Kirkby KA, Lewis DD.
Seattle Veterinary Specialists, Kirkland, WA, USA.
Vet Surg 2011; Advance online publication.
Editor’s note: Veterinary surgeons have the responsibility to present available options to clients and to assist them in determining which treatment method is best suited for the wellbeing of their dog. The treatment of hip dysplasia can be divided into two categories: surgical and non-surgical. The latter often involves a multimodal approach of activity modification, weight reduction, pain management, and pharmacological modulation of the joint disease. Evidence-based medicine is an invaluable tool in the decision-making process of a patient’s treatment. Levels of Evidence, as proposed by Aragon and Budsberg (Vet Surg 2005;34:93–8), is an example of a ranking system developed to aid in the evaluation of data and determination of the quality of evidence, and is used in this article to systematically review the evidence currently available for the nonsurgical management of hip dysplasia.