Evidence map›Paper›PMID 37563332›Full record

ArticleClinical transplantation2023

Cystic fibrosis survival outcomes following second lung transplant: The north American experience.

Moayad Alshehri, Kathleen J Ramos, Jenna Sykes, Xiayi Ma, Sanja Stanojevic, Bradley S Quon, Bruce C Marshall, Elizabeth Cromwell, Joshua S Ostrenga, Albert Faro and 5 more

Abstract read
In one paragraph

Article in Clinical transplantation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Elexacaftor/tezacaftor/ivacaftor prescription in lung transplant recipients with cystic fibrosis in the US.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2025
    Article
  4. Lung re-transplantation for recipients with cystic fibrosis: Procedure choice and other considerations.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2025
    Article
  5. Cystic fibrosis year in review 2023.Pediatric pulmonology · 2024
    Review
  6. 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

15 authors.

Moayad AlshehriDepartment of Respirology, St. Michael's Hospital, Toronto, Ontario, Canada.
Kathleen J RamosDivision of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, University of Washington Medical Center, Seattle, Washington, USA.
Jenna SykesDepartment of Respirology, St. Michael's Hospital, Toronto, Ontario, Canada.
Xiayi MaDepartment of Respirology, St. Michael's Hospital, Toronto, Ontario, Canada.
Sanja StanojevicDepartment of Community Health and Epidemiology, Dalhousie University, Halifax, Nova Scotia, Canada.
Bradley S QuonCentre for Heart Lung Innovation, Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Bruce C MarshallCystic Fibrosis Foundation, Bethesda, Maryland, USA.
Elizabeth CromwellCystic Fibrosis Foundation, Bethesda, Maryland, USA.ORCID 0000-0002-5106-0607
Joshua S OstrengaCystic Fibrosis Foundation, Bethesda, Maryland, USA.
Albert FaroCystic Fibrosis Foundation, Bethesda, Maryland, USA.
Alexander ElbertCystic Fibrosis Foundation, Bethesda, Maryland, USA.
Jonathan ToddCystic Fibrosis Foundation, Bethesda, Maryland, USA.
Cecilia ChaparroToronto Lung Transplant Program, University Health Network, Toronto, Canada.
Christopher H GossDivision of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, University of Washington Medical Center, Seattle, Washington, USA.
Anne L StephensonDepartment of Respirology, St. Michael's Hospital, Toronto, Ontario, Canada.

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
A Phase 1b, Multi-center Study of IV Gallium Nitrate in Patients with Cystic Fibrosis who are colonized with Nontuberculosis Mycobacterium (The ABATE Study).R01FD006848 · FDA · SEATTLE CHILDREN'S HOSPITAL · PI Christopher Hooper Goss, JERRY A NICK · 2020 to 2026
$3.1M
Predicting survival and planning for lung transplantation in severe cystic fibrosisK23HL138154 · NHLBI · UNIVERSITY OF WASHINGTON · PI RAMOS, KATHLEEN JESSICA · 2017 to 2021
$947k
FDA HHS R01 FD006848NHLBI NIH HHS K23 HL138154NIDDK NIH HHS P30 DK089507
6 · The paper itself

Abstract

introductionRe-transplant is an option for those who develop end-stage lung disease due to rejection; however, little data exist following re-transplantation in cystic fibrosis (CF).

methodsData from the Canadian CF Registry and US CF Foundation Patient Registry supplemented with data from United Network for Organ Sharing were used. Individuals who underwent a 2nd lung transplant between 2005 and 2019 were included. The Kaplan-Meier method was used to estimate the probability of survival post-second transplant at 1, 3, and 5-years.

resultsOf those people who were waitlisted for a second transplant (N = 818), a total of 254 (31%) died waiting, 395 (48%) were transplanted and 169 (21%) people were alive on the waitlist. Median survival time after 2nd lung transplant was 3.3 years (95% CI: 2.8-4.1). The 1-, 3- and 5-year survival rates were 77.4% (95% CI: 73.1-82%), 52% (95% CI: 46.7-58%) and 39.4% (95% CI: 34.1-45.6%).

conclusionsSurvival following second lung transplant in CF patients is lower than estimates following the first transplant. Over half of subjects who are potentially eligible for a second transplant die without receiving a second organ. This warrants further investigation.

Indexed as

Cystic FibrosisLung TransplantationCanadaHumansLungProportional Hazards Modelscystic fibrosisepidemiologygraft survivallung disease

Identifiers

PMID37563332
PMCPMC10840857

What OpenQuestion holds

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Registered trials

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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.