title: Interval between detection of lameness by locomotion scoring and treatment for lameness: a survival analysis.
abstract: Estimates of point prevalence suggest that locomotion scoring identifies three times as many lame cows than when estimated by farmers. The aim of this study was to ascertain the impact of this under-recognition on the interval between identification of lameness (using locomotion score) and treatment. The study was undertaken on a 463-cow, spring-calving, pasture-fed herd in the lower North Island of New Zealand. All cows were locomotion scored (using a 1-5 scale) weekly during one milking season (July 2008 to May 2009). Survival analyses were then used to quantify the number of days between identification of a specific locomotion score and presentation, by farm staff, of a cow for lameness treatment. All cows which had a locomotion score of >3 were presented for lameness treatment subsequently, although >40% were treated more than 3 weeks after being identified. Only 75% of events where cows had a locomotion score of 3 were followed by treatment with >65% of those treatments occurring >3 weeks after the first score of 3. Improving the recognition of lameness by farm staff is thus likely to appreciably reduce the interval between reduced mobility and lameness treatment.
authors.affiliation: Epicentre, Institute of Veterinary, Animal, Biomedical Sciences, Massey University, Palmerston North 4442, New Zealand.
authors.forename: J I
authors.initials: JI
authors.lastname: Alawneh
authors.forename: R A
authors.initials: RA
authors.lastname: Laven
authors.forename: M A
authors.initials: MA
authors.lastname: Stevenson
mesh_terms: D000818:Animals; D002417:Cattle; D002418:Cattle Diseases / Q000175:diagnosis* / Q000628:therapy*; D015331:Cohort Studies; D005260:Female; D005534:Foot Diseases / Q000175:diagnosis / Q000628:therapy / Q000662:veterinary*; D053208:Kaplan-Meier Estimate; D007794:Lameness, Animal / Q000175:diagnosis* / Q000628:therapy*; D008124:Locomotion / Q000502:physiology; D009520:New Zealand; D061665:Time-to-Treatment