Lascelles B Duncan X
Comparative Pain Research Laboratory and Surgery Section, Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC 27606, USA.
Vet Surg. 2010 Jan;39(1):2-13. doi: 10.1111/j.1532-950X.2009.00597.x.
To critically review and collate published information on feline degenerative joint disease (DJD) and identify areas in which information is lacking.
Critical literature review.
Literature search through Pub Med, Commonwealth Agricultural Bureau Abstracts published in the English Language, or translated into English (January 1940-August 2008).
Although there are no prospective studies, the prevalence of radiographic DJD appears to be high and can be associated with clinical signs of decreased mobility. There appears to be a mismatch between radiographic and clinical examination findings (pain response). There is little information on the cause of DJD in different joints. There are no fully validated subjective or objective assessment systems for the measurement of chronic DJD-associated pain in the cat. Development of a feline model of chronic DJD-associated pain may speed the development and evaluation of candidate pain-alleviating compounds and treatments.
The high prevalence of feline DJD and lack of information about it, suggests further investigation is needed.
Feline DJD occurs with high frequency, and yet there is little to guide the clinician on prevention or treatment.
批判性地回顾和整理已发表的关于猫退行性关节病(DJD)的信息,并确定信息缺乏的领域。
批判性文献综述。
通过PubMed、以英文发表或翻译成英文的英联邦农业局文摘进行文献检索(1940年1月至2008年8月)。
尽管没有前瞻性研究,但影像学诊断的DJD患病率似乎很高,并且可能与活动能力下降的临床症状相关。影像学检查结果与临床检查结果(疼痛反应)之间似乎存在不匹配。关于不同关节DJD病因的信息很少。目前尚无用于测量猫慢性DJD相关疼痛的经过充分验证的主观或客观评估系统。建立猫慢性DJD相关疼痛模型可能会加快候选止痛化合物和治疗方法的开发与评估。
猫DJD的高患病率及其相关信息的缺乏表明需要进一步研究。
猫DJD的发生率很高,但在预防或治疗方面几乎没有可供临床医生参考的依据。