Perceptions and priorities of owners of dogs with heart disease regarding quality versus quantity of life for their pets

Department of Clinical Studies-Philadelphia, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA.
Journal of the American Veterinary Medical Association (Impact Factor: 1.56). 08/2008; 233(1):104-8. DOI: 10.2460/javma.233.1.104
Source: PubMed


To describe the relative importance of pets' quality versus quantity of life among owners of dogs with heart disease.
Prospective questionnaire-based clinical study.
Owners of 201 dogs with heart disease.
Owners each completed a questionnaire that was designed to ascertain the relative importance of quality versus quantity of life for their pet and to assess the owners' willingness to trade survival time for quality of life, if that were possible. Analyses were performed to evaluate factors associated with owner willingness to trade time for quality of life.
Most owners (170/197 [86%]) were willing to trade survival time for quality of life for their heart disease-affected dogs; of those owners, 88 (52%) were willing to trade 6 months. Owners were highly concerned with detection of perceived pet suffering and their pet's ability to interact with them. Owners whose pets had respiratory difficulty or fainting episodes and were treated on an outpatient basis had a greater willingness to trade survival time than owners of dogs that were treated on an emergency basis. Among owners willing to trade time for quality of life, younger owners and those whose pets had fainting episodes were willing to trade the most amount of time.
Results indicated that quality of life is highly important to owners of dogs with heart disease. Owners' priorities partly depend on owner age and the pet's clinical circumstances; ongoing client-veterinarian communication is important to optimize treatment success as perceived by owners.

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Available from: Meg M Sleeper, Jan 15, 2015
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    • "The CHQLS-15 instrument emphasizes external, psychosocial parameters of QOL that are readily observable by an attentive pet owner. In this respect, it differs from surveys that focus on physiologic or clinical parameters such as preexisting medical diagnoses (Wojciechowska et al., 2005), pain vocalization and gait analysis in osteoarthritic dogs (Hielm-Björkman et al., 2009), and cardiac deficits in dogs with heart disease (Oyama et al., 2008). It should be noted that parameters directly discernible by the pet owner have been reported to be more likely to have greater reliability among proxy assessors (Yeates and Main, 2009). "
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