Evidence map›Paper›PMID 26509577›Full record

ArticlePloS one2015

Impact of Facial Conformation on Canine Health: Brachycephalic Obstructive Airway Syndrome.

Rowena M A Packer, Anke Hendricks, Michael S Tivers, Charlotte C Burn

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 113 papers.

0numbers the graph read from it
0cells of the map it votes in
113citing papers in PubMed
8.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

113 citing papers in PubMed, 230 citations in OpenAlex.

  1. Review
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  4. Review
  5. Intranasal inflammatory polyps associated with brachycephalic obstructive airway syndrome in a pug dog.The Canadian veterinary journal = La revue veterinaire canadienne · 2026
    Article
  6. Article
  7. Perianesthetic death in dogs and cats: a scoping review.Journal of veterinary diagnostic investigation : official publication of the American Association of Veterinary Laboratory Diagnosticians, Inc · 2026
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  13. Review
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53 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Rowena M A PackerDepartment of Clinical Science and Services, Royal Veterinary College, Hatfield, Hertfordshire, United Kingdom.
Anke HendricksDepartment of Clinical Science and Services, Royal Veterinary College, Hatfield, Hertfordshire, United Kingdom.
Michael S TiversSchool of Veterinary Sciences, University of Bristol, Langford House, Langford, Bristol, BS40 5DU, United Kingdom.
Charlotte C BurnDepartment of Production and Population Health, Royal Veterinary College, Hatfield, Hertfordshire, United Kingdom.
Royal Veterinary College · GBUniversity of Bristol · GB

Funding

Biotechnology and Biological Sciences Research Council
6 · The paper itself

Abstract

The domestic dog may be the most morphologically diverse terrestrial mammalian species known to man; pedigree dogs are artificially selected for extreme aesthetics dictated by formal Breed Standards, and breed-related disorders linked to conformation are ubiquitous and diverse. Brachycephaly--foreshortening of the facial skeleton--is a discrete mutation that has been selected for in many popular dog breeds e.g. the Bulldog, Pug, and French Bulldog. A chronic, debilitating respiratory syndrome, whereby soft tissue blocks the airways, predominantly affects dogs with this conformation, and thus is labelled Brachycephalic Obstructive Airway Syndrome (BOAS). Despite the name of the syndrome, scientific evidence quantitatively linking brachycephaly with BOAS is lacking, but it could aid efforts to select for healthier conformations. Here we show, in (1) an exploratory study of 700 dogs of diverse breeds and conformations, and (2) a confirmatory study of 154 brachycephalic dogs, that BOAS risk increases sharply in a non-linear manner as relative muzzle length shortens. BOAS only occurred in dogs whose muzzles comprised less than half their cranial lengths. Thicker neck girths also increased BOAS risk in both populations: a risk factor for human sleep apnoea and not previously realised in dogs; and obesity was found to further increase BOAS risk. This study provides evidence that breeding for brachycephaly leads to an increased risk of BOAS in dogs, with risk increasing as the morphology becomes more exaggerated. As such, dog breeders and buyers should be aware of this risk when selecting dogs, and breeding organisations should actively discourage exaggeration of this high-risk conformation in breed standards and the show ring.

Indexed as

Airway ObstructionAnimalsBreedingCraniosynostosesDog DiseasesDogsFaceFemaleMaleProbabilityRisk FactorsSyndrome

Identifiers

PMID26509577
PMCPMC4624979
OpenAlexW2167809385

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.