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Survival, remission, and quality of life in diabetic cats

BACKGROUND: Remission is documented in a substantial proportion of cats with diabetes. The effects of diabetes mellitus (DM) on the lives of cats and their owners should be considered when evaluating treatment success. OBJECTIVES: To study outcome in cats with DM and the impact DM has on the life si...

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Autores principales: Rothlin‐Zachrisson, Ninni, Öhlund, Malin, Röcklinsberg, Helena, Ström Holst, Bodil
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons, Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9889602/
https://www.ncbi.nlm.nih.gov/pubmed/36637031
http://dx.doi.org/10.1111/jvim.16625
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author Rothlin‐Zachrisson, Ninni
Öhlund, Malin
Röcklinsberg, Helena
Ström Holst, Bodil
author_facet Rothlin‐Zachrisson, Ninni
Öhlund, Malin
Röcklinsberg, Helena
Ström Holst, Bodil
author_sort Rothlin‐Zachrisson, Ninni
collection PubMed
description BACKGROUND: Remission is documented in a substantial proportion of cats with diabetes. The effects of diabetes mellitus (DM) on the lives of cats and their owners should be considered when evaluating treatment success. OBJECTIVES: To study outcome in cats with DM and the impact DM has on the life situation of cat and owner. ANIMALS: Domestic and pedigree cats with a diagnosis of DM (n = 477) insured by a Swedish insurance company during 2009 to 2013. METHODS: Retrospective cross‐sectional study. A questionnaire was sent to 1369 owners of cats diagnosed with DM. The questions concerned the cat, treatment, owner perceptions of the disease and treatment and disease outcome. Data were analyzed using multiple linear and logistic regression, with outcomes set as survival for more than 4 weeks after diagnosis, survival time, achieving remission, remission without relapse and quality of life (QoL) for the cat. RESULTS: The response rate was 35%, leaving 477 questionnaires for analysis. The remission rate among treated cats was 29% (118/405). Feeding a commercially available wet diet was associated with both remission (OR 3.16, 95% confidence interval 1.27‐8.12) and remission without relapse (OR 14.8, 95% confidence interval 2.25‐153.8). Remission was associated with a better QoL for the cat. CONCLUSIONS AND CLINICAL IMPORTANCE: The association between feeding a commercially available wet diet and remission is important and strengthens the role of diet in treatment of DM in cats. Linking remission and a better QoL for the cat emphasizes remission as a goal in disease management.
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spelling pubmed-98896022023-02-02 Survival, remission, and quality of life in diabetic cats Rothlin‐Zachrisson, Ninni Öhlund, Malin Röcklinsberg, Helena Ström Holst, Bodil J Vet Intern Med SMALL ANIMAL BACKGROUND: Remission is documented in a substantial proportion of cats with diabetes. The effects of diabetes mellitus (DM) on the lives of cats and their owners should be considered when evaluating treatment success. OBJECTIVES: To study outcome in cats with DM and the impact DM has on the life situation of cat and owner. ANIMALS: Domestic and pedigree cats with a diagnosis of DM (n = 477) insured by a Swedish insurance company during 2009 to 2013. METHODS: Retrospective cross‐sectional study. A questionnaire was sent to 1369 owners of cats diagnosed with DM. The questions concerned the cat, treatment, owner perceptions of the disease and treatment and disease outcome. Data were analyzed using multiple linear and logistic regression, with outcomes set as survival for more than 4 weeks after diagnosis, survival time, achieving remission, remission without relapse and quality of life (QoL) for the cat. RESULTS: The response rate was 35%, leaving 477 questionnaires for analysis. The remission rate among treated cats was 29% (118/405). Feeding a commercially available wet diet was associated with both remission (OR 3.16, 95% confidence interval 1.27‐8.12) and remission without relapse (OR 14.8, 95% confidence interval 2.25‐153.8). Remission was associated with a better QoL for the cat. CONCLUSIONS AND CLINICAL IMPORTANCE: The association between feeding a commercially available wet diet and remission is important and strengthens the role of diet in treatment of DM in cats. Linking remission and a better QoL for the cat emphasizes remission as a goal in disease management. John Wiley & Sons, Inc. 2023-01-13 /pmc/articles/PMC9889602/ /pubmed/36637031 http://dx.doi.org/10.1111/jvim.16625 Text en © 2023 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals LLC on behalf of American College of Veterinary Internal Medicine. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle SMALL ANIMAL
Rothlin‐Zachrisson, Ninni
Öhlund, Malin
Röcklinsberg, Helena
Ström Holst, Bodil
Survival, remission, and quality of life in diabetic cats
title Survival, remission, and quality of life in diabetic cats
title_full Survival, remission, and quality of life in diabetic cats
title_fullStr Survival, remission, and quality of life in diabetic cats
title_full_unstemmed Survival, remission, and quality of life in diabetic cats
title_short Survival, remission, and quality of life in diabetic cats
title_sort survival, remission, and quality of life in diabetic cats
topic SMALL ANIMAL
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9889602/
https://www.ncbi.nlm.nih.gov/pubmed/36637031
http://dx.doi.org/10.1111/jvim.16625
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