Merola Isabella, Mills Daniel S
School of Life Sciences, University of Lincoln, Joseph Banks Laboratories Green Lane, Lincoln LN6 7DL, United Kingdom.
PLoS One. 2016 Feb 24;11(2):e0150040. doi: 10.1371/journal.pone.0150040. eCollection 2016.
To identify where a consensus can be reached between veterinary experts in feline medicine on the core signs sufficient for pain (sufficient to indicate pain when they occur, but not necessarily present in all painful conditions) and necessary for pain (necessary in the presence of pain, but not always indicative of pain).
A modified Delphi technique was used, consisting of four rounds of questions and evaluation using nineteen participants during the period December 2014 and May 2015. Agreement was considered to be established when 80% of the experts concurred with the same opinion.
Twenty-five signs were considered sufficient to indicate pain, but no single sign was considered necessary for it.
Further studies are needed to evaluate the validity of these 25 behavioural signs if a specific pain assessment tool is to be developed that is capable of assessing pain in cats based on observational methods alone. The signs reported here may nonetheless help both vets and owners form an initial evaluation of the pain status of cats in their care.
确定猫科医学兽医专家之间能够就足以表明疼痛的核心体征（当这些体征出现时足以表明疼痛，但不一定在所有疼痛情况下都存在）以及疼痛所必需的体征（在疼痛存在时是必需的，但并不总是表明疼痛）达成共识的地方。
采用改良的德尔菲技术，在2014年12月至2015年5月期间，由19名参与者进行四轮问题提问和评估。当80%的专家达成相同意见时，视为达成共识。
25种体征被认为足以表明疼痛，但没有一种体征被认为是疼痛所必需的。
如果要开发一种仅基于观察方法就能评估猫疼痛的特定疼痛评估工具，还需要进一步研究来评估这25种行为体征的有效性。然而，这里报告的体征可能有助于兽医和猫主人对他们所照顾的猫的疼痛状况进行初步评估。
