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Lung Function Decline in Cystic Fibrosis: Impact of Data Availability and Modeling Strategies on Clinical Interpretations.

Rhonda D SzczesniakEleni-Rosalina AndrinopoulouWeiji SuPedro M AfonsoPierre-Régis BurgelElizabeth CromwellEmrah GeciliEnas GhulamChristopher H GossNicole Mayer-HamblettRuth H KeoghTheodore G LiouBruce MarshallWayne J MorganJoshua S OstrengaDavid J PastaSanja StanojevicClaire WainwrightGrace C ZhouGabriela FernandezAliza K FinkMichael S Schechter
Published in: Annals of the American Thoracic Society (2023)
Differences were as high as 0.5% predicted/year between rate-of-decline estimates, but we found estimates were robust to lung function data availability scenarios except short-term follow-up and older age ranges. Inconsistencies among previous study results may be attributable to inherent differences in study design, inclusion criteria, or covariate adjustment. Results-based decision points reported herein will support researchers in selecting a strategy to model lung function decline most reflective of nuanced, study-specific goals.
Keyphrases
  • lung function
  • cystic fibrosis
  • chronic obstructive pulmonary disease
  • air pollution
  • pseudomonas aeruginosa
  • electronic health record
  • physical activity