{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T23:25:44Z","timestamp":1777850744027,"version":"3.51.4"},"reference-count":46,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T00:00:00Z","timestamp":1698796800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","award":["UIDB\/00211\/2020"],"award-info":[{"award-number":["UIDB\/00211\/2020"]}],"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":[[2023,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The aim of the study was to characterise the clinical management of feline chronic kidney disease (CKD) by veterinary practitioners in Portugal.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A questionnaire-based study was designed to be completed by all veterinarians who had diagnosed and treated at least one case of feline CKD in the previous year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 409 veterinary practitioners responded to the questionnaire, with approximately half of them diagnosing 2\u20135 cases of feline CKD per month (n\u2009=\u2009219, 53.5%). Although a high proportion of these reported using the guidelines published by the International Renal Interest Society (n\u2009=\u2009379, 92.7%), only 19.1% (n\u2009=\u200978) systematically performed systolic blood pressure (SBP) measurements in all of their patients. A renal diet was advised by almost all respondents (n\u2009=\u2009406, 99.3%), but 36.9% (n\u2009=\u2009150) of them considered that it represented less than 75% of the daily food intake for most of their patients. This dietary intervention was often prescribed regardless of stage (n\u2009=\u2009298, 73.4%) and without a proper gradual diet transition. Appetite stimulants were frequently prescribed (n\u2009=\u2009366, 89.5%), as well as a calcium channel blocker (n\u2009=\u2009171, 41.8%) and an angiotensin-converting enzyme inhibitor (n\u2009=\u2009245, 59.9%) to control systemic hypertension and proteinuria, respectively. Prescription of a phosphate binder was also common (n\u2009=\u2009311, 76.0%). Regarding monitoring, 70.9% (n\u2009=\u2009290) recommended that stable patients be reassessed every 2\u20133 months or more frequently, but only 35.7% (n\u2009=\u2009146) were able to comply with this periodicity due to owners\u2019 constraints.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and relevance<\/jats:title>\n                    <jats:p>The findings showed that although most survey respondents are aware of international guidelines for the clinical management of cats with CKD, the SBP measurement still needs to be more systematic to allow proper substaging and detection of systemic hypertension. The monitoring frequency was lower than recommended. Furthermore, the introduction of a renal therapeutic diet should be refined to improve its acceptance rate.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1098612x231206125","type":"journal-article","created":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T09:29:07Z","timestamp":1700558947000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Clinical management of feline chronic kidney disease in Portugal: a questionnaire-based study"],"prefix":"10.1177","volume":"25","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, Vila Real, Portugal"},{"name":"Animal and Veterinary Research Centre (CECAV), University of Tr\u00e1s-os-Montes and Alto Douro, Vila Real, Portugal"},{"name":"Associate Laboratory for Animal and Veterinary Sciences (AL4AnimalS), University of Tr\u00e1s-os-Montes and Alto Douro, Vila Real, Portugal"}]},{"given":"Ana Lu\u00edsa","family":"Louren\u00e7o","sequence":"additional","affiliation":[{"name":"Animal and Veterinary Research Centre (CECAV), University of Tr\u00e1s-os-Montes and Alto Douro, Vila Real, Portugal"},{"name":"Associate Laboratory for Animal and Veterinary Sciences (AL4AnimalS), University of Tr\u00e1s-os-Montes and Alto Douro, Vila Real, Portugal"},{"name":"Department of Animal Science, University of Tr\u00e1s-os-Montes and Alto Douro, Vila Real, Portugal"}]},{"given":"Ronald Jan","family":"Corbee","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, The Netherlands"}]},{"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, Vila Real, Portugal"},{"name":"Animal and Veterinary Research Centre (CECAV), University of Tr\u00e1s-os-Montes and Alto Douro, Vila Real, Portugal"},{"name":"Associate Laboratory for Animal and Veterinary Sciences (AL4AnimalS), University of Tr\u00e1s-os-Montes and Alto Douro, Vila Real, Portugal"},{"name":"Centre for the Study of Animal Science, CECA-ICETA, University of Porto, Porto, Portugal"}]}],"member":"179","published-online":{"date-parts":[[2023,11,21]]},"reference":[{"key":"bibr1-1098612X231206125","doi-asserted-by":"publisher","DOI":"10.1016\/j.tvjl.2014.08.004"},{"key":"bibr2-1098612X231206125","doi-asserted-by":"publisher","DOI":"10.1177\/1098612X13511446"},{"key":"bibr3-1098612X231206125","doi-asserted-by":"publisher","DOI":"10.1136\/vr.105100"},{"key":"bibr4-1098612X231206125","doi-asserted-by":"crossref","first-page":"1336","DOI":"10.2460\/javma.1999.214.09.1336","volume":"214","author":"Lund EM","year":"1999","journal-title":"J Am Vet Med Assoc"},{"key":"bibr5-1098612X231206125","doi-asserted-by":"publisher","DOI":"10.1111\/j.1939-1676.2009.0339.x"},{"key":"bibr6-1098612X231206125","doi-asserted-by":"publisher","DOI":"10.1111\/j.1751-0813.2006.tb12796.x"},{"key":"bibr7-1098612X231206125","doi-asserted-by":"publisher","DOI":"10.1177\/1098612X14536176"},{"key":"bibr8-1098612X231206125","doi-asserted-by":"publisher","DOI":"10.1177\/1098612X16631234"},{"key":"bibr9-1098612X231206125","doi-asserted-by":"publisher","DOI":"10.1111\/j.1939-1676.2006.tb02892.x"},{"key":"bibr10-1098612X231206125","doi-asserted-by":"publisher","DOI":"10.1016\/j.cvsm.2016.06.010"},{"key":"bibr11-1098612X231206125","unstructured":"International Renal Interest Society. 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