Evidence map›Paper›PMID 41090243›Full record

ReviewPediatric pulmonology2025

Cystic Fibrosis Care in South Africa: Facing the Challenge of Diversity and Inequality.

Marco Zampoli, Cathy Baird, Brenda Morrow, Janine Verstraete, Greg Calligaro, Mark Seale

Abstract readReview
In one paragraph

Review in Pediatric pulmonology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

6 authors.

Marco ZampoliDivision of Paediatric Pulmonology and Department of Paediatrics and Child Health; Red Cross War Memorial Children's Hospital, University of Cape Town, Rondebosch, South Africa.ORCID 0000-0002-6899-6137
Cathy BairdNetcare Milpark Hospital, Johannesburg, South Africa.
Brenda MorrowDepartment of Paediatrics and Child Health, University of Cape Town, Rondebosch, South Africa.ORCID 0000-0001-5193-918X
Janine VerstraeteDivision of Paediatric Pulmonology and Department of Paediatrics and Child Health, University of Cape Town, Rondebosch, South Africa.
Greg CalligaroDivision of Pulmonology, Department of Medicine, Groote Schuur Hospital and University of Cape Town, Rondebosch, South Africa.
Mark SealeMember of the Cape Bar, Faculty of Law, University of Cape Town, Rondebosch, South Africa.

Funding

The authors received no specific funding for this work.
6 · The paper itself

Abstract

Low-and-middle-income countries (LMIC) like South Africa (SA) were left behind with advancements in cystic fibrosis (CF) care that followed re-imbursement agreements in high-income countries of CF transmembrane regulator protein modulators (CFTRm) for the treatment of CF. A combination of global monopoly, patent protection by international trade agreements and delays in regulatory approvals are factors keeping these transformative drugs out of reach for many LMIC due to their high cost. Unequal and delayed access to CFTRm is amplifying existing disparities in CF care and outcomes worldwide, including SA where currently only 200 (50%) of the 400 eligible people have access to CFTRm. However, the SA experience demonstrated how health professionals, legal experts and global CF community activists can collaborate to mobilize local and international resources to advocate for affordable and equal access to CFTRm In this paper we describe the journey followed in SA to overcome some of these inequalities and challenges and highlight the current and future impact on CF care in SA that may have much in common with other LMIC.

Indexed as

Cystic FibrosisHealthcare DisparitiesHealth Services AccessibilityDeveloping CountriesHumansSouth AfricaCFTR modulatorscystic fibrosisdrug patent lawinequalitySouth Africa

Identifiers

PMID41090243
PMCPMC12522015

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.