Evidence map›Paper›PMID 40567126›Full record

ArticleEquine veterinary journal2026

Tracheal collapse rates in Kenyan working cart and pack donkeys.

Martha Mellish, Jennifer Burns, Yvonne Elce, Jason W Stull

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. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Martha MellishDepartment of Health Management, Atlantic Veterinary College, University of Prince Edward Island, Charlottetown, Prince Edward Island, Canada.ORCID https://orcid.org/0000-0002-0557-8384
Jennifer BurnsDepartment of Health Management, Atlantic Veterinary College, University of Prince Edward Island, Charlottetown, Prince Edward Island, Canada.ORCID https://orcid.org/0000-0002-0385-0073
Yvonne ElceDepartment of Health Management, Atlantic Veterinary College, University of Prince Edward Island, Charlottetown, Prince Edward Island, Canada.ORCID https://orcid.org/0000-0002-0417-3190
Jason W StullDepartment of Health Management, Atlantic Veterinary College, University of Prince Edward Island, Charlottetown, Prince Edward Island, Canada.ORCID https://orcid.org/0000-0002-9028-8153

Funding

Atlantic Veterinary CollegeFarmers Helping FarmersMerck Animal HealthZoetis
6 · The paper itself

Abstract

backgroundDonkeys (Equus asinus) in East Africa are recognised as working with poorly designed harnesses and carts. The donkey cart used in regions of Africa, specifically Meru County, Kenya, appears to place the cart's weight solely on the donkey's mid-cervical region. The ventral area of the neck is vulnerable to external pressure on the trachea, which is superficially located.

objectivesTo compare the presence and severity of endoscopic abnormalities in the upper airway and trachea of Meru County working cart donkeys compared to pack donkeys. To determine associations between endoscopic and physical evidence of harness injury. STUDY

designCross-sectional.

methodsAt voluntary health clinics, physical examination and endoscopy of the upper airway and trachea were evaluated and recorded at rest on 66 donkeys (38 cart donkeys and 28 pack donkeys). The presence and grade of tracheal collapse, tracheal ring abnormalities, tracheal mucus, and pharyngitis were subsequently determined on the endoscopy recordings by blinded evaluators.

resultsSignificant associations were identified between work type and tracheal collapse severity, ring abnormalities, pharyngitis, hairless skin, and thickened skin, with these findings more common in cart than pack donkeys (all p < 0.03). Moderate tracheal collapse (grade 3) was present in 40% (95% CI: 24%-57%) of cart and 0% (0%-12%) of pack donkeys. Intra-tracheal ring abnormalities were noted in 45% (29%-62%) of cart and 0% (0%-12%) of pack donkeys. Physical examination findings were significantly and positively associated with endoscopy findings (all p < 0.002). MAIN LIMITATIONS: Standing endoscopy was performed at rest and dynamic endoscopy during the pulling of carts was not performed.

conclusionModerate tracheal collapse was seen in cart donkeys when compared to pack donkeys. Physical examination findings at rest were associated with and moderately predictive of tracheal collapse.

Indexed as

EquidaeTracheaTracheal DiseasesAnimalsCross-Sectional StudiesFemaleKenyaMalehorsetracheal collapseworking donkey

Identifiers

PMID40567126
PMCPMC13041596

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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.