Evaluation of Client-Specific Outcome Measures and Activity Monitoring to Measure Pain Relief in Cats with Osteoarthritis

Background:There are no validated systems for measuring pain from osteoarthritis in cats. Hypothesis:Owner subjective assessments and an activity monitor (AM) can be used to detect pain in cats with osteoarthritis and to assess efficacy of treatments. Animals:Thirteen cats older than 10 years old, w...

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Veröffentlicht in:Journal of veterinary internal medicine 2007-05, Vol.21 (3), p.410-416
Hauptverfasser: Lascelles, B.D.X, Hansen, B.D, Roe, S, DePuy, V, Thomson, A, Pierce, C.C, Smith, E.S, Rowinski, E
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container_end_page 416
container_issue 3
container_start_page 410
container_title Journal of veterinary internal medicine
container_volume 21
creator Lascelles, B.D.X
Hansen, B.D
Roe, S
DePuy, V
Thomson, A
Pierce, C.C
Smith, E.S
Rowinski, E
description Background:There are no validated systems for measuring pain from osteoarthritis in cats. Hypothesis:Owner subjective assessments and an activity monitor (AM) can be used to detect pain in cats with osteoarthritis and to assess efficacy of treatments. Animals:Thirteen cats older than 10 years old, with owner‐assessed decreases in activity, painful arthritic joints, and clinically normal blood work were included and evaluated for 3 weeks. Methods:A collar‐mounted AM measured activity and a client‐specific outcome measure (CSOM) questionnaire characterized the severity of impairment. Overall global quality of life was also evaluated for each treatment. In weeks 2 and 3, meloxicam (0.1 mg/kg, day 1; 0.05 mg/kg, days 2–5) or a placebo was administered in a blinded, randomized, cross‐over manner to test the assessment systems. Results:The cats had a median of 4 arthritic appendicular joints. Activity counts for the week when cats (complete data on activity; n = 9) were administered meloxicam were significantly higher than at baseline (P= .02) but not after placebo (P= .06). Baseline activity counts were not significantly different from placebo (P= .6). The CSOM data (n = 13) showed that owners considered their cats to be more active on meloxicam compared with baseline (P= .001) and placebo (P < .004), and more active on placebo than at baseline (P < .01). Global quality of life improved significantly with meloxicam (P < .042). Conclusions and Clinical Importance: Both an AM and a CSOM system can detect behavior associated with pain relief in cats that are arthritic. Objective activity data might allow subjective assessment systems to be validated for use in clinical studies.
doi_str_mv 10.1111/j.1939-1676.2007.tb02983.x
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Hypothesis:Owner subjective assessments and an activity monitor (AM) can be used to detect pain in cats with osteoarthritis and to assess efficacy of treatments. Animals:Thirteen cats older than 10 years old, with owner‐assessed decreases in activity, painful arthritic joints, and clinically normal blood work were included and evaluated for 3 weeks. Methods:A collar‐mounted AM measured activity and a client‐specific outcome measure (CSOM) questionnaire characterized the severity of impairment. Overall global quality of life was also evaluated for each treatment. In weeks 2 and 3, meloxicam (0.1 mg/kg, day 1; 0.05 mg/kg, days 2–5) or a placebo was administered in a blinded, randomized, cross‐over manner to test the assessment systems. Results:The cats had a median of 4 arthritic appendicular joints. Activity counts for the week when cats (complete data on activity; n = 9) were administered meloxicam were significantly higher than at baseline (P= .02) but not after placebo (P= .06). Baseline activity counts were not significantly different from placebo (P= .6). The CSOM data (n = 13) showed that owners considered their cats to be more active on meloxicam compared with baseline (P= .001) and placebo (P &lt; .004), and more active on placebo than at baseline (P &lt; .01). Global quality of life improved significantly with meloxicam (P &lt; .042). Conclusions and Clinical Importance: Both an AM and a CSOM system can detect behavior associated with pain relief in cats that are arthritic. Objective activity data might allow subjective assessment systems to be validated for use in clinical studies.