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Small Animal ENT and Sleep Medicine Lab

RFG Scheme

  Respiratory function grading scheme (RFG) is a scheme designed by The Kennel Club and Cambridge BOAS Research Group to evaluate the severity of BOAS for brachycephalic breeds such as the Pugs French Bulldogs and English Bulldogs. This scheme helps in assisting the owners to know if their dogs have BOAS as well as to help the breeders by giving them the advice for breeding less BOAS potential patients.

 

  The research plan was initiated in 2019 in UK. For now, there are 18 countries across the world ( including Australia, Austria, Belgium, Czechia, Denmark, Norway, Portugal, Romania, Sweden, Switzerland and Taiwan ) implementing this scheme. In 2023, National Taiwan University Veterinary Hospital cooperated with the local government officially introduced RFG into Taiwan, Dr. Nai-Chieh Liu ( with Dr. Jane Ladlow and Dr. David Sargan, founders of RFG Scheme ) is the first local veterinarian to advocate the RFG Scheme. As the principal veterinarian of Taiwan, Dr. Liu is leading a team of professional research team members to organize RFG scheme trainings and seminar for the local veterinarians. To their effort, there are now 60 veterinarians based in different district of Taiwan that are eligible to perform the RFG scheme. All the results obtained from the evaluation will be sent to the Kennel Club and the University of Cambridge for a global research, to improve the health of the following breeding.

  •   Grading of BOAS helps owners and veterinarians understand the severity of the disease, track its progression, and communicate effectively. The RFG scheme includes physical examination (including airway auscultation), exercise tests, and assessment of breathing patterns. Based on the comprehensive results, the clinical symptoms of BOAS in dogs are classified into four levels, from Grade 0 to Grade 3:

    • Grade 0: No BOAS-related symptoms. It is recommended that dogs under two years old be evaluated annually.
    • Grade 1: Mild BOAS-related symptoms that do not affect exercise tolerance or quality of life. It is recommended that dogs under two years old be evaluated annually.
    • Grade 2: Moderate BOAS-related symptoms. It is recommended that overweight dogs undergo weight management and be evaluated by a veterinarian to determine if medical intervention is necessary.
    • Grade 3: Severe BOAS-related symptoms. Surgical treatment is recommended.

     

      According to these grades, the breeding guidelines set by the UK Kennel Club and Cambridge University for Pugs, French Bulldogs, and English Bulldogs are as follows:

    • Green: The probability of offspring developing BOAS is low.
    • Yellow: The probability of offspring developing BOAS is higher. Any Grade 2 dogs used for breeding need to consider genetic diversity and individual health. BOAS is a progressive disease, so any Grade 2 dogs need to be monitored.
    • Red: The probability of offspring developing BOAS is extremely high, so breeding is not recommended. Breeding Grade 3 dogs would severely impact the health and welfare of both the breeding dogs and their offspring.

     


    The Kennel Club Website:

    https://www.thekennelclub.org.uk/health-and-dog-care/health/getting-started-with-health-testing-and-screening/respiratory-function-grading-scheme/

  • Qualification:

    1. The brachycephalic dog breeds for our current assessments are limited to only three specific breeds which are French Bulldogs, English Bulldogs and Pugs.
    2. The age of the dog must be one year old or older.
    3. The dog must have a microchip.
    4. On the day of assessment, the owners must prepare a leash. (non-colar)
    5. The dogs that have already underwent BOAS surgery can also participate the evaluation.

    Assessment procedures:

    1. Fill in the google form according to the medical record of the patient.
    2. Full body check-up will be made.
    3. Breathing assessment includes larynx auscultation: to evaluate the severity of respiratory tract by identifying abnormal breathing sounds such as snoring sounds, wheezing sounds and the degree of respsiratory effort.
    4. The 3-minute trot: Our team members will take your dog for a run on a leash. Then, we will observe the breathing changes after the run.
    5. Second uscultation:We would compare the difference of the breathing sounds before and after the run.
    6. Grades given: We would grade the dogs based on the evaluation made as well as professional medical advice. 

    Prices of evaluation:

    As of the appointment made before 31st of December 2024,the fee for the RFG scheme is 500NTD (Original price: 1000NTD)

    The price does not include the registration fee at the hospital.

    *The price might change due to the annual budget analysis. 

    Evaluation Certificate:

    After the evaluation, our veterinarian will assign the results to the owners. The actual certification of the assessment will be mailed to the owners within a month after the appointment.

     

  • There are 60 eligible veterinarians based in different districts in Taiwan. The owners can choose their local hospitals or veterinarians for the evaluation. Most hospitals primarily relies on phone reservation for scheduling appointment.

    • RFG at NTU Veterinary Hospital (Click)
    • RFG at other veterinary hospitals (Click)
  •  

    RFG Scheme - Grade( Data calculated to 2024.08.07 )

    Grade

    Number graded %
    Grade 0

    15

    10%
    Grade 1

    58

    37%
    Grade 2

    58

    37%
    Grade 3

    25

    16%
    Total

    156

    100%

     

     


     

    RFG Scheme-Breed ( Data calculated to 2024.08.07 )

    Breed

    Number graded %
    Pug

    24

    15%

    French Bulldog

    130

    83%
    English Bulldog

    2

    1%
    Total

    156

    100%

     

     


     

    RFG Scheme-District Distribution ( Data calculated to 2024.08.07 )

    District

    Number graded %
    Keelung City

    3

    2%
    Taipei City

    35

    22%
    New Taipei City

    38

    24%
    Yilan County

    3

    2%
    Hsinchu

    6

    4%
    Taoyuan City

    23

    15%
    Taichung

    17

    11%
    Changhua County

    1

    1%
    Nantou County

    1

    1%
    Chiayi City

    1

    1%
    Tainan City

    7

    4%
    Kaoshiung City

    17

    11%
    Pingtung County

    3

    2%
    Hualien County

    1

    1%
    Total

    156

    100%

     

     


     

    RFG Scheme - Gender ( Data calculated to 2024.08.07 )

    Gender

    Number graded %
    Male

    84

    54%
    Female

    72

    46%
    Total

    156

    100%

     


     

    Average age of the dogs graded:4

    ( Data calculated to 2024.08.07)

     


     

    Average BCS of the dogs graded: 6/9

    (Data calculated to 2024.08.07)