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The Canine Orthopedic Index. Step 3: Responsiveness testing
1Veterinary Clinical Investigations Center, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Veterinary Surgery : VS
|March 13, 2014
Summary
The Canine Orthopedic Index (COI) effectively detected improvements in stiffness, gait, and function in dogs with osteoarthritis (OA) treated with NSAIDs. However, the COI
Area of Science:
- Veterinary Medicine
- Pharmacology
- Animal Health
Background:
- Osteoarthritis (OA) is a prevalent degenerative joint disease in dogs.
- Assessing treatment efficacy in canine OA requires reliable outcome measures.
- The Canine Orthopedic Index (COI) is a tool designed to evaluate OA in dogs.
Purpose of the Study:
- To evaluate the Canine Orthopedic Index's (COI) ability to detect treatment-related changes in dogs with osteoarthritis (OA).
- To compare the efficacy of non-steroidal anti-inflammatory drugs (NSAIDs) versus placebo in managing canine OA using the COI.
Main Methods:
- A double-blind, randomized, placebo-controlled trial was conducted with 80 dogs diagnosed with OA.
- Owners completed the COI at baseline (Day 0) and after 14 days of treatment (Day 14).
- Dogs received either carprofen (an NSAID) or a placebo, and changes in COI scores were analyzed between groups.
Main Results:
- Dogs treated with carprofen showed statistically significant reductions in overall COI scores, as well as stiffness, gait, and function scores, compared to the placebo group.
- No significant difference was observed in the quality of life score between the carprofen and placebo groups.
- The study demonstrated the COI's sensitivity in detecting improvements in key OA indicators with NSAID treatment.
Conclusions:
- The Canine Orthopedic Index (COI) is a sensitive tool for measuring improvements in stiffness, gait, and function in dogs with OA treated with NSAIDs.
- The quality of life component of the COI did not appear sensitive to short-term NSAID treatment in this study.
- The COI can reliably detect expected changes in dogs with OA receiving NSAID therapy compared to placebo.