</description><identifier>ISSN: 0891-6640</identifier><identifier>EISSN: 1939-1676</identifier><identifier>DOI: 10.1111/j.1939-1676.2007.tb02983.x</identifier><identifier>PMID: 17552444</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Activity ; Animals ; Anti-Inflammatory Agents, Non-Steroidal - therapeutic use ; Cat Diseases ; Cats ; Cross-Over Studies ; Degenerative joint disease ; Double-Blind Method ; Feline ; Female ; Male ; Meloxicam ; osteoarthritis ; Osteoarthritis - complications ; Osteoarthritis - veterinary ; Owner ; pain ; Pain - drug therapy ; Pain - etiology ; Pain - veterinary ; Pain Measurement - methods ; Pain Measurement - veterinary ; Quality of Life ; Severity of Illness Index ; Subjective assessment ; Surveys and Questionnaires ; therapeutics ; Thiazines - therapeutic use ; Thiazoles - therapeutic use ; Treatment Outcome</subject><ispartof>Journal of veterinary internal medicine, 2007-05, Vol.21 (3), p.410-416</ispartof><rights>2007 American College of Veterinary Internal Medicine</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3120-5e51dde0f3d58ffc5797b502ef0c1f2e0da01fb3b0522566696bdb41264e174d3</citedby><cites>FETCH-LOGICAL-c3120-5e51dde0f3d58ffc5797b502ef0c1f2e0da01fb3b0522566696bdb41264e174d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1939-1676.2007.tb02983.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1939-1676.2007.tb02983.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,11562,27924,27925,45574,45575,46052,46476</link.rule.ids><linktorsrc>$$Uhttps://onlinelibrary.wiley.com/doi/abs/10.1111%2Fj.1939-1676.2007.tb02983.x$$EView_record_in_Wiley-Blackwell$$FView_record_in_$$GWiley-Blackwell</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17552444$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lascelles, B.D.X</creatorcontrib><creatorcontrib>Hansen, B.D</creatorcontrib><creatorcontrib>Roe, S</creatorcontrib><creatorcontrib>DePuy, V</creatorcontrib><creatorcontrib>Thomson, A</creatorcontrib><creatorcontrib>Pierce, C.C</creatorcontrib><creatorcontrib>Smith, E.S</creatorcontrib><creatorcontrib>Rowinski, E</creatorcontrib><title>Evaluation of Client-Specific Outcome Measures and Activity Monitoring to Measure Pain Relief in Cats with Osteoarthritis</title><title>Journal of veterinary internal medicine</title><addtitle>J Vet Intern Med</addtitle><description>Background:There are no validated systems for measuring pain from osteoarthritis in cats. Hypothesis:Owner subjective assessments and an activity monitor (AM) can be used to detect pain in cats with osteoarthritis and to assess efficacy of treatments. Animals:Thirteen cats older than 10 years old, with owner‐assessed decreases in activity, painful arthritic joints, and clinically normal blood work were included and evaluated for 3 weeks. Methods:A collar‐mounted AM measured activity and a client‐specific outcome measure (CSOM) questionnaire characterized the severity of impairment. Overall global quality of life was also evaluated for each treatment. In weeks 2 and 3, meloxicam (0.1 mg/kg, day 1; 0.05 mg/kg, days 2–5) or a placebo was administered in a blinded, randomized, cross‐over manner to test the assessment systems. Results:The cats had a median of 4 arthritic appendicular joints. Activity counts for the week when cats (complete data on activity; n = 9) were administered meloxicam were significantly higher than at baseline (P= .02) but not after placebo (P= .06). Baseline activity counts were not significantly different from placebo (P= .6). The CSOM data (n = 13) showed that owners considered their cats to be more active on meloxicam compared with baseline (P= .001) and placebo (P &lt; .004), and more active on placebo than at baseline (P &lt; .01). Global quality of life improved significantly with meloxicam (P &lt; .042). Conclusions and Clinical Importance: Both an AM and a CSOM system can detect behavior associated with pain relief in cats that are arthritic. 