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It is likely that the development of GMT was secondary to chronic kidney disease (CKD) and that CKD, GMT, and gastrointestinal hemorrhage contributed to the cat's non-regenerative anemia. © 2020 American Society for Veterinary Clinical Pathology.AIMS To investigate the effects of visual art therapy on cognitive and psychological outcomes and explore the crucial design characteristics of visual art therapy that might be associated with greater cognitive benefits among older adults. DESIGN Systematic review and meta-analysis. DATA SOURCES