Open Access
CC BY 4.0 · VCOT Open 2024; 07(S 01): A1-A12
DOI: 10.1055/s-0044-1786233
Resident Session Abstracts

Inter-rater Agreement and Criterion Validity for Canine Geriatric Functional Scoring and Timed Up and Go Test

K. M. McMullin
1   Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York, United States
,
P. C. Carney
1   Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York, United States
,
I. G. Juran
1   Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York, United States
,
K. R. Venator
2   Nestlé Purina PetCare, St. Louis, Missouri, United States
,
A. M. Miller
1   Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York, United States
,
M. L. Lenfest
1   Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York, United States
,
C. F. Frye
1   Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York, United States
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Introduction: A valid method of geriatric functional scoring (GFS) has yet to be developed in canine medicine. We designed a 4-part mobility test, each contributing to an additive GFS, to be conducted sequentially: Timed Up and Go (TUG), Cavaletti, Figure-8, and Down-to-Stands. TUG time (tTUG) was also assessed independently since it is objective and well-established in human medicine. We hypothesized the individual tests would have high inter-rater agreement and that tTUG and GFS would correlate well to Canine Brief Pain Inventory pain severity (sCBPI), CBPI pain interference (iCBPI), and Liverpool Osteoarthritis in Dogs (LOAD) scores.

Materials and Methods: Dogs meeting geriatric age and weight criteria were recruited from [REDACTED]. Exclusion criteria included a change in pain medication within 7 days and musculoskeletal surgery within 3 months. Dog signalment, weight, body condition, length, GFS, tTUG, LOAD, and CBPI were collected. We assessed performance between 2 veterinarians using the Shrout-Fleiss intraclass correlation coefficient and Cohen’s weighted kappa. We related GFS and tTUG to sCBPI, iCBPI, and LOAD with Pearson or Spearman correlation coefficients.

Results: High and significant (p < 0.0001) inter-rater agreement (coefficients 0.84–0.99) was found for each GFS test and tTUG. Both GFS (R -0.53 to -0.64) and tTUG (R 0.47 to 0.66) demonstrated significant (p < 0.001) strong correlations to LOAD, sCBPI, and iCBPI.

Discussion/Conclusion: Individual GFS tests demonstrated high inter-rater agreement. Total GFS score and tTUG had strong correlations to well-established outcome measures for canine mobility and pain. Limitations include lack of a true control and intra-rater repeatability. Regardless, GFS and tTUG appear practical and reliable.

Acknowledgments:

Funding was provided by Nestlé Purina PetCare. No conflicts of interests exist.



Publikationsverlauf

Artikel online veröffentlicht:
09. April 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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