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Hansen, B.D ; Roe, S ; DePuy, V ; Thomson, A ; Pierce, C.C ; Smith, E.S ; Rowinski, E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3120-5e51dde0f3d58ffc5797b502ef0c1f2e0da01fb3b0522566696bdb41264e174d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Activity</topic><topic>Animals</topic><topic>Anti-Inflammatory Agents, Non-Steroidal - therapeutic use</topic><topic>Cat Diseases</topic><topic>Cats</topic><topic>Cross-Over Studies</topic><topic>Degenerative joint disease</topic><topic>Double-Blind Method</topic><topic>Feline</topic><topic>Female</topic><topic>Male</topic><topic>Meloxicam</topic><topic>osteoarthritis</topic><topic>Osteoarthritis - complications</topic><topic>Osteoarthritis - veterinary</topic><topic>Owner</topic><topic>pain</topic><topic>Pain - drug therapy</topic><topic>Pain - etiology</topic><topic>Pain - veterinary</topic><topic>Pain Measurement - methods</topic><topic>Pain Measurement - veterinary</topic><topic>Quality of Life</topic><topic>Severity of Illness Index</topic><topic>Subjective assessment</topic><topic>Surveys and Questionnaires</topic><topic>therapeutics</topic><topic>Thiazines - therapeutic use</topic><topic>Thiazoles - therapeutic use</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lascelles, B.D.X</creatorcontrib><creatorcontrib>Hansen, B.D</creatorcontrib><creatorcontrib>Roe, S</creatorcontrib><creatorcontrib>DePuy, V</creatorcontrib><creatorcontrib>Thomson, A</creatorcontrib><creatorcontrib>Pierce, C.C</creatorcontrib><creatorcontrib>Smith, E.S</creatorcontrib><creatorcontrib>Rowinski, E</creatorcontrib><collection>AGRIS</collection><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Calcium &amp; Calcified Tissue Abstracts</collection><jtitle>Journal of veterinary internal medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Lascelles, B.D.X</au><au>Hansen, B.D</au><au>Roe, S</au><au>DePuy, V</au><au>Thomson, A</au><au>Pierce, C.C</au><au>Smith, E.S</au><au>Rowinski, E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of Client-Specific Outcome Measures and Activity Monitoring to Measure Pain Relief in Cats with Osteoarthritis</atitle><jtitle>Journal of veterinary internal medicine</jtitle><addtitle>J Vet Intern Med</addtitle><date>2007-05</date><risdate>2007</risdate><volume>21</volume><issue>3</issue><spage>410</spage><epage>416</epage><pages>410-416</pages><issn>0891-6640</issn><eissn>1939-1676</eissn><abstract>Background:There are no validated systems for measuring pain from osteoarthritis in cats. Hypothesis:Owner subjective assessments and an activity monitor (AM) can be used to detect pain in cats with osteoarthritis and to assess efficacy of treatments. Animals:Thirteen cats older than 10 years old, with owner‐assessed decreases in activity, painful arthritic joints, and clinically normal blood work were included and evaluated for 3 weeks. Methods:A collar‐mounted AM measured activity and a client‐specific outcome measure (CSOM) questionnaire characterized the severity of impairment. Overall global quality of life was also evaluated for each treatment. In weeks 2 and 3, meloxicam (0.1 mg/kg, day 1; 0.05 mg/kg, days 2–5) or a placebo was administered in a blinded, randomized, cross‐over manner to test the assessment systems. Results:The cats had a median of 4 arthritic appendicular joints. Activity counts for the week when cats (complete data on activity; n = 9) were administered meloxicam were significantly higher than at baseline (P= .02) but not after placebo (P= .06). Baseline activity counts were not significantly different from placebo (P= .6). The CSOM data (n = 13) showed that owners considered their cats to be more active on meloxicam compared with baseline (P= .001) and placebo (P &lt; .004), and more active on placebo than at baseline (P &lt; .01). Global quality of life improved significantly with meloxicam (P &lt; .042). Conclusions and Clinical Importance: Both an AM and a CSOM system can detect behavior associated with pain relief in cats that are arthritic. Objective activity data might allow subjective assessment systems to be validated for use in clinical studies.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>17552444</pmid><doi>10.1111/j.1939-1676.2007.tb02983.x</doi><tpages>7</tpages></addata></record>
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subjects Activity
Animals
Anti-Inflammatory Agents, Non-Steroidal - therapeutic use
Cat Diseases
Cats
Cross-Over Studies
Degenerative joint disease
Double-Blind Method
Feline
Female
Male
Meloxicam
osteoarthritis
Osteoarthritis - complications
Osteoarthritis - veterinary
Owner
pain
Pain - drug therapy
Pain - etiology
Pain - veterinary
Pain Measurement - methods
Pain Measurement - veterinary
Quality of Life
Severity of Illness Index
Subjective assessment
Surveys and Questionnaires
therapeutics
Thiazines - therapeutic use
Thiazoles - therapeutic use
Treatment Outcome
title Evaluation of Client-Specific Outcome Measures and Activity Monitoring to Measure Pain Relief in Cats with Osteoarthritis
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