A simple method to score digital dermatitis in dairy cows in the milking parlor

The diagnosis of digital dermatitis (DD) in cows is crucial for researchers to evaluate the effectiveness of control measures. The objective of this study was to evaluate intra- and inter-observer agreement and accuracy of a simple method to score DD lesions that is based on the inspection of cleaned feet in the milking parlor with a swiveling mirror and a powerful headlamp. The hind feet of 242 Holstein cows from 4 farms were inspected concurrently by 5 observers (to assess inter-observer agreement) during 2 consecutive milkings (to assess intra-observer agreement). This inspection was followed by an inspection of the feet in a trimming chute, considered to be the gold standard test, to test for accuracy. The reliability of the method was assessed using both the 5 M-stages scoring system (MO to M4, M standing for Mortellaro) and a simplified M-stages scoring system in which the M3 and M4 stages are merged. As most disagreements concerned the M3 and M4 stages, performance was improved with the simplified M-stages scoring system. With this simplified system, the method had good intra-observer agreement [percent of overall raw agreement (PA) = 80%, weighted kappa (kappa(w)) = 0.71, and good inter-observer agreement (PA = 77%, kappa(w) = 0.66)]. The agreement with the gold standard test was moderate (PA = 69%, kappa(w) = 0.58). Considering absence versus presence of a DD lesion on a foot, the method had good sensitivity (0.90) and specificity (0.80). The time spent for inspection varied from 30 to 60 s per cow. Inspection of cleaned feet with a swiveling mirror and a powerful headlamp in the milking parlor is a reliable, cost- and time-friendly method, which may be useful for both farmers and researchers, especially when the DD status of many dairy cows has to be evaluated concomitantly. The reliability of this method might be improved by using more precise descriptive criteria for the discrimination of each M-stage.