{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T17:08:49Z","timestamp":1788541729698,"version":"build-2803163510"},"reference-count":49,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T00:00:00Z","timestamp":1771459200000},"content-version":"vor","delay-in-days":171,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,9,14]],"date-time":"2025-09-14T00:00:00Z","timestamp":1757808000000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Chronic kidney disease (CKD) is a common sequela of ureteral obstruction, but many cats are non-azotemic after subcutaneous ureteral bypass (SUB) placement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Compare CKD progression rates after SUB placement with idiopathic CKD (iCKD), and explore variables associated with progression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Animals<\/jats:title>\n                    <jats:p>Seventy-one referred cats after SUB placement for ureteral obstruction and 89 primary care cats with iCKD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective observational longitudinal study. Baseline (3\u20136\u2009months after SUB or at CKD diagnosis for iCKD cases) clinicopathological data and CKD progression (\u2265\u200925% increase in creatinine concentration [Cr]) rates were compared between iCKD and SUB cats. Univariable logistic regression identified variables associated with SUB cat CKD progression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Baseline Cr was lower in the SUB group (SUB, 2.0\u2009mg\/dL; iCKD, 2.3\u2009mg\/dL; p\u2009=\u20090.01). For SUB cats with a \u2265\u200925% increase in Cr within 1\u2009year, 45% (9\/20) had SUB obstruction. Of the remaining 11 cats, 35% had a positive urine culture. Only SUB blockage was associated with CKD progression in SUB cats (odds ratio, 33.33; confidence interval [CI], 3.80\u2013292.60; p\u2009=\u20090.002). Progression of CKD within 1\u2009year did not differ between groups (iCKD, 29.5%; SUB, 28.1%; p\u2009=\u20090.85), even after exclusion of obstructed cases (iCKD, 29.5%; SUB, 17.7%; p\u2009=\u20090.12). Median time to CKD progression was not different between groups (iCKD, 833\u2009days; range, 21\u20132141; SUB, 653\u2009days; range, 43\u20131662; p\u2009=\u20090.80).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Clinical Importance<\/jats:title>\n                    <jats:p>Progression of CKD after SUB placement occurs with similar frequency and time frame as in cats with iCKD, but should prompt assessment for SUB blockage and pyelonephritis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jvim.70242","type":"journal-article","created":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T05:59:23Z","timestamp":1757915963000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Progression of Chronic Kidney Disease in Cats After Subcutaneous Ureteral Bypass Placement Compared to Cats\u00a0With Idiopathic Chronic Kidney Disease"],"prefix":"10.1093","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-2414-8122","authenticated-orcid":false,"given":"Zoe","family":"Bennett","sequence":"first","affiliation":[{"name":"Clinical Science and Services, Royal Veterinary College , Hatfield,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jack S.","family":"Lawson","sequence":"additional","affiliation":[{"name":"Clinical Science and Services, Royal Veterinary College , Hatfield,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu-Mei","family":"Chang","sequence":"additional","affiliation":[{"name":"Comparative Biomedical Sciences, Royal Veterinary College , London,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1187-3497","authenticated-orcid":false,"given":"Edward","family":"Shelton","sequence":"additional","affiliation":[{"name":"Clinical Science and Services, Royal Veterinary College , Hatfield,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Elliott","sequence":"additional","affiliation":[{"name":"Comparative Biomedical Sciences, Royal Veterinary College , London,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0967-4031","authenticated-orcid":false,"given":"Harriet M.","family":"Syme","sequence":"additional","affiliation":[{"name":"Clinical Science and Services, Royal Veterinary College , Hatfield,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9216-4886","authenticated-orcid":false,"given":"Rebecca F.","family":"Geddes","sequence":"additional","affiliation":[{"name":"Clinical Science and Services, Royal Veterinary College , 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