Evidence map›Paper›PMID 33451899›Full record

Observational studyJournal of cystic fibrosis : official journal of the European Cystic Fibrosis Society2021

Designing the GALAXY study: Partnering with the cystic fibrosis community to optimize assessment of gastrointestinal symptoms.

A Jay Freeman, Meghana Sathe, Enid Aliaj, Drucy Borowitz, Barbra Fogarty, Christopher H Goss, Steven Freedman, Sonya L Heltshe, Umer Khan, Dara Riva and 5 more

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07632768 (The Return of the Pancreas), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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.

NCT07632768 phase4completednot on this mapstarted 2024, after this paper: background citation

The Return of the Pancreas: Evaluating Impact of CFTR Modulators on Pancreatic Function

TypeinterventionalSponsorIndiana UniversityRan2024 to 2026Enrolled17ConditionsCystic Fibrosis (CF), Pancreatic Insufficiency, Pancreas Disease, Exocrine Pancreatic InsufficiencyArmsDiscontinuation of Pancreatic Enzyme Replacement Therapy
3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Review
  2. Article
  3. Observational
  4. A Qualitative Study to Improve How We Partner With Patients and Families in Healthcare Improvement Collaboratives.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Multicenter prospective study showing a high gastrointestinal symptom burden in cystic fibrosis.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2023
    Article
  10. Association between stool consistency and clinical variables among infants with cystic fibrosis: Findings from the BONUS study.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2022
    Article
  11. A year in review: Real world evidence, functional monitoring and emerging therapeutics in 2021.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2022
    Review
  12. Review
  13. Utilization of electronic patient-reported outcome measures in cystic fibrosis research: Application to the GALAXY study.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

A Jay FreemanDivision of Gastroenterology, Hepatology and Nutrition, Children's Healthcare of Atlanta, Emory University, Atlanta, GA, USA. Electronic address: afreem6@emory.edu.
Meghana SatheDivision of Gastroenterology, Hepatology and Nutrition, Children's Health University of Texas Southwestern, Dallas, TX, USA.
Enid AliajCystic Fibrosis Foundation, Bethesda, MD, USA.
Drucy BorowitzCystic Fibrosis Foundation, Bethesda, MD, USA; Jacobs School of Medicine and Biomedical Sciences, Buffalo, NY, USA.
Barbra FogartySeattle Children's Hospital Research Institute, Seattle, WA, USA.
Christopher H GossSeattle Children's Hospital Research Institute, Seattle, WA, USA; Department of Medicine, University of Washington, Seattle, WA, USA; Department of Pediatrics, University of Washington, Seattle, WA, USA.
Steven FreedmanDivision of Gastroenterology, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Sonya L HeltsheSeattle Children's Hospital Research Institute, Seattle, WA, USA; Department of Pediatrics, University of Washington, Seattle, WA, USA.
Umer KhanSeattle Children's Hospital Research Institute, Seattle, WA, USA.
Dara RivaCystic Fibrosis Foundation, Bethesda, MD, USA.
Christina RomanCystic Fibrosis Foundation, Bethesda, MD, USA.
Melita RomascoSeattle Children's Hospital Research Institute, Seattle, WA, USA.
Sarah Jane SchwarzenbergUniversity of Minnesota Masonic Children's Hospital, Minneapolis, MN, USA.
Carmen A Ufret-VincentyCystic Fibrosis Foundation, Bethesda, MD, USA.
Baha MoshireeUniversity of North Carolina, Atrium Health, Charlotte, NC, USA.

Funding

Translational Research Center to Expedite Novel Therapies in Cystic FibrosisP30DK089507 · NIDDK · SEATTLE CHILDREN'S HOSPITAL · PI Christopher Hooper Goss · 2010 to 2026
$21.4M
NIDDK NIH HHS P30 DK089507
6 · The paper itself

Abstract

backgroundGastrointestinal (GI) involvement among persons with cystic fibrosis (CF) is highly prevalent, representing a significant source of morbidity. Persons with CF have identified GI concerns as a top research priority, yet universal clinical outcome measures capturing many of the GI symptoms experienced in CF are lacking. The GALAXY study was envisioned to address this unmet need.

methodsThe GALAXY study team partnered with Community Voice, a community of patients with CF and their caregivers, to identify the patient reported outcome measures that most accurately reflected their experience with GI symptoms in CF. We also surveyed CF care teams to identify the comfort level of various team members (providers, nurses and dieticians) in managing a variety of GI conditions.

resultsMembers of Community Voice identified the combination of PAC-SYM, PAGI-SYM, PAC-QOL and the Bristol Stool scale with three additional symptom-specific questions as patient-reported outcome measures that comprehensively captured the CF experience with GI disease. CF care team providers reported a high level of comfort in treating GI conditions including constipation (92%), GERD (93%), and gassiness (77%), however comfort level was limited to only first-line interventions.

conclusionBy partnering with persons with CF as well as their caregivers and medical providers, the GALAXY study is designed to uniquely capture the prevalence and severity of GI involvement among persons with CF in a manner that reflects the CF patient experience. The results of GALAXY will inform the development of future interventional trials and serve as a reproducible and objective study endpoint.

Indexed as

Cystic FibrosisGastrointestinal DiseasesHumansLongitudinal StudiesPatient Reported Outcome MeasuresProspective StudiesSymptom AssessmentCommunity InvolvementGastrointestinalPatient reported outcome measures (proms)

Identifiers

PMID33451899
PMCPMC8273187

What OpenQuestion holds

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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.