scholarly journals Understanding FEV 1 for the purpose of cystic fibrosis registry comparisons: Does bias in annual review FEV 1 affect between‐centre comparison within the UK? An analysis of registry data

2019 ◽  
Vol 26 (1) ◽  
pp. 229-235
Author(s):  
Zhe Hui Hoo ◽  
Michael J. Campbell ◽  
Stephen J. Walters ◽  
Martin J. Wildman
2019 ◽  
Vol 54 (3) ◽  
pp. 1900224 ◽  
Author(s):  
Sanja Stanojevic ◽  
Jenna Sykes ◽  
Anne L. Stephenson ◽  
Shawn D. Aaron ◽  
George A. Whitmore

IntroductionWe aimed to develop a clinical tool for predicting 1- and 2-year risk of death for patients with cystic fibrosis (CF). The model considers patients' overall health status as well as risk of intermittent shock events in calculating the risk of death.MethodsCanadian CF Registry data from 1982 to 2015 were used to develop a predictive risk model using threshold regression. A 2-year risk of death estimated conditional probability of surviving the second year given survival for the first year. UK CF Registry data from 2007 to 2013 were used to externally validate the model.ResultsThe combined effect of CF chronic health status and CF intermittent shock risk provided a simple clinical scoring tool for assessing 1-year and 2-year risk of death for an individual CF patient. At a threshold risk of death of ≥20%, the 1-year model had a sensitivity of 74% and specificity of 96%. The area under the receiver operating curve (AUC) for the 2-year mortality model was significantly greater than the AUC for a model that predicted survival based on forced expiratory volume in 1 s <30% predicted (AUC 0.95 versus 0.68 respectively, p<0.001). The Canadian-derived model validated well with the UK data and correctly identified 79% of deaths and 95% of survivors in a single year in the UK.ConclusionsThe prediction models provide an accurate risk of death over a 1- and 2-year time horizon. The models performed equally well when validated in an independent UK CF population.


2016 ◽  
Vol 15 ◽  
pp. S112
Author(s):  
C. Sellar ◽  
R.M. Kaminski ◽  
D. Nazareth
Keyword(s):  

2019 ◽  
Vol 18 ◽  
pp. S19
Author(s):  
R.H. Keogh ◽  
D.K. Schluter ◽  
S. Carr ◽  
S.C. Charman ◽  
R. Cosgriff ◽  
...  

2019 ◽  
Vol 18 ◽  
pp. S81-S82
Author(s):  
E. McClenaghan ◽  
R. Cosgriff ◽  
M. Yip ◽  
S.C. Charman ◽  
A. Lee ◽  
...  
Keyword(s):  

2005 ◽  
Vol 4 (2) ◽  
pp. 115-122 ◽  
Author(s):  
Jonathan McCormick ◽  
Erika J. Sims ◽  
Michael W. Green ◽  
Gita Mehta ◽  
Frank Culross ◽  
...  

2018 ◽  
Vol 24 (4) ◽  
pp. 745-751 ◽  
Author(s):  
Zhe Hui Hoo ◽  
Rachael Curley ◽  
Michael J. Campbell ◽  
Stephen J. Walters ◽  
Martin J. Wildman
Keyword(s):  

2019 ◽  
Vol 13 (1) ◽  
pp. 39-46
Author(s):  
Jen Standen

In the UK over 10 000 people live with cystic fibrosis (CF), with 1-in-25 people being carriers of the disease. Multidisciplinary care is provided by tertiary care CF centres, with or without local secondary service shared care agreements. There are still, however, several reasons why CF sufferers or their families present to their GPs. This article aims to provide a brief overview of CF and its management. It also gives the information needed to guide patients about genetic testing and neonatal screening for the disease.


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