ArticleJournal of feline medicine and surgery2024
Effects of training on Feline Grimace Scale scoring for acute pain assessment in cats.
Article in Journal of feline medicine and surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- The effects of observer gender on feline acute pain assessment using three pain scoring instruments.Scientific reports · 2026Article
- Comparing the performance of deep learning video-based models and trained veterinarians in cattle pain assessment.Scientific reports · 2026Article
- Analgesic practices for acute pain management in cats and dogs in Africa.The Journal of small animal practice · 2026Article
- Comparing training methods to promote better animal welfare outcomes for animals in the research and teaching industry.Animal welfare (South Mimms, England) · 2026Article
- Agreement of Feline Grimace Scale scores between chatbots and an expert rater.Scientific reports · 2025Article
- Pain and pain management in cats: an ever-evolving field.Journal of feline medicine and surgery · 2025Article
- 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
- How facial expressions reveal acute pain in domestic animals with facial pain scales as a diagnostic tool.Frontiers in veterinary science · 2025Review
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe aim of the study was to determine the effects of training on inter-rater reliability and agreement of Feline Grimace Scale (FGS) scoring by small animal practitioners.
methodsSeven small animal veterinarians were asked to score a total of 50 images of cats in varying degrees of pain before and after training in FGS scoring. Participant scores were compared with those of an expert rater. Inter-rater reliability was analyzed using the intraclass correlation coefficient (ICC) before and after training (ICC <0.50 = poor reliability, 0.50-0.75 = moderate reliability, 0.76-0.90 = good reliability and >0.90 = excellent reliability). The Bland-Altman method was used to analyze the limits of agreement (LoAs) and bias between participants and the expert rater.
resultsAfter training, the ICC classification improved for each action unit (ear position, orbital tightening, muzzle tension, whiskers change and head position). The inter-rater reliability for the total FGS ratio scores before and after the FGS training session was moderate (ICC = 0.75; 95% confidence interval [CI] 0.66-0.83) and good (ICC = 0.80; 95% CI 0.73-0.87), respectively. Before training, LoAs were -0.277 to 0.310 with a bias of 0.016. After training, LoAs were -0.237 to 0.255 with a bias of 0.008. The bias was low (<0.1) both before and after training and LoAs did not span the FGS analgesic threshold (0.39). CONCLUSIONS AND RELEVANCE: Training in FGS scoring improved inter-rater reliability and agreement among seven small animal veterinarians and the veterinarians' skills in pain assessment.
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