Variation in biochemistry test results between annual wellness visits in apparently healthy Golden Retrievers.
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abstract
BACKGROUND: Annual wellness testing is widely recommended for apparently healthy dogs, but there is little data to assist with distinguishing normal variation from clinically important changes. OBJECTIVES: To define variability in biochemistry analytes between annual wellness tests in healthy Golden Retrievers. ANIMALS: Four hundred thirty-four Golden Retrievers undergoing annual health assessments by their primary care veterinarians as part of a prospective cohort study. METHODS: Changes in 23 biochemistry analytes were calculated between year 1 and year 2 health checks for 196 dogs classified as healthy for 3 consecutive years. Using a direct nonparametric method, annual change intervals were constructed to define normal variability. A validation cohort of 238 dogs without a diagnosis of systemic disease for 3 consecutive years were compared with the reference and annual change intervals, and the proportions of dogs outside annual change intervals and a population-based reference interval were compared by using a McNemar test. RESULTS: Annual change intervals were calculated based on 190 dogs after outlier removal. For all 23 analytes, >90% of dogs in the validation cohort were within the annual change interval. There were no significant differences in the classification by reference versus annual change intervals. CONCLUSIONS AND CLINICAL IMPORTANCE: The annual change intervals met performance requirements for classification of dogs that did not develop systemic disease in the year following wellness testing as normal.
