The International Society of Feline Medicine (ISFM), the veterinary division of International Cat Care, has announced the publication of the new ISFM Consensus Guidelines on the Diagnosis and Management of Feline Chronic Kidney Disease in this month's Journal of Feline Medicine and Surgery1.
The guidelines represent the consensus of an expert panel of clinicians and academics gathered from the UK, France, Australia and North America. In making their recommendations, the panelists considered various management approaches and graded the quality of the available published evidence with respect to their impact on quality of life and longevity.
The authors say dietary management is supported by good evidence. Notably, specific commercial renal diets have been shown to significantly prolong longevity and improve quality of life. A common problem, however, is poor acceptance of these diets, which are generally less palatable than maintenance diets, and the guidelines include a number of recommendations to assist in transitioning cats to a new diet.
Other interventions with good supportive evidence are routine assessment of blood pressure in cats with CKD, and use of antihypertensive medications (when indicated) to help protect organs at particular risk of damage, such as the eyes and heart.
Given the chronic nature of CKD, the guidelines, which are free to access and download, emphasise how vital it is for the veterinary clinic to establish a good relationship with the cat’s owner. This will facilitate treatment plans to be created that take into consideration the wishes and ability of the owner, as well as the needs of the individual cat.
You can read the guidelines here. There is also a podcast recording of the panel chairman Dr Andrew Sparkes discussing the guidelines is available here.
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