{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T06:27:09Z","timestamp":1791440829308,"version":"4.3.3"},"reference-count":54,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","award":["2021.07272.BD"],"award-info":[{"award-number":["2021.07272.BD"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","award":["UID\/00772"],"award-info":[{"award-number":["UID\/00772"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Feline Medicine and Surgery"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The study aimed to assess caregivers\u2019 perspectives on feline chronic kidney disease (CKD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>People living in Portugal caring for a cat with CKD were invited to participate in an online questionnaire.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In total, 405 responses were considered, with most participants (n\u2009=\u2009309, 76.3%) dealing with feline CKD for the first time. International Renal Interest Society (IRIS) CKD staging was explained to 260 (64.2%) respondents, but only 188 (46.4%) confirmed that blood pressure was assessed at diagnosis. The recommendation of a renal diet was received by 387 (95.6%) respondents, but only 341 (84.2%) gave it, and, of the latter, 139 (40.8%) were ultimately offering at least some non-renal food daily. Medications, supplements\/nutraceuticals and subcutaneous fluid therapy were administered at home by 255 (63.0%), 204 (50.4%) and 150 (37.0%) respondents, respectively. Among the caregivers who used a phosphate binder (n\u2009=\u2009123), at least 46 (37.4%) were giving it without food. After diagnosis, the caregiver\u2013cat emotional bond remained the same, improved or worsened in 285 (70.4%), 106 (26.2%) and nine (2.2%) cases, respectively. Most respondents felt completely informed by their veterinarian (n\u2009=\u2009331, 81.7%), complied with the recommended monitoring frequency (n\u2009=\u2009377, 93.1%) and believed that their experience would not influence future decisions to get a new cat (n\u2009=\u2009221, 54.6%). Clinical signs and proteinuria, the need for medication and nutraceuticals\/supplements, the administration of erythrocyte-stimulating agents and subcutaneous fluids, and the monitoring frequency were higher (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt;0.05) in cats at late IRIS CKD stages.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and relevance<\/jats:title>\n                    <jats:p>Most caregivers surveyed felt informed; however, some recommendations were not completely followed. Veterinarian\u2013caregiver communication must be improved to ensure greater adherence to medical recommendations, and an early diagnosis should be pursued to minimise the caregiver burden.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1098612x251377486","type":"journal-article","created":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T04:41:32Z","timestamp":1765860092000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Caregivers\u2019 perspectives on feline chronic kidney disease in Portugal: a questionnaire-based study"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3478-2840","authenticated-orcid":false,"given":"Tom\u00e1s Rodrigues","family":"Magalh\u00e3es","sequence":"first","affiliation":[{"name":"Department of Veterinary Sciences, University of Tr\u00e1s-os-Montes and Alto Douro (UTAD), Vila Real, Portugal"},{"name":"Animal and Veterinary Research Centre (CECAV), UTAD, Vila Real, Portugal"},{"name":"Associate Laboratory for Animal and Veterinary Sciences (AL4AnimalS), UTAD, Vila Real, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Lu\u00edsa","family":"Louren\u00e7o","sequence":"additional","affiliation":[{"name":"Animal and Veterinary Research Centre (CECAV), UTAD, Vila Real, Portugal"},{"name":"Associate Laboratory for Animal and Veterinary Sciences (AL4AnimalS), UTAD, Vila Real, Portugal"},{"name":"Department of Animal Science, UTAD, Vila Real, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronald Jan","family":"Corbee","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"In\u00eas","family":"Guerra","sequence":"additional","affiliation":[{"name":"Hospital do Gato, Lisbon, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6130-8381","authenticated-orcid":false,"given":"Felisbina Lu\u00edsa","family":"Queiroga","sequence":"additional","affiliation":[{"name":"Department of Veterinary Sciences, University of Tr\u00e1s-os-Montes and Alto Douro (UTAD), Vila Real, Portugal"},{"name":"Animal and Veterinary Research Centre (CECAV), UTAD, Vila Real, Portugal"},{"name":"Associate Laboratory for Animal and Veterinary Sciences (AL4AnimalS), UTAD, Vila Real, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,12,15]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cvsm.2021.01.007"},{"key":"e_1_3_3_3_2","unstructured":"International Renal Interest Society. 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