A higher risk of being lame was found for the presence of claw overgrowth , the first 120 days in milk , larger herd sizes , and increasing parity .
Background Lameness in dairy cows has been an ongoing concern of great relevance to animal welfare and productivity in modern dairy production .
Many studies have examined associations between various factors related to housing , management , and the individual animal and the occurrence of lameness .
The objective of this systematic review was to answer the research question “ what are risk factors associated with lameness in dairy cows that are housed in free stall barns or tie stall facilities ” .
Furthermore , we performed a synthesis of current evidence on certain risk factors by means of a meta- analysis to illustrate the strength of their association with bovine lameness .
ROBINS-I: a tool for assessing risk of bias in non-randomised studies of interventions
Non-r and omised studies of the effects of interventions are critical to many areas of healthcare evaluation , but their results may be biased . It is therefore important to underst and and appraise their strengths and weaknesses . We developed ROBINS-I ( “ Risk Of Bias In Non-r and omised Studies - of Interventions ” ) , a new tool for evaluating risk of bias in estimates of the comparative effectiveness ( harm or benefit ) of interventions from studies that did not use r and omisation  to allocate units ( individuals or clusters of individuals ) to comparison groups . The tool will be particularly useful to those undertaking systematic review s that include non-r and omised studies
A higher risk of being lame was found for the presence of claw overgrowth , the first 120 days in milk , larger herd sizes , and increasing parity .
Background Lameness in dairy cows has been an ongoing concern of great relevance to animal welfare and productivity in modern dairy production .
Many studies have examined associations between various factors related to housing , management , and the individual animal and the occurrence of lameness .
The objective of this systematic review was to answer the research question “ what are risk factors associated with lameness in dairy cows that are housed in free stall barns or tie stall facilities ” .
Furthermore , we performed a synthesis of current evidence on certain risk factors by means of a meta- analysis to illustrate the strength of their association with bovine lameness .