, alterations in posture and walking, and eye temperature appear to give additional and useful information in piglet pain assessment. However, differently from the behavioural parameters considered, eye temperature involves several manipulations of the animals and a long process to acquire the data.