Attitudes to acute pain and the use of pain assessment scales among Spanish small animal veterinarians

Evaluation of acute pain in dogs and cats is the basis for an appropriate treatment and improved well-being. The difficulties involved in pain assessment pose a challenge for veterinarians, and recent findings indicate that the most effective tools available—validated pain assessment scales—may not...

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Main Authors: Sandra Menéndez, Miguel Angel Cabezas, Ignacio A. Gomez de Segura
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-12-01
Series:Frontiers in Veterinary Science
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fvets.2023.1302528/full
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author Sandra Menéndez
Miguel Angel Cabezas
Miguel Angel Cabezas
Ignacio A. Gomez de Segura
author_facet Sandra Menéndez
Miguel Angel Cabezas
Miguel Angel Cabezas
Ignacio A. Gomez de Segura
author_sort Sandra Menéndez
collection DOAJ
description Evaluation of acute pain in dogs and cats is the basis for an appropriate treatment and improved well-being. The difficulties involved in pain assessment pose a challenge for veterinarians, and recent findings indicate that the most effective tools available—validated pain assessment scales—may not be widely utilized.ObjectivesThis study aimed to characterize the level of concern among Spanish veterinarians regarding acute pain in companion animals. Additionally, it sought to determine whether this concern correlates with the utilization of optimal assessment tools.MethodsA survey was conducted to explore Spanish veterinarians’ attitudes toward pain and its assessment. The survey was distributed through two most prominent small animal veterinary associations, the Spanish association for veterinary anesthesia and analgesia, as well as key industry players committed to proactive pain management. Descriptive analysis of the collected data was performed using Excel and SPSS.ResultsA total of 292 veterinarians participated in the study. A high level of concern regarding pain in dogs and cats was determined where 44% of surveyed veterinarians assessed pain in all patients. Despite an awareness of validated pain scales, only 28% used them. The preferred scales were the Glasgow CMPS for dogs (94%) and the Feline Grimace Scale for cats (93%). Among respondents who do not use these validated tools, there was a considerable interest in incorporating these scales into practice (85%) and considered lack of training was the most relevant issue (32%). Other challenges to scale utilization were identified, including constraints related to time, staffing, and the need to establish a habit.Conclusions and relevanceSpanish small animal veterinarians demonstrated a strong awareness to pain in their patients and employed various methods for pain assessment. However, a limited use of validated tools was identified and likely attributed to challenges such as a lack of established routine, time constraints, insufficient personnel, and, notably, a knowledge gap among veterinarians who do not employ pain assessment scales. The most commonly used scales were the Glasgow CMPS for dogs and the FGS for cats. Overall, these results suggest a window of opportunity for the implementation of training programs in small animal pain assessment at a national level.
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spelling doaj.art-9a10a4a76ef649c4b6a7f74b6b3904d82023-12-18T12:16:32ZengFrontiers Media S.A.Frontiers in Veterinary Science2297-17692023-12-011010.3389/fvets.2023.13025281302528Attitudes to acute pain and the use of pain assessment scales among Spanish small animal veterinariansSandra Menéndez0Miguel Angel Cabezas1Miguel Angel Cabezas2Ignacio A. Gomez de Segura3Department of Animal Medicine and Surgery, University Complutense, Madrid, SpainDepartment of Animal Medicine and Surgery, University Complutense, Madrid, SpainDolorvet, Anestesia y analgesia veterinaria, Madrid, SpainDepartment of Animal Medicine and Surgery, University Complutense, Madrid, SpainEvaluation of acute pain in dogs and cats is the basis for an appropriate treatment and improved well-being. The difficulties involved in pain assessment pose a challenge for veterinarians, and recent findings indicate that the most effective tools available—validated pain assessment scales—may not be widely utilized.ObjectivesThis study aimed to characterize the level of concern among Spanish veterinarians regarding acute pain in companion animals. Additionally, it sought to determine whether this concern correlates with the utilization of optimal assessment tools.MethodsA survey was conducted to explore Spanish veterinarians’ attitudes toward pain and its assessment. The survey was distributed through two most prominent small animal veterinary associations, the Spanish association for veterinary anesthesia and analgesia, as well as key industry players committed to proactive pain management. Descriptive analysis of the collected data was performed using Excel and SPSS.ResultsA total of 292 veterinarians participated in the study. A high level of concern regarding pain in dogs and cats was determined where 44% of surveyed veterinarians assessed pain in all patients. Despite an awareness of validated pain scales, only 28% used them. The preferred scales were the Glasgow CMPS for dogs (94%) and the Feline Grimace Scale for cats (93%). Among respondents who do not use these validated tools, there was a considerable interest in incorporating these scales into practice (85%) and considered lack of training was the most relevant issue (32%). Other challenges to scale utilization were identified, including constraints related to time, staffing, and the need to establish a habit.Conclusions and relevanceSpanish small animal veterinarians demonstrated a strong awareness to pain in their patients and employed various methods for pain assessment. However, a limited use of validated tools was identified and likely attributed to challenges such as a lack of established routine, time constraints, insufficient personnel, and, notably, a knowledge gap among veterinarians who do not employ pain assessment scales. The most commonly used scales were the Glasgow CMPS for dogs and the FGS for cats. Overall, these results suggest a window of opportunity for the implementation of training programs in small animal pain assessment at a national level.https://www.frontiersin.org/articles/10.3389/fvets.2023.1302528/fullacute painassessmentbehavioral-based pain scalesGlasgow composite measure pain scalefeline grimace scaledogs
spellingShingle Sandra Menéndez
Miguel Angel Cabezas
Miguel Angel Cabezas
Ignacio A. Gomez de Segura
Attitudes to acute pain and the use of pain assessment scales among Spanish small animal veterinarians
Frontiers in Veterinary Science
acute pain
assessment
behavioral-based pain scales
Glasgow composite measure pain scale
feline grimace scale
dogs
title Attitudes to acute pain and the use of pain assessment scales among Spanish small animal veterinarians
title_full Attitudes to acute pain and the use of pain assessment scales among Spanish small animal veterinarians
title_fullStr Attitudes to acute pain and the use of pain assessment scales among Spanish small animal veterinarians
title_full_unstemmed Attitudes to acute pain and the use of pain assessment scales among Spanish small animal veterinarians
title_short Attitudes to acute pain and the use of pain assessment scales among Spanish small animal veterinarians
title_sort attitudes to acute pain and the use of pain assessment scales among spanish small animal veterinarians
topic acute pain
assessment
behavioral-based pain scales
Glasgow composite measure pain scale
feline grimace scale
dogs
url https://www.frontiersin.org/articles/10.3389/fvets.2023.1302528/full
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