Validation of the English version of the UNESP-Botucatu multidimensional composite pain scale for assessing postoperative pain in cats

Brondani, Juliana T; Mama, Khursheed R; Luna, Stelio P L; Wright, Bonnie D; Niyom, Sirirat; Ambrosio, Jennifer; Vogel, Pamela R; Padovani, Carlos R

doi:10.1186/1746-6148-9-143

Table 2 Agreement between blinded observers and ‘gold standard’ for each scale item – video analysis

From: Validation of the English version of the UNESP-Botucatu multidimensional composite pain scale for assessing postoperative pain in cats

Items	Blinded observers
Items	Anesthesiologist 1	Anesthesiologist 2	Anesthesia technician 1	Anesthesia technician 2	PhD student
Posture	0.96 (0.94 - 0.97)	0.96 (0.95 - 0.97)	0.98 (0.97 - 0.99)	0.97 (0.96 - 0.98)	0.94 (0.91 - 0.96)
Posture	*0.90* (0.79 - 0.95)	*0.90* (0.81 - 0.95)	*0.89* (0.79 - 0.95)	*1.00*	*0.95* (0.89 - 0.97)
Comfort	0.95 (0.93 - 0.97)	0.98 (0.97 - 0.98)	0.94 (0.91 - 0.96)	0.93 (0.90 - 0.95)	0.95 (0.93 - 0.97)
Comfort	*0.85* (0.72 - 0.93)	*0.96* (0.92 - 0.98)	*0.85* (0.70 - 0.93)	*0.70* (0.47 - 0.85)	*0.55* (0.24 - 0.75)
Activity	0.93 (0.90 - 0.95)	0.91 (0.88 - 0.94)	0.91 (0.87 - 0.94)	0.88 (0.83 - 0.92)	0.92 (0.89 - 0.95)
Activity	*0.86* (0.74 - 0.93)	*0.66* (0.40 - 0.82)	*0.60* (0.31 - 0.79)	*0.69* (0.45 - 0.84)	*0.73* (0.50 - 0.87)
Attitude	0.93 (0.89 - 0.95)	0.95 (0.93 - 0.97)	0.94 (0.92 - 0.96)	0.90 (0.86 - 0.93)	0.96 (0.95 - 0.97)
Attitude	*0.70* (0.37 - 0.86)	*0.76* (0.57 - 0.88)	*0.75* (0.55 - 0.87)	*0.77* (0.52 - 0.89)	*0.96* (0.92 - 0.98)
Miscellaneous behaviors	0.99 (0.98 - 0.99)	0.97 (0.95 - 0.98)	0.96 (0.94 - 0.97)	0.96 (0.94 - 0.97)	0.95 (0.93 - 0.96)
Miscellaneous behaviors	*0.82* (0.67 - 0.91)	*0.86* (0.73 - 0.93)	*0.84* (0.70 - 0.92)	*0.88* (0.77 - 0.94)	*0.65* (0.38 - 0.81)
Reaction to palpation of the surgical wound	0.97 (0.95 - 0.98)	0.96 (0.94 - 0.97)	0.98 (0.97 - 0.99)	0.95 (0.92 - 0.96)	0.95 (0.92 - 0.96)
Reaction to palpation of the surgical wound	*0.89* (0.77 - 0.95)	*0.93* (0.86 - 0.97)	*0.95* (0.90 - 0.98)	*0.84* (0.70 - 0.92)	*0.90* (0.81 - 0.96)
Reaction to the palpation of the abdomen/flank	0.93 (0.90 - 0.95)	0.93 (0.90 - 0.95)	0.95 (0.94 - 0.97)	0.95 (0.93 - 0.97)	0.94 (0.92 - 0.96)
Reaction to the palpation of the abdomen/flank	*0.88* (0.76 - 0.94)	*0.87* (0.74 - 0.94)	*0.87* (0.74 - 0.94)	*0.84* (0.70 - 0.92)	*0.87* (0.74 - 0.94)
Appetite	0.99 (0.98 - 0.99)	0.92 (0.89 - 0.94)	0.94 (0.92 - 0.96)	0.96 (0.95 - 0.97)	0.95 (0.93 - 0.97)
Appetite	*0.98* (0.96 - 0.99)	*0.89* (0.79 - 0.95)	*0.94* (0.87 - 0.97)	*0.94* (0.88 - 0.97)	*0.94* (0.88 - 0.97)
Vocalization	0.95 (0.93 - 0.96)	0.97 (0.96 - 0.98)	0.90 (0.86 - 0.93)	0.97 (0.96 - 0.98)	0.90 (0.86 - 0.93)
	*0.98* (0.95 - 0.99)	*0.95* (0.89 - 0.97)	*0.83* (0.63 - 0.92)	*0.97* (0.95 - 0.99)	*0.90* (0.79 - 0.95)

Agreement between blinded observers and ‘gold standard’, assessed by weighted kappa coefficient (95% CI), for each scale item, at all time points (preoperative, postoperative before and after analgesia, and 24 hours after the end of surgery) and for T2 (postoperative before analgesia) independently.
Interpretation: 0.81 – 1.0 very good; 0.61 – 0.80 good; 0.41 – 0.6 moderate; 0.21 – 0.4 fair; < 0.2 poor.

Back to article page

ISSN: 1746-6148

Contact us

General enquiries: journalsubmissions@springernature.com

BMC Veterinary Research

Contact us