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Evaluation and comparison of pain questionnaires for clinical screening of osteoarthritis in cats.
Vet Rec 2019VR

Abstract

BACKGROUND

Feline osteoarthritis (OA) is a common cause of long-standing pain and physical dysfunction. Performing a physical examination of a cat is often challenging. There is a need for disease-specific questionnaires or the so-called clinical metrology instruments (CMIs) to facilitate diagnosis and evaluation of treatment of feline OA. The CMI provides the owners an assessment of the cat's behavioural and lifestyle changes in the home environment. The purpose of the study was to evaluate readability, internal consistency, reliability and discriminatory ability of four CMIs.

METHODS

This is a prospective, cross-sectional study with 142 client-owned cats. Feline OA was diagnosed based on medical history, orthopaedic examination and radiography.

RESULTS

The results indicate that all four instruments have sound readability, internal consistency, are reliable over time and have good discriminatory ability. Preliminary cut-off values with optimal sensitivity and specificity were suggested for each instrument. The osteoarthritic cats showed significant changes in behavioural response to pain during orthopaedic examination, compared with sound cats.

CONCLUSION

The results indicate that all four questionnaires make an important contribution in a clinical setting, and that the cat's behavioural response to pain during physical examination should be a parameter to take into account as a possible indication of chronic pain.

Authors+Show Affiliations

Department of Clinical Sciences, The Swedish University of Agricultural Sciences, Uppsala, Sweden.Department of Clinical Sciences, North Carolina State University, Raleigh, North Carolina, USA.Department of Clinical Sciences, The Swedish University of Agricultural Sciences, Uppsala, Sweden.Department of Clinical Sciences, The Swedish University of Agricultural Sciences, Uppsala, Sweden anna.bergh@slu.se.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31619513

Citation

Stadig, Sarah, et al. "Evaluation and Comparison of Pain Questionnaires for Clinical Screening of Osteoarthritis in Cats." The Veterinary Record, 2019.
Stadig S, Lascelles DBX, Nyman G, et al. Evaluation and comparison of pain questionnaires for clinical screening of osteoarthritis in cats. Vet Rec. 2019.
Stadig, S., Lascelles, D. B. X., Nyman, G., & Bergh, A. (2019). Evaluation and comparison of pain questionnaires for clinical screening of osteoarthritis in cats. The Veterinary Record, doi:10.1136/vr.105115.
Stadig S, et al. Evaluation and Comparison of Pain Questionnaires for Clinical Screening of Osteoarthritis in Cats. Vet Rec. 2019 Oct 16; PubMed PMID: 31619513.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Evaluation and comparison of pain questionnaires for clinical screening of osteoarthritis in cats. AU - Stadig,Sarah, AU - Lascelles,Duncan B X, AU - Nyman,Gorel, AU - Bergh,Anna, Y1 - 2019/10/16/ PY - 2018/07/29/received PY - 2019/08/29/revised PY - 2019/09/27/accepted PY - 2019/10/18/entrez PY - 2019/10/18/pubmed PY - 2019/10/18/medline KW - chronic pain KW - clinical metrology instruments KW - feline KW - owner assessment KW - pressure mat technique KW - sensitivity JF - The Veterinary record JO - Vet. Rec. N2 - BACKGROUND: Feline osteoarthritis (OA) is a common cause of long-standing pain and physical dysfunction. Performing a physical examination of a cat is often challenging. There is a need for disease-specific questionnaires or the so-called clinical metrology instruments (CMIs) to facilitate diagnosis and evaluation of treatment of feline OA. The CMI provides the owners an assessment of the cat's behavioural and lifestyle changes in the home environment. The purpose of the study was to evaluate readability, internal consistency, reliability and discriminatory ability of four CMIs. METHODS: This is a prospective, cross-sectional study with 142 client-owned cats. Feline OA was diagnosed based on medical history, orthopaedic examination and radiography. RESULTS: The results indicate that all four instruments have sound readability, internal consistency, are reliable over time and have good discriminatory ability. Preliminary cut-off values with optimal sensitivity and specificity were suggested for each instrument. The osteoarthritic cats showed significant changes in behavioural response to pain during orthopaedic examination, compared with sound cats. CONCLUSION: The results indicate that all four questionnaires make an important contribution in a clinical setting, and that the cat's behavioural response to pain during physical examination should be a parameter to take into account as a possible indication of chronic pain. SN - 2042-7670 UR - https://www.unboundmedicine.com/medline/citation/31619513/Evaluation_and_comparison_of_pain_questionnaires_for_clinical_screening_of_osteoarthritis_in_cats L2 - http://veterinaryrecord.bmj.com/cgi/pmidlookup?view=long&pmid=31619513 DB - PRIME DP - Unbound Medicine ER -