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May 11, 2026Veterinary Record0 citationsOpen Access

Prospective comparison of chronic pain and quality of life in dogs presenting with five common orthopaedic conditions

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CDChristos DorlisDCDylan N. ClementsJRJ. Ryan

Key Points

  • This study aimed to assess chronic pain and quality of life in dogs with common orthopaedic conditions.
  • Prospective cohort study from 2017 to 2020 in client-owned dogs with orthopedic conditions.
  • Owners completed the Canine Brief Pain Inventory, Helsinki Chronic Pain Index, and QoL questionnaire before presentation.
  • Quality of life scores were compared across dogs with elbow dysplasia, hip dysplasia, medial patella luxation, cranial cruciate ligament rupture, or osteoarthritis.
  • No significant differences in owner-reported quality of life scores among the five conditions (p = 0.279).
  • Dogs with elbow dysplasia reported the lowest chronic pain measures, while those with cranial cruciate ligament rupture reported the highest.
  • Individual variation in chronic pain measures and quality of life scores was significant across different groups.

Abstract

Abstract Background Chronic pain, which affects multiple aspects of dogs' wellbeing, including quality of life (QoL), was assessed in dogs with elbow dysplasia, hip dysplasia, medial patella luxation, cranial cruciate ligament rupture or osteoarthritis. Methods A prospective cohort study was conducted between 2017 and 2020 in client‐owned dogs diagnosed with one of five common orthopaedic presentations. Owners completed the Canine Brief Pain Inventory (CBPI), Helsinki Chronic Pain Index (HCPI) and a QoL questionnaire before presentation. Results No significant differences in owner‐reported QoL scores were found among the five common orthopaedic conditions ( p = 0.279). There was considerable individual variation in the chronic pain measures and QoL scores across groups of dogs with different conditions. Dogs presenting with elbow dysplasia had the lowest mean reported measures of chronic pain (HCPI: 11, 1–30; CBPI: 27, 0–68), while dogs with cranial cruciate ligament rupture had the highest (HCPI: 16, 0–35; CBPI: 40, 0–80). Limitations The study relied on owner assessments. Neither condition severity nor radiographic grading was standardised. Conclusion A wide individual variation in QoL and clinical metrology instrument scores was identified in dogs presenting with common orthopaedic diseases, requiring tailored management approaches that address the impact of the condition on the individual dog.

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Cite This Study

Dorlis et al. (2026) studied this question.

synapsesocial.com/papers/6a0171ed3a9f334c28271f29https://doi.org/10.1002/vetr.70743
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