Evidence map›Paper›PMID 32594827›Full record

ArticleJournal of feline medicine and surgery2021

Effects of low-dose meloxicam in cats with chronic kidney disease.

Kate KuKanich, Christopher George, James K Roush, Sherry Sharp, Giosi Farace, Murthy Yerramilli, Sarah Peterson, Gregory F Grauer

Open access · greenAbstract readRandomized Controlled Trial, Veterinary
In one paragraph

Article in Journal of feline medicine and surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Veterinary Drug Labels and extra-label drug use: What's the issue?The Canadian veterinary journal = La revue veterinaire canadienne · 2026
    Article
  4. Feline comorbidities: cardiovascular and kidney diseases.Journal of feline medicine and surgery · 2026
    Review
  5. Review
  6. Article
  7. Article
  8. An Exploration of Analgesia Options for Australian Sheep.Animals : an open access journal from MDPI · 2024
    Review
  9. Article
  10. Article
  11. 2023 AAFP/IAAHPC feline hospice and palliative care guidelines.Journal of feline medicine and surgery · 2023
    Review
  12. Article
  13. Article
  14. Review
  15. Drug-Dosing Adjustment in Dogs and Cats with Chronic Kidney Disease.Animals : an open access journal from MDPI · 2022
    Review
  16. 2021 AAFP Feline Senior Care Guidelines.Journal of feline medicine and surgery · 2021
    Article
  17. Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Kate KuKanichDepartment of Clinical Sciences, College of Veterinary Medicine, Kansas State University, Manhattan, KS, USA.ORCID 0000-0002-0215-3284
Christopher GeorgeDepartment of Clinical Sciences, College of Veterinary Medicine, Kansas State University, Manhattan, KS, USA.
James K RoushDepartment of Clinical Sciences, College of Veterinary Medicine, Kansas State University, Manhattan, KS, USA.
Sherry SharpDepartment of Clinical Sciences, College of Veterinary Medicine, Kansas State University, Manhattan, KS, USA.
Giosi FaraceIDEXX Laboratories, Westbrook, Maine, USA.
Murthy YerramilliIDEXX Laboratories, Westbrook, Maine, USA.
Sarah PetersonIDEXX Laboratories, Westbrook, Maine, USA.
Gregory F GrauerDepartment of Clinical Sciences, College of Veterinary Medicine, Kansas State University, Manhattan, KS, USA.
Kansas State University · USIDEXX Laboratories (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesMeloxicam therapy may benefit cats with degenerative joint disease, and retrospective studies suggest it could slow kidney disease progression and increase survival. This study aimed to prospectively evaluate the renal effects of low-dose meloxicam treatment (0.02 mg/kg/day) over 6 months in cats with chronic kidney disease (CKD).

methodsTwenty-one cats with stable International Renal Interest Society stage 2 or 3 CKD were recruited and randomized to placebo or meloxicam groups. Cats were evaluated at baseline and at 1, 3 and 6 months, including blood pressure, chemistry, symmetric dimethylarginine (SDMA), glomerular filtration rate (GFR), urinalysis, urine protein:creatinine ratio (UPC), urine transforming growth factor-beta (β):creatinine ratio, urine clusterin, urine cystatin B and serum inosine.

resultsNo statistical difference was observed in systolic blood pressure, blood urea nitrogen, creatinine, SDMA, GFR, urine transforming growth factor-β:creatinine ratio, urine clusterin, urine cystatin B or serum inosine in cats receiving meloxicam vs placebo. Mean UPC was greater in the meloxicam group (0.33) than the placebo group (0.1) at 6 months ( CONCLUSIONS AND RELEVANCE: No decline in renal excretory function was observed when meloxicam was administered to cats with CKD. However, gastrointestinal adverse effects were observed, and cats that received meloxicam had greater proteinuria at 6 months than cats that received placebo. As proteinuria is associated with negative outcomes (progression of azotemia and hypertension) in cats with CKD, this finding suggests that meloxicam should be used with caution in cats with CKD and UPC monitored. Until further research is available, clinicians should weigh the risk of potential increased proteinuria against quality of life benefits when considering meloxicam for analgesia in cats with renal disease.

Indexed as

Quality of LifeRenal Insufficiency, ChronicAnimalsCat DiseasesCatsGlomerular Filtration RateMeloxicamRetrospective StudiesMeloxicamazotemiachronic kidney diseaseGlomerular filtration ratemeloxicamsafety

Identifiers

PMID32594827
PMCPMC10741344
OpenAlexW3037602045

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.