{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T02:08:06Z","timestamp":1788746886058,"version":"build-2803163510"},"reference-count":33,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T00:00:00Z","timestamp":1788652800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T00:00:00Z","timestamp":1788652800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Vet Comparative Oncology"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Canine cancer imposes substantial emotional, financial and decisional burden on owners navigating complex referral pathways and treatment options. Understanding how owners experience and interpret these pathways is essential to improving care delivery. We conducted a retrospective social media listening study using Pulsar Platform to retrieve public Anglophone posts relating to canine cancer across multiple platforms. After cleaning, de\u2010duplication and zero\u2010shot large language model relevance filtering (accuracy 88%\u201399%, F1 93%\u201398%, with precision up to 99% on Reddit), 11\u2009878 posts were analyzed (of those that could be geolocated, most originated from the USA). Sentiment and emotion classification, thematic extraction and non\u2010negative matrix factorization topic modelling were applied. Pre\u2010specified subsets examined cost\u2010focused (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20092008), referral\u2010focused (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u2009341) and steroid\u2010focused (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u2009438) discourse. Overall, negative sentiment predominated (66%), with sadness the most frequent emotion (64%). Across platforms, quality of life (QoL) functioned as the primary decision\u2010making framework, operationalized through appetite, mobility, comfort, engagement and \u201cgood days\u201d. Referral narratives highlighted delays, diagnostic sequencing uncertainty, travel burden and perceived gatekeeping within referral pathways. Financial constraint frequently shaped treatment feasibility, influencing decisions regarding chemotherapy, surgery, steroid\u2010only palliation and euthanasia. Steroids were often described as a palliative bridge or cost\u2010constrained alternative when advanced oncology care was inaccessible. General practise (GP) veterinarians were consistently referenced as trusted information anchors, influencing referral uptake and treatment trajectories. Topic modelling suggests a cancer\u2010care pathway experienced as structurally constrained despite strong owner willingness to pursue treatment. QoL consistently supersedes cure as the dominant evaluative metric. Earlier cost transparency, clearer shared\u2010care communication and strengthened GP\u2010oncologist coordination may reduce decisional distress and help mitigate avoidable barriers to specialist care.\n                  <\/jats:p>","DOI":"10.1111\/vco.70112","type":"journal-article","created":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T01:50:55Z","timestamp":1788745855000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Quality of Life Shapes Owner Decision\u2010Making in Canine Cancer Care: Insights From Large\u2010Scale Online Discourse"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8119-2969","authenticated-orcid":false,"given":"Georgina Anne","family":"Tarrant","sequence":"first","affiliation":[{"name":"Surrey DataHub, vHive, School of Veterinary Medicine University of Surrey  Guildford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8395-0372","authenticated-orcid":false,"given":"Andi","family":"Flory","sequence":"additional","affiliation":[{"name":"Global Medical Affairs, Zoetis Inc.  Parsippany New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-7790-8431","authenticated-orcid":false,"given":"Taranpreet Singh","family":"Rai","sequence":"additional","affiliation":[{"name":"Centre for Vision, Speech and Signal Processing University of Surrey  Guildford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1903-1814","authenticated-orcid":false,"given":"Andrea","family":"Wright","sequence":"additional","affiliation":[{"name":"Outcomes Research, Zoetis Inc.  Parsippany New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Travis Lee","family":"Street","sequence":"additional","affiliation":[{"name":"Surrey DataHub, vHive, School of Veterinary Medicine University of Surrey  Guildford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4658-8060","authenticated-orcid":false,"given":"Kevin","family":"Wells","sequence":"additional","affiliation":[{"name":"Centre for Vision, Speech and Signal Processing University of Surrey  Guildford UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,6]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/09637214251318284"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/POPULATIONS1020008"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.29374\/2527\u20102179.bjvm002220"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/BMJOPEN\u20102018\u2010024512"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/JVIM.16616"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.3389\/FVETS.2019.00147"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/JVIM.15905"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/ANI14020276"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/hir.12351"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/AVJ.12870"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/VR.104716"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0245632"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.12968\/VETN.2020.11.8.379"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.2460\/JAVMA.24.08.0551"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.2460\/JAVMA.23.01.0046"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.3389\/FVETS.2024.1417927"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.3389\/fvets.2017.00180"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/VCO.12977"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jval.2024.03.1474"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.3389\/FVETS.2025.1502236"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10994\u2010023\u201006497\u20105"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1109\/ACCESS.2021.3106879"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10462\u2010023\u201010471\u2010x"},{"key":"e_1_2_10_25_1","doi-asserted-by":"crossref","unstructured":"G.Tarrant T.Rai L.Boyden et\u00a0al. \u201cHarvesting Social Media and Using Large Language Models to Analyse Online Discourse: Developing Methodology to Explore the Challenges Faced by Sub\u2010Saharan African Women in Livestock Farming \u201dVeriXiv 2025 https:\/\/verixiv.org\/articles\/2\u2010304.","DOI":"10.12688\/verixiv.1867.1"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1049\/icp.2024.2526"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.2460\/JAVMA.245.7.773"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.2460\/JAVMA.245.7.785"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.2460\/JAVMA.23.09.0496"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1476\u20105829.2010.00244.x"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.18849\/VE.V6I1.345"},{"issue":"2","key":"e_1_2_10_32_1","first-page":"1","article-title":"Accuracy and Quality of Animal Health Information on Social Media: A 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