Radke et al: Evidence‐based evaluation of owner‐reported outcome measures for canine orthopedic care – a COSMIN evaluation of 6 instruments
Veterinary Surgery 2, 2022

🔍 Key Findings

• CBPI, COI, and LOAD are recommended for assessing canine osteoarthritis based on COSMIN criteria.
• COI scored highest in development rigor and evidence quality among evaluated OROMs.
• Internal consistency, reliability, and responsiveness were commonly validated, though no OROMs reported measurement error.
• LOAD was considered formative, and internal consistency assessment was deemed unnecessary.
• CBPI and COI showed sufficient internal consistency, but CBPI’s factor structure was inconsistent across studies.
• All 6 evaluated OROMs (CBPI, COI, LOAD, BHSII, HCPI, HVAS) were quick to complete (under 5 min).
• Three tools—BHSII, HCPI, HVAS—need more evidence before recommendation; only CBPI, COI, and LOAD are Category A (recommended).
• Future studies should assess interpretability, including measurement error and clinically meaningful change scores (MIC, SDC).