Evidence map›Paper›PMID 41940545›Full record

Observational studyPediatric pulmonology2026

Impact of COVID-19 and CFTR Modulators on Cystic Fibrosis: A Real-World Analysis of Care Patterns.

Alexandra C Hinton, Edmund H Sears, Sara Lopez-Pintado, Jonathan B Zuckerman

Abstract readObservational Study
In one paragraph

Observational study in Pediatric pulmonology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Observational
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

4 authors.

Alexandra C HintonMaineHealth Institute for Research, Scarborough, Maine, USA.
Edmund H SearsDivision of Pulmonary and Critical Care Medicine, Maine Medical Center, Portland, Maine, USA.
Sara Lopez-PintadoBouvé College of Health Sciences, Northeastern University, Boston, Massachusetts, USA.
Jonathan B ZuckermanDivision of Pulmonary and Critical Care Medicine, Maine Medical Center, Portland, Maine, USA.

Funding

Cystic Fibrosis Foundation 003847Y7122Cystic Fibrosis Foundation 02935Y121
6 · The paper itself

Abstract

introductionNovel therapeutics and rapid expansion of telehealth have reshaped cystic fibrosis (CF) care; however, the impact on visit patterns and equitable access across the CF population remains unclear. We characterized changes in visit patterns from 2017 to 2022 and the association of sociodemographic and clinical factors with visit frequency in 2022.

methodsThis observational cohort study analyzed 2017-2022 US CF Foundation Patient Registry data for people aged 6-65 years. We described trends in care utilization and used adjusted longitudinal mixed-effects models to evaluate predictors of between-visit interval (BVI).

resultsThe study included 28,340 people and 463,745 encounters. Average BVI increased 22.6% from 2019 to 2022, with larger increases among adults. The effect of COVID-related changes and highly effective modulator use on BVI (average increase in BVI of 13.5 and 9.3 days, respectively) were roughly additive for those with concomitant exposures. Starting elexacaftor/tezacaftor/ivacaftor (ETI) initially shortened BVI, followed by sustained increases. Non-White and Hispanic individuals had shorter BVI than their White, non-Hispanic counterparts. After adjustment, insurance changes and greater residential distance from CF centers were associated with longer BVI.

conclusionAdvances in CF therapeutics and COVID-19-related care adaptations have both markedly influenced visit frequency, indicating evolving care models responsive to the needs of people with CF. Persistent disparities by race, insurance status, and geographic location reveal ongoing challenges in achieving equitable access to routine CF care. Targeted strategies to address these inequities and enhance integrated care are essential to optimize outcomes for people with CF.

Indexed as

COVID-19Cystic FibrosisCystic Fibrosis Transmembrane Conductance RegulatorAdolescentAdultAgedAminophenolsBenzodioxolesChildChloride Channel AgonistsCohort StudiesDrug CombinationsFemaleHumansIndolesMaleAminophenolsBenzodioxolesCFTR protein, humanChloride Channel AgonistsCystic Fibrosis Transmembrane Conductance RegulatorDrug CombinationsIndolesPyrazolesPyrrolidinesQuinolonesCFTR modulatorsCOVID‐19cystic fibrosishealthcare deliveryhealth disparitiesvisit frequency

Identifiers

PMID41940545
PMCPMC13051524

What OpenQuestion holds

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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.