Use of health parameter trends to communicate pet health information in companion animal practice: A mixed methods analysis

"Veterinary medicine is not finished when I have diagnosed an incurable disease, that's when it starts for me." A qualitative interview study with small animal veterinarians on hospice and palliative care

In the wake of recent medical developments in small animal practice, curing animals of their illnesses and restoring their health can be realized better than ever before. However, the growing medical possibilities are also leading to an increase in demand for better care for patients suffering from terminal illnesses. Consequently, the field of animal hospice and palliative care has become increasingly available, enabling veterinarians to optimize the quality of life of patients, such as dogs and cats, who no longer have a prospect of full recovery. Using qualitative, semi-structured interviews with 20 small animal veterinarians involved in hospice and palliative care, we investigated the factors that motivate veterinarians to become involved in hospice and palliative care and explored the importance of relationships, communication, time and infrastructure in this area. Findings show that personal experiences with their own pets or during training or work life motivated veterinarians to provide this service. Although veterinarians highlighted the importance of empathetic-driven relationships, they were aware that keeping an emotional distance from the patient and caregiver is significant to provide successful care. Further, veterinarians emphasized their high investment of time that resulted primarily from the increased frequency and provided opportunities to communicate with caregivers. The overall conclusion is that having time for patients and the patients' caregivers is one of the most important aspects of work in this field. However, as it will be also shown, veterinarians must consider aspects of self-care management by reflecting on their own time and energy resources while caring for animals and their caregivers.

Development and validation of a machine learning model for clinical wellness visit classification in cats and dogs

Introduction

Early disease detection in veterinary care relies on identifying subclinical abnormalities in asymptomatic animals during wellness visits. This study introduces a model designed to distinguish between wellness and other types of veterinary visits.

Objectives

The purpose of this study is to validate the use of a visit classification model compared to manual classification of veterinary visits by three board-certified veterinarians.

Materials and methods

The algorithm was initially trained using a Gradient Boosting Machine model with a dataset of 11,105 clinical visits from 2012 to 2017 involving 655 animals (85.3% dogs and 14.7% cats) across 544 U.S. veterinary practices. Three validators were tasked with classifying 400 visits, including both wellness and other types of visits, selected randomly from the same database used for initial model training, aiming to maintain consistency and relevance between the training and application phases; visit classifications were subsequently categorized into "wellness" or "other" based on majority consensus among validators to assess the model's performance in identifying wellness visits.

Results

The model demonstrated a specificity of 0.94 (95% CI: 0.91 to 0.96), implying its accuracy in distinguishing non-wellness visits. The model had a sensitivity of 0.86 (95% CI: 0.80 to 0.92), indicating its ability to correctly identify wellness visits as compared to the annotations provided by veterinary experts. The balanced accuracy, calculated as 0.90 (95% CI: 0.87 to 0.93), further confirms the model's overall effectiveness.

Clinical significance

The model exhibits high specificity and sensitivity, ensuring accurate identification of a high proportion of wellness visits. Overall, this model holds promise for advancing research on preventive care's role in subclinical disease identification, but prospective studies are needed for validation.

Exploring veterinary professionals' perceptions of pet weight-related communication in companion animal veterinary practice

BACKGROUND

Pet obesity is commonly encountered by veterinary professionals, yet little is known about their perception of communicating about pet weight. The objective of this study was to explore veterinary professionals' perception of discussing pet obesity with clients.

METHODS

An online survey targeting veterinary professionals was distributed via social media and veterinary organisation newsletters. Topics included respondents' perceptions of weight-related communication, factors related to approaching weight conversations and implicit weight bias.

RESULTS

A total of 102 respondents to the survey were included in the final analysis. Avoidance of discussing pet obesity with certain clients was common (53.9%; 55/102). The most endorsed term for describing pets with excess weight to clients was 'overweight' (97.1%; 99/102). The pet's body condition score was rated the most important factor to consider when deciding how to approach a weight discussion with clients. Although only 29 participants completed the implicit association test (IAT), most of these participants were identified as having an unconscious preference for thin people. The small sample size limited the vignette analysis to descriptive only, and the IAT results should be interpreted cautiously.

CONCLUSION

This exploratory, cross-sectional study provides early insight into veterinary professionals' perceptions of pet obesity-related communication and suggests the presence of weight bias in the profession that warrants further investigation.

Pet owners’ and companion animal veterinarians’ perceptions of weight-related veterinarian-client communication

OBJECTIVE

To compare pet owners’ and veterinarians’ perceptions of veterinarian-client conversations concerning pet weight and identify challenges related to communication about weight.

SAMPLE POPULATION

Veterinarians (n = 24) and pet owners (27) in southern Ontario, Canada.

PROCEDURES

3 veterinarian and 5 pet owner focus groups were conducted with a semistructured interview format. Thematic analysis of verbatim transcripts was conducted.

RESULTS

Pet owners valued weight as an important health indicator for pets yet did not expect to discuss weight extensively at every appointment. Owners expected veterinarians to provide options and tailor recommendations when discussing weight management. Owners appeared more concerned with underweight animals, whereas veterinarians focused on obese animals. Veterinarians identified communication challenges, including the perception that owners are uninterested in discussing weight and conversations can become adversarial. Veterinarians reported various benefits and challenges of using humor to address pet weight and emphasized that weight-related conversations often depend on the existing veterinarian-client relationship.

CLINICAL RELEVANCE

Some perceptions of pet owner expectations expressed by veterinarians in this study align with owner preferences, yet several opportunities exist for changes to veterinarians’ approaches to weight-related communication with clients.