Evidence map›Paper›PMID 40134143›Full record

ArticleEquine veterinary journal2026

Novel risk factors associated with fatal musculoskeletal injury in Thoroughbreds in North American racing (2009-2023).

Euan David Bennet, Tim D H Parkin

Abstract read
In one paragraph

Article in Equine veterinary journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Review
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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

2 authors.

Euan David BennetSchool of Biodiversity, One Health, and Veterinary Medicine, University of Glasgow, Glasgow, UK.ORCID https://orcid.org/0000-0001-9049-1920
Tim D H ParkinBristol Veterinary School, University of Bristol, Bristol, UK.ORCID https://orcid.org/0000-0003-3566-9030

Funding

The Jockey Club
6 · The paper itself

Abstract

backgroundThe Equine Injury Database (EID) is a census-level record of Thoroughbred racing in North America, currently recording 95.6% of all race starts in 2023, along with partial training and veterinary histories of each horse.

objectivesTo identify horse-, race- and track-level risk factors associated with race-related fatal musculoskeletal injury (MSI) of Thoroughbred racehorses in North America. STUDY

designRetrospective cohort study.

methodsThe study cohort included all race starts made by horses born after 31 December 2006, at tracks that fully report to the EID and consisted of 3,851,659 race starts made by 250,840 Thoroughbred racehorses (median [IQR] starts per horse 11 [5-22]) at 115 racetracks in the USA and Canada between 2009 and 2023, inclusive. Ninety-seven potential risk factors were investigated using univariable and multivariable logistic regression modelling.

resultsExactly 5733 fatal MSIs were recorded, an incidence of 1.49 fatal MSIs per 1000 starts. Twenty risk factors had statistically significant associations with increased or decreased odds of fatal MSI. Previously unidentified risk factors included claiming race-related variables and void claim rules (VCR). Horses racing as claimers were at increased odds compared with those who were not (odds ratio 1.31, 95% confidence interval 1.19-1.45, p < 0.001 for the lowest claim prices). Starts in races with the strictest VCR were at reduced odds compared with starts in races with no VCR (OR 0.76 [0.67-0.85], p < 0.001). MAIN LIMITATIONS: Availability of new data sources increased substantially during the 15-year time period of the study, meaning some new risk factors are limited in scope compared with others.

conclusionsThoughtful integration of new data sources with race-level data can lead to new insights into risk factors for deleterious outcomes affecting racehorses. Results can inform ongoing efforts to mitigate the risk of fatal MSI, through direct regulatory intervention and through building a risk profile based on individual history and track-level factors.

Indexed as

Horse DiseasesMusculoskeletal SystemRunningAnimalsCanadaCohort StudiesFemaleHorsesMaleNorth AmericaPhysical Conditioning, AnimalRetrospective StudiesRisk FactorsSportsUnited Statesfatal injuryhorsehorse racingmusculoskeletalrisk factorsThoroughbred racing

Identifiers

PMID40134143
PMCPMC12699123

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.