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Risk of culling consequent to the main health disorders occurring in the current production systems is reviewed. Survival analysis including health disorders as time-dependent variables is considered to be the most appropriate method to assess their effects because they allow a better description of the exact follow-up of disease history. Farmers preferentially consider health events in the current lactation and/or those occurring in early stages of lactation for making culling decisions. The unfavourable direct effects on culling of dystocia and udder disorders (mastitis and teat injuries) are clearly demonstrated, whereas there are variations between studies on the association between metabolic and reproductive disorders and culling. These variations may be due to differences in study designs, populations involved and methods. Consequences, in terms of estimated effect of health disorders, of methodological choices (e.g. whether or not including in the models descriptors for milk yield and/or reproductive performance) are discussed. Metabolic and reproductive disorders may act indirectly through a subsequent decrease in milk yield and reproductive performance. The impact of health disorders on longevity is on average weak, compared to the impact of low milk yield potential and poor reproductive performance. Herd characteristics (availability of heifers, quota, farmer's attitude towards risk and uncertainty...) modify the risk for a cow to be culled for a given health disorder. Aims of further studies could be (1) to interpret the meaning and to analyse the reliability of culling reasons information, (2) to evaluate the relative effect on culling of health disorders and performance (milk yield and reproduction) in different parities, (3) to investigate the role of components of the herd effect on the risk of culling. dairy cow / culling / health disorders / risk factors / survival analysis Rsum -Risque de rforme associ la survenue de troubles de sant chez la vache laitire : revue et discussion critique. La revue porte sur le risque de rforme conscutif la survenue des principaux troubles de sant dans les systmes de production actuels. Pour estimer ce risque, les modles
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Beaudeau et al. (2000) studied this question.
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