ArticleJournal of feline medicine and surgery2019
Preliminary appraisal of the reliability and validity of the Colorado State University Feline Acute Pain Scale.
Article in Journal of feline medicine and surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 45 citations in OpenAlex.
- Assessing Cat Welfare: A Literature Review on Behavioural, Physiological and Health Parameters with a Focus on Animal-Assisted Services (AAS).Veterinary sciences · 2026Review
- A systematic review of acute pain scoring instruments and their measurement properties in cats and dogs.Journal of veterinary internal medicine · 2026Article
- Development and Validation of an Owner-Assessed Feline Acute Pain Scale: Validation and Agreement with Veterinary Scales.Animals : an open access journal from MDPI · 2025Article
- Evaluation of local anesthetic blockade in cats undergoing castration in a high-quality, high-volume spay/neuter setting: a randomized, blinded, placebo-controlled trial.Journal of feline medicine and surgery · 2025Article
- Comparison between AI and human expert performance in acute pain assessment in sheep.Scientific reports · 2025Article
- Clinical interpretation of body language and behavioral modifications to recognize pain in domestic mammals.Frontiers in veterinary science · 2025Review
- Assessment of acute and chronic pain in canine internal medicine-what is missing in our diagnostic toolbox?Frontiers in veterinary science · 2025Article
- Initial validation of the LSPain scale: a behaviour-based clinical tool for canine lumbosacral pain.Frontiers in veterinary science · 2025Article
- Inter-observer reliability of three feline pain scales used in clinical practice.Journal of feline medicine and surgery · 2023Article
- Retrospective comparison of open vs minimally invasive cystotomy in 28 cats using a composite outcome score.Journal of feline medicine and surgery · 2022Article
- Attitudes and practices of veterinarians in Australia to acute pain management in cats.Journal of feline medicine and surgery · 2022Article
- Use of mechanical thresholds in a model of feline clinical acute pain and their correlation with the Glasgow Feline Composite Measure Pain Scale scores.Journal of feline medicine and surgery · 2022Article
- Mechanism of dexmedetomidine preconditioning on spinal cord analgesia in rats with functional chronic visceral pain.Acta cirurgica brasileira · 2022Article
- Appetite-stimulating effect of gabapentin vs mirtazapine in healthy cats post-ovariectomy.Journal of feline medicine and surgery · 2020Article
- Evaluation of targeted bupivacaine for reducing acute postoperative pain in cats undergoing routine ovariohysterectomy.Journal of feline medicine and surgery · 2020Article
- In cats undergoing midline ovariohysterectomy, is the use of local anaesthesia with bupivacaine associated with a reduction in postoperative pain score?Veterinary evidenceReview
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe objective of this study was to determine the inter-rater reliability and convergent validity of the Colorado State University Feline Acute Pain Scale (CSU-FAPS) in a preliminary appraisal of its performance in a clinical teaching setting.
methodsSixty-eight female cats were assessed for pain after ovariohysterectomy. A cohort of 21 cats was examined independently by four raters (two board-certified anesthesiologists and two anesthesia residents) with the CSU-FAPS, and intra-class correlation coefficient (ICC) was used to determine inter-rater reliability. Weighted Cohen's kappa was used to determine inter-rater reliability centered on the 'need to reassess analgesic plan' (dichotomous scale). A separate cohort of 47 cats was evaluated independently by two raters (one board-certified anesthesiologist and one veterinary small animal rotating intern) using the CSU-FAPS and the Glasgow Composite Measure Pain Scale (CMPS-Feline), and Spearman rank-order correlation was determined to assess convergent validity. Reliability was interpreted using Altman's classification as very good, good, moderate, fair and poor. Validity was considered adequate if correlation coefficients were between 0.4 and 0.8.
resultsThe ICC was 0.61 for anesthesiologists and 0.67 for residents, indicating good reliability. Weighted Cohen's kappa was 0.79 for anesthesiologists and 0.44 for residents, indicating moderate to good reliability. The Spearman rank correlation indicated a statistically significant ( P = 0.0003) positive correlation (0.31; 95% confidence interval 0.14-0.46) between the CSU-FAPS and the CMPS-Feline. CONCLUSIONS AND RELEVANCE: The CSU-FAPS showed moderate-to-good inter-rater reliability when used by veterinarians to assess pain level or need to reassess analgesic plan after ovariohysterectomy in cats. The validity fell short of current guidelines for correlation coefficients and further refinement and testing are warranted to improve its performance.
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