The RVC has published the results of a new study investigating the risk factors for the euthanasia of dogs. 

The study analysed information from a random sample of 29,865 dogs that died over a one-year period, taken from a study population of 905,544 dogs from 626 clinics in the VetCompass database.

From the sample, 26,676 (91.5%) of deaths recorded in practice involved euthanasia and 2,487 (8.5%) of deaths were unassisted. However, it is unknown how many dogs die unassisted and unreported to a practice.

Perhaps unsurprisingly, the findings indicated that certain types of diseases and conditions were more likely to lead to death by euthanasia than unassisted death.

• 19.6% of dogs with neoplasia or a mass were euthanised, compared to 8.6% that died unassisted. 
• 7.3% of dogs with a behaviour disorder were euthanised, compared to 0.5% that died unassisted.
• 5.7% of dogs with a poor quality of life were euthanised, compared to 0.2% that died unassisted.

by contrast, 

• 19.7% of dogs with heart disease died unassisted, compared to 4.6% that were euthanised.
• 17% of dogs that suffered traumatic injury died unassisted, compared to 1.1% that were euthanised.
• 7.6% of dogs with upper respiratory tract disorder died unassisted, compared to 3.7% that were euthanised.

Larger bodyweights, increasing age and certain breeds of dog were also additional risk factors for euthanasia. Rottweilers were more likely to die by euthanasia compared to Labrador Retrievers as the standard baseline breed. In contrast, breeds such as Bulldogs, Pugs and West Highland White Terriers were more likely to have unassisted deaths, and these deaths were more likely caused by traumatic injury, foreign body and heart disease. 

Additional findings from the study included:

• The average age at death of euthanased dogs (12.1 years) was older than the average age of dogs that died unassisted (9.9 years).
• Increasing age at death (years) was associated with increased risk of euthanasia relative to unassisted death, with dogs aged ≥ 15 years showing 5.9 times the risk of euthanasia compared with dogs aged < 6 years.
• Bodyweight (kg) was associated with euthanasia, with dogs weighing 20 to < 30kg at 1.24 times the risk of euthanasia compared with dogs < 10 k

Camilla Pegram, VetCompass Epidemiologist at the RVC, and author of the paper, said: “End-of-life discussions between veterinarians and owners can be particularly difficult for both parties. This study provides benchmark data for the relative proportion of deaths that involve euthanasia and for the relative impact from demographics and disorders on euthanasia decision-making. Owners and veterinary professionals may find it easier to discuss end-of-life options, to reach a final decision and be comfortable with these decisions based on a feeling of broader support from the reported actions of others in similar situations.”

Dr Dan O’Neill, Senior Lecturer, Companion Animal Epidemiology, at the RVC, and co-author of the paper, said: "The decision for many animal owners to put a beloved dog to sleep is often the hardest decision of their life. The moment of euthanasia often lives with owners forever. Hopefully, the information from this study can at least help some owners come to terms with the responsibility of helping their dog go with dignity. Understanding that over 90% of other owners also opted for euthanasia may help anyone struggling to make this final and hardest decision.”

Dr Carol Gray, Research Associate at the University of Liverpool and co-author of the paper, said: "Decision-making around euthanasia is shared between veterinarian and owner, although it is the owner who must give consent for euthanasia. Providing this final authorisation is potentially a burden for owners. This paper will help to ease that burden by allowing veterinarians to provide reassurance that they are not the only dog owners to make a decision for euthanasia in similar circumstances.”

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