Evidence map›Paper›PMID 21462361›Full record

ArticlePediatric pulmonology2011

A novel lung disease phenotype adjusted for mortality attrition for cystic fibrosis genetic modifier studies.

Chelsea Taylor, Clayton W Commander, Joseph M Collaco, Lisa J Strug, Weili Li, Fred A Wright, Aaron D Webel, Rhonda G Pace, Jaclyn R Stonebraker, Kathleen Naughton and 11 more

Registry-linked trialAbstract read
In one paragraph

Article in Pediatric pulmonology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00037765 (Gene Modifiers of Cystic Fibrosis Lung Disease), which is not on this map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00037765 active not recruitingnot on this map

Gene Modifiers of Cystic Fibrosis Lung Disease

TypeobservationalSponsorUniversity of North Carolina, Chapel HillRan2001 to 2027Enrolled600ConditionsCystic Fibrosis, Lung Diseases
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Genome-wide association study of susceptibility toThe European respiratory journal · 2024
    Article
  5. Who Modifies the Modifiers: A High-Resolution View of the Genetic Modifiers of Cystic Fibrosis.American journal of respiratory and critical care medicine · 2023
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Observational
  13. Article
  14. Article
  15. Genetic variation in CFTR and modifier loci may modulate cystic fibrosis disease severity.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2020
    Review
  16. Article
  17. Article
  18. Article
  19. Observational
  20. Frontiers in pharmacology · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

21 authors.

Chelsea TaylorChild Health Evaluative Sciences Program, Hospital for Sick Children, Toronto, Ontario, Canada.
Clayton W Commander
Joseph M Collaco
Lisa J Strug
Weili Li
Fred A Wright
Aaron D Webel
Rhonda G Pace
Jaclyn R Stonebraker
Kathleen Naughton
Ruslan Dorfman
Andrew Sandford
Scott M Blackman
Yves Berthiaume
Peter Paré
Mitchell L Drumm
Julian Zielenski
Peter Durie
Garry R Cutting
Michael R Knowles
Mary Corey

Funding

Zonisamide in Patients with Neuropathic Pain Associated with Diabetic NeuropathyM01RR000046 · NCRR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI JOY, MELANIE S · 1985 to 2008
$38.5M
UNC-CH CENTER FOR ENVIRONMENTAL HEALTH &SUSCEPTIBILITYP30ES010126 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Melissa A. Troester · 2001 to 2026
$36.3M
XANTHINE OXIDASE PRODUCTS IN MODULATION OF ENDOTHELIAL DYSFUNCTIONM01RR000059 · NCRR · UNIVERSITY OF IOWA · PI ASHARE, ALIX · 1985 to 2007
$22.3M
Translational Research in Cystic FibrosisP30DK027651 · NIDDK · CASE WESTERN RESERVE UNIVERSITY · PI DRUMM, MITCHELL L · 1986 to 2014
$15.6M
Gene Modifiers in CF Lung DiseaseR01HL068890 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KNOWLES, MICHAEL R · 2001 to 2014
$9.5M
Genetic Modifiers of Cystic Fibrosis: Sibling StudyR01HL068927 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI CUTTING, GARRY R · 2001 to 2011
$8.9M
Development of "Evidential" Methodology for the Analysis of Genetic DataR03HG004314 · NHGRI · HOSPITAL FOR SICK CHLDRN (TORONTO) · PI STRUG, LISA JOANNA · 2008 to 2009
$124k
NCRR NIH HHS M01 RR000046NCRR NIH HHS M01 RR000059NCRR NIH HHS RR00046NCRR NIH HHS RR00059NHGRI NIH HHS HG-004314NHGRI NIH HHS R03 HG004314NHLBI NIH HHS HL68890NHLBI NIH HHS HL68927NHLBI NIH HHS R01 HL068890NHLBI NIH HHS R01 HL068927NIDDK NIH HHS P30 DK027651NIDDK NIH HHS P30 DK27651NIEHS NIH HHS P30 ES010126
6 · The paper itself

Abstract

Genetic studies of lung disease in cystic fibrosis (CF) are hampered by the lack of a severity measure that accounts for chronic disease progression and mortality attrition. Further, combining analyses across studies requires common phenotypes that are robust to study design and patient ascertainment. Using data from the North American Cystic Fibrosis Modifier Consortium (Canadian Consortium for CF Genetic Studies, Johns Hopkins University CF Twin and Sibling Study, and University of North Carolina/Case Western Reserve University Gene Modifier Study), the authors calculated age-specific CF percentile values of FEV1 which were adjusted for CF age-specific mortality data. The phenotype was computed for 2,061 patients representing the Canadian CF population, 1,137 extreme phenotype patients in the UNC/Case Western study, and 1,323 patients from multiple CF sib families in the CF Twin and Sibling Study. Despite differences in ascertainment and median age, our phenotype score was distributed in all three samples in a manner consistent with ascertainment differences, reflecting the lung disease severity of each individual in the underlying population. The new phenotype score was highly correlated with the previously recommended complex phenotype, but the new phenotype is more robust for shorter follow-up and for extreme ages. A disease progression and mortality-adjusted phenotype reduces the need for stratification or additional covariates, increasing statistical power, and avoiding possible distortions. This approach will facilitate large-scale genetic and environmental epidemiological studies which will provide targeted therapeutic pathways for the clinical benefit of patients with CF.

Indexed as

AdolescentChildChronic DiseaseClinical Trials as TopicCystic FibrosisFemaleHumansMaleMulticenter Studies as TopicPhenotypeRespiratory Function TestsSeverity of Illness IndexSurvival Analysis

Identifiers

PMID21462361
PMCPMC3130075

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.