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Evidence-based evaluation of owner-reported outcome measures for canine orthopedic care—A COSMIN evaluation of six instruments

Accepted version
Peer-reviewed

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Type

Article

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Authors

Joeris, Alexander 
Chen, Maio 

Abstract

Abstract Objectives To systematically review currently available validated owner-reported outcome measures (OROMs) for assessing pain and function in dogs with osteoarthritis and other joint diseases. Study design Systematic review Methods A systematic literature search of PubMed and Web of Science was performed in December 2019 using search terms relevant to OROMs for pain and function in dogs with osteoarthritis and other joint diseases. The measurement properties of the resulting outcome instruments and validation studies were evaluated according to the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN). Results Seventeen publications describing the validation of six OROMs were selected and evaluated according to the COSMIN. The Canine Brief Pain Inventory (CBPI), Canine Orthopaedic Index (COI), and Liverpool Osteoarthritis in Dogs (LOAD) had evidence for sufficient content validity. Internal consistency, reliability, construct validity, and responsiveness were the most frequently validated other properties. Both CBPI and COI had sufficient internal consistency; LOAD, being formative in construct, need not be assessed for internal consistency. No instruments provided information on measurement errors. Conclusion CBPI, COI, and LOAD can be recommended for use in dogs with osteoarthritis. Further evidence is necessary to increase the interpretability of these instruments or expand their application into other canine orthopedic conditions. Further evidence is also needed before the other three instruments can be recommended. Clinical significance/impact This systematic evaluation of six OROMs provides clinicians and researchers with a tool that facilitates and improves evidence-based selection of outcome measures for evaluating canine osteoarthritis and other joint diseases treatments.

Description

Keywords

Animals, Dogs, Outcome Assessment, Health Care, Pain, Pain Measurement, Patient Reported Outcome Measures, Reproducibility of Results

Journal Title

Veterinary Surgery

Conference Name

Journal ISSN

0161-3499
1532-950X

Volume Title

Publisher

Wiley