Peer-reviewed veterinary case report
Checklist to spot joint pain from arthritis in cats
By Enomoto, Masataka et al.·Published in Journal of feline medicine and surgery·2020·Department of Clinical Sciences, United States·View original on PubMed →
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Original publication title: Development of a checklist for the detection of degenerative joint disease-associated pain in cats.
- Species:
- cat
Plain-English summary
A group of researchers developed a simple checklist to help veterinarians identify if cats are suffering from pain related to degenerative joint disease (DJD). This checklist includes six specific questions that can help determine if a cat is experiencing joint pain. The study found that the checklist is highly effective, with a nearly perfect accuracy rate in identifying DJD pain in cats. This tool aims to improve awareness of joint pain in cats and assist owners in recognizing symptoms that may require veterinary attention.
People also search for: cat joint pain symptoms · how to tell if my cat has arthritis · degenerative joint disease in cats treatment
Abstract
OBJECTIVES: The aim of this study was to develop an evidence-based, clinically expedient checklist to identify cats likely to have degenerative joint disease (DJD)-associated pain. METHODS: Data were compiled from previously conducted studies that employed a standardized subjective outcome measure consisting of a series of questions. These studies included a prevalence study (with DJD non-informed owners) and therapeutic trials (with DJD-informed owners). For each cat, and each question, response scores were converted to 'impaired' and 'unimpaired'. Cats were categorized as 'DJD pain' and 'non-DJD' based on orthopedic pain and radiographic DJD scores. These binary data were compared between cat phenotypes (non-DJD and DJD pain) for each question. Sensitivity and specificity of each question were calculated using the binary data; based on this, potential questions for the checklist were selected. Sensitivity and specificity across this group of questions were calculated, and questions sequentially removed to optimize length, sensitivity and specificity. Finally, the proposed checklist was applied to a novel data set to evaluate its ability to identify cats with DJD pain. RESULTS: In total, 249 DJD pain cats and 53 non-DJD cats from five studies were included. Nine questions with adequate sensitivity and specificity were initially identified. Following sequential removal of questions, a checklist with six binary questions was proposed. Based on the data from the cohorts of DJD-informed and DJD non-informed owners, the sensitivity and specificity of the proposed checklist were approximately 99% and 100%, and 55% and 97%, respectively. CONCLUSIONS AND RELEVANCE: The proposed checklist represents a data-driven approach to construct a screening checklist for DJD pain in cats. This checklist provides a clinically expedient tool likely to increase veterinarians' ability to screen for DJD pain in cats. The identified behaviors comprising the checklist may further provide a foundation for increasing awareness of DJD pain among cat owners.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/32122226/