Evidence map›Paper›PMID 23670667›Full record

Trial reportChest2013

Longitudinal trends in health-related quality of life in adults with cystic fibrosis.

Edward J Dill, Ree Dawson, Deborah E Sellers, Walter M Robinson, Gregory S Sawicki

Open access · bronzeAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Chest, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 3 pooled it
2.8field-weighted citation impact, top 9% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 3 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Evolution of body image across treatment eras: a systematic review in young people and adults living with cystic fibrosis.European respiratory review : an official journal of the European Respiratory Society · 2026
    Pooled it
  2. The measurement properties of tests and tools used in cystic fibrosis studies: a systematic review.European respiratory review : an official journal of the European Respiratory Society · 2021
    Pooled it
  3. Pooled it
  4. Trial
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  6. Review
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  9. Observational
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  18. The role of palliative care in lung transplantation.Journal of thoracic disease · 2021
    Review
  19. Article
  20. Impact ofJournal of clinical medicine · 2020
    Review
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

5 authors at 4 institutions in 1 country.

Edward J DillCenters for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO.
Ree DawsonFrontier Science and Technology Research Foundation, Boston, MA.
Deborah E SellersCenter for Applied Ethics, Education Development Center, Inc, Newton, MA.
Walter M RobinsonCenter for Applied Ethics, Education Development Center, Inc, Newton, MA.
Gregory S SawickiDivision of Respiratory Diseases, Children's Hospital, Boston, Harvard Medical School, Boston, MA. Electronic address: gregory.sawicki@childrens.harvard.edu.
Education Development Center · USBoston Children's Hospital · USFrontier Science & Technology Research Foundation · USNative Health · US

Funding

Quality of Life in Advanced CF in a Transplantation EraR01HL072938 · NHLBI · EDUCATION DEVELOPMENT CENTER, INC. · PI ROBINSON, WALTER M · 2003 to 2007
$3.0M
NHLBI NIH HHS R01 HL072938NHLBI NIH HHS R01 HL72938
6 · The paper itself

Abstract

backgroundHealth-related quality-of-life (HRQOL) measures have been used as patient-reported outcomes in clinical trials in cystic fibrosis (CF), but there are limited data on HRQOL changes over time in adults with CF.

methodsThe Project on Adult Care in Cystic Fibrosis, a prospective, longitudinal panel study of 333 adults with CF at 10 CF centers in the United States, administered a disease-specific HRQOL measure, the Cystic Fibrosis Questionnaire-Revised (CFQ-R), seven times over 21 months. The CFQ-R assesses both physical and psychosocial domains of health. Growth curve regression models were developed for each CFQ-R domain, adjusting for demographic and clinical characteristics.

resultsBetween 205 and 303 adults completed surveys (response rate, 70%-93%). Mean age at baseline was 33 years (range, 19-64 years); mean FEV1 % predicted was 59.8% (SD, 22%). Over the 21 months of follow-up, lung function, frequency of pulmonary exacerbations, and nutritional indices were associated with physical CFQ-R domain scores. There were no significant population trends over time in the physical domain scores; however, there were population time trends in three psychosocial domains: treatment burden (+8.9 points/y), emotional functioning (+3.2 points/y), and social functioning (-2.4 points/y). Individual variation in both physical and psychosocial subscales was seen over 21 months.

conclusionsIn a longitudinal multicenter population of adults with CF, clinical variables such as FEV1, exacerbation frequency, and weight were correlated with related CFQ-R subscales. For the population as a whole, the physical domains of CFQ-R, such as respiratory symptoms, were stable. In contrast, population changes in several psychosocial domains of CFQ-R suggest that differentiating between the physical and the psychosocial trajectories in health among adults with CF is critical in evaluating patient-reported outcomes.

Indexed as

Adaptation, PsychologicalHealth StatusQuality of LifeAdultCystic FibrosisFemaleFollow-Up StudiesHumansLungMaleProspective StudiesRespiratory Function TestsSeverity of Illness IndexSurveys and Questionnaires

Identifiers

PMID23670667
PMCPMC3760745
OpenAlexW2094494439

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.