Tara Long, Kellyn E McNulty, Kate E Creevy, Annette Fitzpatrick, Alisa Hutchison, Audrey Ruple
{"title":"Development and validation of a chronic diagnosis inventory that enables reliable documentation of canine multimorbidity in the Dog Aging Project.","authors":"Tara Long, Kellyn E McNulty, Kate E Creevy, Annette Fitzpatrick, Alisa Hutchison, Audrey Ruple","doi":"10.2460/ajvr.25.02.0038","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To develop and validate a novel chronic diagnosis inventory (CDI) to enable the study of canine multimorbidity.</p><p><strong>Methods: </strong>An initial CDI draft was created by a veterinary internist, a veterinary epidemiologist, and a human health epidemiologist, and 34 nonspecialist veterinarians were chosen by convenience sampling throughout the US to review medical records and apply the CDI during 2 pilot studies conducted in January and February 2021 (pilot 1) and May and June 2021 (pilot 2). We specified the following inclusion criteria for records: (1) contained within an electronic veterinary medical record system, (2) from a general veterinary practice, (3) dogs ≥ 8 years old, (4) documented ≥ 3 veterinary visits, and (5) most recently documented patient visit within 2 months prior to the study. The CDI was assessed through commercially available survey-generating instruments, and correlation analyses were performed.</p><p><strong>Results: </strong>Inter-rater κ statistics in the first pilot were poor, leading to clarifications and minor alterations to the CDI. Inter- and intrarater agreement for the second pilot indicated high diagnostic reliability.</p><p><strong>Conclusions: </strong>The CDI was validated as a tool for documenting multimorbidity in dogs.</p><p><strong>Clinical relevance: </strong>The CDI will enable veterinarians to accurately and consistently document multimorbidity in diverse settings, which will enable the construction of multimorbidity tools. These tools can be used to predict the development of new morbidities in a multimorbid dog, anticipate the impact of new diagnoses on patient lifespan and quality of life, and plan for associated healthcare costs.</p>","PeriodicalId":7754,"journal":{"name":"American journal of veterinary research","volume":" ","pages":"1-6"},"PeriodicalIF":1.3000,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American journal of veterinary research","FirstCategoryId":"97","ListUrlMain":"https://doi.org/10.2460/ajvr.25.02.0038","RegionNum":3,"RegionCategory":"农林科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"VETERINARY SCIENCES","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: To develop and validate a novel chronic diagnosis inventory (CDI) to enable the study of canine multimorbidity.
Methods: An initial CDI draft was created by a veterinary internist, a veterinary epidemiologist, and a human health epidemiologist, and 34 nonspecialist veterinarians were chosen by convenience sampling throughout the US to review medical records and apply the CDI during 2 pilot studies conducted in January and February 2021 (pilot 1) and May and June 2021 (pilot 2). We specified the following inclusion criteria for records: (1) contained within an electronic veterinary medical record system, (2) from a general veterinary practice, (3) dogs ≥ 8 years old, (4) documented ≥ 3 veterinary visits, and (5) most recently documented patient visit within 2 months prior to the study. The CDI was assessed through commercially available survey-generating instruments, and correlation analyses were performed.
Results: Inter-rater κ statistics in the first pilot were poor, leading to clarifications and minor alterations to the CDI. Inter- and intrarater agreement for the second pilot indicated high diagnostic reliability.
Conclusions: The CDI was validated as a tool for documenting multimorbidity in dogs.
Clinical relevance: The CDI will enable veterinarians to accurately and consistently document multimorbidity in diverse settings, which will enable the construction of multimorbidity tools. These tools can be used to predict the development of new morbidities in a multimorbid dog, anticipate the impact of new diagnoses on patient lifespan and quality of life, and plan for associated healthcare costs.
期刊介绍：
The American Journal of Veterinary Research supports the collaborative exchange of information between researchers and clinicians by publishing novel research findings that bridge the gulf between basic research and clinical practice or that help to translate laboratory research and preclinical studies to the development of clinical trials and clinical practice. The journal welcomes submission of high-quality original studies and review articles in a wide range of scientific fields, including anatomy, anesthesiology, animal welfare, behavior, epidemiology, genetics, heredity, infectious disease, molecular biology, oncology, pharmacology, pathogenic mechanisms, physiology, surgery, theriogenology, toxicology, and vaccinology. Species of interest include production animals, companion animals, equids, exotic animals, birds, reptiles, and wild and marine animals. Reports of laboratory animal studies and studies involving the use of animals as experimental models of human diseases are considered only when the study results are of demonstrable benefit to the species used in the research or to another species of veterinary interest. Other fields of interest or animals species are not necessarily excluded from consideration, but such reports must focus on novel research findings. Submitted papers must make an original and substantial contribution to the veterinary medicine knowledge base; preliminary studies are not appropriate.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
