Characteristics of clients and animals served by high-volume, stationary, nonprofit spay-neuter clinics.

OBJECTIVE To characterize the clients served by and the cats and dogs admitted to nonprofit spay-neuter clinics. DESIGN Cross-sectional survey. SAMPLE 2,154 dogs and 1,902 cats that were owned by 3,768 survey respondents and admitted to 22 nonprofit spay-neuter clinics across the United States between April 29, 2013, and January 24, 2014. PROCEDURES Participating clinics distributed surveys to clients during each of 4 quarterly study weeks. The survey collected descriptive information about clients' pets and households as well as their decision-making regarding sterilization of their pets. For each of the study weeks, clinics reported the total number of surgeries, including those involving shelter animals, feral cats, and other owned animals. RESULTS Respondents indicated that 49% of dogs and 77% of cats had not been examined previously by a veterinarian, except during vaccine clinics. Among animals ≥ 4 months of age, 1,144 of 1,416 (81%) cats and 572 of 1,794 (32%) dogs had not received a rabies vaccination. Previous litters were reported for 204 of 716 (28%) queens and 153 of 904 (17%) bitches. Most clients' (53%) household income was < $30,000 annually. Common reasons for clinic choice included cost; friend, neighbor, or family recommendation; and good reputation. CONCLUSIONS AND CLINICAL RELEVANCE Nonprofit spay-neuter clinics predominantly served low-income clients and animals lacking regular veterinary care, in addition to animals from shelters and community cats. These clinics increase access to services needed for animal population control and public health.

The Association of Shelter Veterinarians' 2016 Veterinary Medical Care Guidelines for Spay-Neuter Programs.

As community efforts to reduce the overpopulation and euthanasia of unwanted and unowned cats and dogs have increased, many veterinarians have increasingly focused their clinical efforts on the provision of spay-neuter services. Because of the wide range of geographic and demographic needs, a wide variety of spay-neuter programs have been developed to increase delivery of services to targeted populations of animals, including stationary and mobile clinics, MASH-style operations, shelter services, community cat programs, and services provided through private practitioners. In an effort to promote consistent, high-quality care across the broad range of these programs, the Association of Shelter Veterinarians convened a task force of veterinarians to develop veterinary medical care guidelines for spay-neuter programs. These guidelines consist of recommendations for general patient care and clinical procedures, preoperative care, anesthetic management, surgical procedures, postoperative care, and operations management. They were based on current principles of anesthesiology, critical care medicine, infection control, and surgical practice, as determined from published evidence and expert opinion. They represent acceptable practices that are attainable in spay-neuter programs regardless of location, facility, or type of program. The Association of Shelter Veterinarians envisions that these guidelines will be used by the profession to maintain consistent veterinary medical care in all settings where spay-neuter services are provided and to promote these services as a means of reducing sheltering and euthanasia of cats and dogs.

Prevalence and Risk Factors Associated with Musculoskeletal Discomfort in Spay and Neuter Veterinarians.

A cross-sectional study to investigate musculoskeletal discomfort (MSD) surveyed 219 veterinarians who currently or previously perform spays and neuters at least 4 hours per week. Participants were asked about the presence and severity of hand and body MSD during the previous month, whether MSD interfered with work or daily activities, whether they attributed their MSD to their spay/neuter work, and whether MSD had ever necessitated absence from work. The period prevalence of MSD was 99.1%, with 76.7% experiencing hand or wrist pain and 98.2% experiencing body pain. Hand discomfort was most commonly reported in the right thumb and/or thumb base (49.8%) and the right wrist (37.9%). Body discomfort was most commonly reported in the lower back (76.7%), shoulders (72.6%), and neck (71.7%). Increasing career length, increasing weekly hours in surgery and decreasing job satisfaction were the work-related factors with the greatest relative contribution accounting for variation in hand pain severity and total pain. Although 94.4% of respondents felt that posture during surgery is important, only 30.6% had received any instruction in posture and positioning for surgery. Future interventions should aim to optimize surgical efficiency, surgeon work schedules, and working environment. Analysis and intervention studies are required to determine further causes of MSD in these veterinarians and develop interventions to prevent MSD.

Impact of publicly sponsored neutering programs on animal population dynamics at animal shelters: the New Hampshire and Austin experiences.

This study found that government-funded surgical sterilization of companion animals has been widely promoted as a means of decreasing shelter intake and euthanasia. However, little information is available about the true impact of these programs on community and shelter nonhuman animal population dynamics. This study estimated the impact of the Animal Population Control Program in New Hampshire by comparing shelter intake and euthanasia data before and after the onset of the neutering initiative. Regression analysis demonstrated a significant decrease in cat intake and euthanasia during the years after program onset, a trend that appears to begin prior to the program's initiation; however, there was no decrease in dog intake or euthanasia. This study also estimated the impact of the Austin-based EmanciPET Free Spay/Neuter Program by comparing shelter intake and euthanasia data from the targeted program areas versus nonprogram areas within the city. Regression analysis demonstrated a significantly lower rate of increase for dog and cat intake and euthanasia in the program areas. Prospective studies should determine the effectiveness and affordability of different models for funding and delivering neutering services.

The Association of Shelter Veterinarians veterinary medical care guidelines for spay-neuter programs.

As efforts to reduce the overpopulation and euthanasia of unwanted and unowned dogs and cats have increased, greater attention has been focused on spay-neuter programs throughout the United States. Because of the wide range of geographic and demographic needs, a wide variety of programs have been developed to increase delivery of spay-neuter services to targeted populations of animals, including stationary and mobile clinics, MASH-style operations, shelter services, feral cat programs, and services provided through private practitioners. In an effort to ensure a consistent level of care, the Association of Shelter Veterinarians convened a task force of veterinarians to develop veterinary medical care guidelines for spay-neuter programs. The guidelines consist of recommendations for preoperative care (eg, patient transport and housing, patient selection, client communication, record keeping, and medical considerations), anesthetic management (eg, equipment, monitoring, perioperative considerations, anesthetic protocols, and emergency preparedness), surgical care (eg, operating-area environment; surgical-pack preparation; patient preparation; surgeon preparation; surgical procedures for pediatric, juvenile, and adult patients; and identification of neutered animals), and postoperative care (eg, analgesia, recovery, and release). These guidelines are based on current principles of anesthesiology, critical care medicine, microbiology, and surgical practice, as determined from published evidence and expert opinion. They represent acceptable practices that are attainable in spay-neuter programs.