COAST Development Group's international consensus guidelines for the treatment of canine osteoarthritis

Thibaut Cachon; Ole Frykman; John F Innes; B Duncan X Lascelles; Masahiro Okumura; Pedro Sousa; Francesco Staffieri; Paulo V Steagall; Bernadette Van Ryssen

doi:10.3389/fvets.2023.1137888

COAST Development Group's international consensus guidelines for the treatment of canine osteoarthritis

Front Vet Sci. 2023 Aug 3:10:1137888. doi: 10.3389/fvets.2023.1137888. eCollection 2023.

Authors

Thibaut Cachon^{1

2}, Ole Frykman³, John F Innes⁴, B Duncan X Lascelles^{5

6

7

8}, Masahiro Okumura⁹, Pedro Sousa¹⁰, Francesco Staffieri¹¹, Paulo V Steagall^{12

13}, Bernadette Van Ryssen¹⁴

Affiliations

¹ Service de chirurgie, Campus Vétérinaire de Lyon VetAgro-Sup, Marcy l'Etoile, France.
² Unité de recherche ICE, UPSP 2007-03-135, VetAgro-Sup Campus Vétérinaire, Université de Lyon, Marcy l'Etoile, France.
³ Herrgårdskliniken, Aneby, Sweden.
⁴ Movement Veterinary Referrals, Runcorn, United Kingdom.
⁵ Translational Research in Pain (TRiP) Program, College of Veterinary Medicine, North Carolina State University, Raleigh, NC, United States.
⁶ Comparative Pain Research and Education Centre, Department of Clinical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC, United States.
⁷ Thurston Arthritis Centre, UNC School of Medicine, Chapel Hill, NC, United States.
⁸ Center for Translational Pain Research, Department of Anesthesiology, Duke University, Durham, NC, United States.
⁹ Department of Veterinary Clinical Sciences, Faculty of Veterinary Medicine, Hokkaido University, Sapporo, Hokkaido, Japan.
¹⁰ Hospital Veterinari Montjuic - Vetpartners España, Barcelona, Spain.
¹¹ Section of Veterinary Clinicas and Animal Production, Department of Emergency and Organ Transplantations (D.E.O.T.), 'Aldo Moro' University of Bari, Bari, Italy.
¹² Department of Clinical Sciences, Faculty of Veterinary Medicine, Université de Montréal, Saint Hyacinthe, QC, Canada.
¹³ Department of Veterinary Clinical Sciences, Centre for Animal Health and Welfare, Jockey Club College of Veterinary Medicine and Life Sciences, City University of Hong Kong, Hong Kong, Hong Kong SAR, China.
¹⁴ Department of Medical Imaging and Small Animal Orthopedics, Faculty of Veterinary Medicine, Ghent University, Ghent, Belgium.

Abstract

This report describes consensus guidelines and recommendations for the treatment of canine osteoarthritis (OA) according to the "Canine OsteoArthritis Staging Tool excluding radiography" (COASTeR) stage of OA, by the COAST Development Group. The recommendations are based on evidence-based medicine and clinical experience and are proposed with international relevance in mind. The aim is to provide veterinarians with a practical reference to consolidated information and to support the development of patient-specific OA management protocols and informed treatment choices based on the stage of OA.

Keywords: COAST; COASTeR; dog; management; osteoarthritis; pain; staging; treatment guidelines.

Publication types

Review

Grants and funding

The authors declare that this study received funding from Elanco. The funder had the following involvement in the study: organized and funded the initial in person meeting to discuss the material, organized follow up meetings and discussions and collated meeting notes, reviewed drafts for the manuscript and provided comments for consideration.