title: Increases in the completeness of disease records in dairy databases following changes in the criteria determining whether a record counts as correct.
abstract: BACKGROUND
  The four Nordic countries: Denmark (DK), Finland (FIN), Norway (NO) and Sweden (SE), all have national databases in which mainly records of treated animals are maintained. Recently, the completeness of locomotor disorder records in these databases has been evaluated using farmers' recordings as a reference level. The objective of the present study was to see how previous estimates of completeness figures are affected by the criteria determining whether a recording in the database is to be judged correct. These demands included date of diagnosis and disease classification. In contrast with the previous study, a period of time between the date of disease recording in the database and by the farmer was allowed. Further, the calculations were brought to bear on individual locomotor diagnoses instead of a common locomotor disease complex code.
  
  
  METHODS
  Randomly selected dairy herds (≥15 cows) were invited to participate. During two 2-month periods in 2008 the farmers recorded the diseases they observed on the farm and their recordings constituted a farmer database (FD). These recordings were compared to disease recordings in the National Databases (ND). Earlier calculations of completeness for locomotor complex cases assuming an exact match on date were compared with ±7 day and ±30 day discrepancies calculated in this study.
  
  
  RESULTS
  The farmers in DK, FIN, NO and SE recorded 426, 147, 97 and 193 locomotor disorders, respectively. When a window of ±7 days was allowed there was a relative increase in completeness figures lying in the range of 24-100%. Further increases were minor, or non-existent, when the window was expanded to ±30 days. The same trend was seen for individual diagnoses.
  
  
  CONCLUSIONS
  In all four of the Nordic countries a common pattern can be observed: a further increase in completeness occurs when individual locomotor diagnoses recorded by the farmer are permitted to match any locomotor diagnosis recorded in the ND. Completeness increased when both time span and different diagnoses within the locomotor complex were allowed.
authors.affiliation: Department of Large Animal Sciences, Faculty of Health and Medical Sciences, University of Copenhagen, Grønnegårdsvej 8, Copenhagen, Denmark. ann-kristina.lind@slu.se
authors.forename: Ann-Kristina
authors.initials: AK
authors.lastname: Lind
authors.forename: Hans
authors.initials: H
authors.lastname: Houe
authors.forename: Mari N
authors.initials: MN
authors.lastname: Espetvedt
authors.forename: Cecilia
authors.initials: C
authors.lastname: Wolff
authors.forename: Simo
authors.initials: S
authors.lastname: Rintakoski
authors.forename: Peter T
authors.initials: PT
authors.lastname: Thomsen
mesh_terms: D000818:Animals; D002417:Cattle; D002418:Cattle Diseases / Q000453:epidemiology* / Q000503:physiopathology; D016001:Confidence Intervals; D003430:Cross-Sectional Studies; D003612:Dairying; D016208:Databases, Factual / Q000592:standards*; D005260:Female; D005387:Finland / Q000453:epidemiology; D007794:Lameness, Animal / Q000453:epidemiology* / Q000503:physiopathology; D012537:Scandinavian and Nordic Countries / Q000453:epidemiology; D013997:Time Factors