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Chronic pain in cats: Recent advances in clinical assessment.
J Feline Med Surg 2019; 21(7):601-614JF

Abstract

PRACTICAL RELEVANCE

Chronic pain is a feline health and welfare issue. It has a negative impact on quality of life and impairs the owner-cat bond. Chronic pain can exist by itself or may be associated with disease and/or injury, including osteoarthritis (OA), cancer, and oral and periodontal disease, among others.

CLINICAL CHALLENGES

Chronic pain assessment is a fundamental part of feline practice, but can be challenging due to differences in pain mechanisms underlying different conditions, and the cat's natural behavior. It relies mostly on owner-assessed behavioral changes and time-consuming veterinary consultations. Beyond OA - for which disease-specific clinical signs have been described - little is known regarding other feline conditions that produce chronic pain.

RECENT ADVANCES

Knowledge of the subject has, however, greatly improved in the past few years, informed by study of the mechanisms of pain in cats with OA and the development of pain scales that can be used by owners or veterinarians. Pain scales may facilitate the diagnosis and follow-up evaluation of chronic painful conditions, providing a basis for therapeutic decision-making. Assessment of quality of life is also recommended in cats with chronic pain, and its improvement can be used as a positive outcome in response to therapy.

AIMS

This article reviews recent advances and presents the challenges and some future perspectives on clinical chronic pain assessment. The most common feline chronic conditions associated with pain are also described.

Authors+Show Affiliations

Department of Veter inary Biomedicine, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, Canada. Department of Clinical Sciences, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, Canada.Department of Clinical Sciences, Faculty of Veterinary Medicine, Université de Montréal, Saint-Hyacinthe, Canada.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31234749

Citation

Monteiro, Beatriz P., and Paulo V. Steagall. "Chronic Pain in Cats: Recent Advances in Clinical Assessment." Journal of Feline Medicine and Surgery, vol. 21, no. 7, 2019, pp. 601-614.
Monteiro BP, Steagall PV. Chronic pain in cats: Recent advances in clinical assessment. J Feline Med Surg. 2019;21(7):601-614.
Monteiro, B. P., & Steagall, P. V. (2019). Chronic pain in cats: Recent advances in clinical assessment. Journal of Feline Medicine and Surgery, 21(7), pp. 601-614. doi:10.1177/1098612X19856179.
Monteiro BP, Steagall PV. Chronic Pain in Cats: Recent Advances in Clinical Assessment. J Feline Med Surg. 2019;21(7):601-614. PubMed PMID: 31234749.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Chronic pain in cats: Recent advances in clinical assessment. AU - Monteiro,Beatriz P, AU - Steagall,Paulo V, PY - 2019/6/26/entrez KW - Analgesia KW - animal welfare KW - behavior KW - chronic KW - osteoarthritis KW - pain assessment KW - pain scale KW - quality of life SP - 601 EP - 614 JF - Journal of feline medicine and surgery JO - J. Feline Med. Surg. VL - 21 IS - 7 N2 - PRACTICAL RELEVANCE: Chronic pain is a feline health and welfare issue. It has a negative impact on quality of life and impairs the owner-cat bond. Chronic pain can exist by itself or may be associated with disease and/or injury, including osteoarthritis (OA), cancer, and oral and periodontal disease, among others. CLINICAL CHALLENGES: Chronic pain assessment is a fundamental part of feline practice, but can be challenging due to differences in pain mechanisms underlying different conditions, and the cat's natural behavior. It relies mostly on owner-assessed behavioral changes and time-consuming veterinary consultations. Beyond OA - for which disease-specific clinical signs have been described - little is known regarding other feline conditions that produce chronic pain. RECENT ADVANCES: Knowledge of the subject has, however, greatly improved in the past few years, informed by study of the mechanisms of pain in cats with OA and the development of pain scales that can be used by owners or veterinarians. Pain scales may facilitate the diagnosis and follow-up evaluation of chronic painful conditions, providing a basis for therapeutic decision-making. Assessment of quality of life is also recommended in cats with chronic pain, and its improvement can be used as a positive outcome in response to therapy. AIMS: This article reviews recent advances and presents the challenges and some future perspectives on clinical chronic pain assessment. The most common feline chronic conditions associated with pain are also described. SN - 1532-2750 UR - https://www.unboundmedicine.com/medline/citation/31234749/Chronic_pain_in_cats:_Recent_advances_in_clinical_assessment_ L2 - http://journals.sagepub.com/doi/full/10.1177/1098612X19856179?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -