Evidence map›Paper›PMID 42107694›Full record

ArticleChest2026

Effectiveness of Cystic Fibrosis Transmembrane Conductance Regulator Modulator Therapy on Risk of Death for Individuals With Cystic Fibrosis.

Katherine E Kurgansky, Joseph M Collaco, Derek K Ng, Catherine R Lesko

Abstract read
In one paragraph

Article in Chest, 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. 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

4 authors.

Katherine E KurganskyDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Electronic address: kkurgan1@jhu.edu.
Joseph M CollacoDepartment of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD.
Derek K NgDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
Catherine R LeskoDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.

Funding

EPIDEMIOLOGY AND BIOSTATISTICS OF AGINGT32AG000247 · NIA · JOHNS HOPKINS UNIVERSITY · PI Karen J. Bandeen-Roche · 1996 to 2026
$13.2M
NIA NIH HHS T32 AG000247
6 · The paper itself

Abstract

backgroundTo date, clinical trials of cystic fibrosis transmembrane conductance regulator (CFTR) modulator therapies have focused on outcomes that can be captured in relatively short follow-up periods. The effectiveness of CFTR modulator therapies on survival has not been described fully. RESEARCH QUESTION: What is the population-level treatment effect of initiating any CFTR modulator therapy compared with no initiation on the risk of death in people with cystic fibrosis (CF)? STUDY DESIGN AND

methodsWe conducted a retrospective cohort study using United States Cystic Fibrosis Foundation Patient Registry data from between 2012 and 2022. We included individuals who met eligibility criteria for a CFTR modulator prescription (based on age and genotype of 2020 regulatory approvals and no prior use). At every clinic or telehealth visit, we assessed eligibility and classified treatment status based on registry records. We included individuals in the analysis multiple times if eligibility was met at multiple visits. We followed individuals from each visit until death (outcome), lung transplantation, loss to follow-up, or administrative censoring. We censored untreated observations if they later initiated CFTR modulator therapy. We estimated 8-year risk curves using Kaplan-Meier and hazard ratios (HRs) from Cox regression models. We used inverse probability weighting to balance baseline covariates and to account for nonrandom censoring.

resultsWe included 25,103 individuals and 178,835 visits; 18,056 individuals initiated therapy. The 8-year risk difference of death resulting from initiating CFTR modulator therapy was -7.2% (95% CI, -9.6 to -4.9). The hazard for death was 66% lower after CFTR modulator initiation than without use (HR, 0.34; 95% CI, 0.28 to 0.41).

interpretationOur results show that CFTR modulator therapies reduce the risk of death among people living with CF over 8 years. This improved understanding will allow individuals living with CF and clinical providers to have reasonable expectations about survival and to allocate care and resources aligned with increased life expectancy appropriately.

Indexed as

cystic fibrosiscystic fibrosis transmembrane conductance regulatordeathregistry

Identifiers

PMID42107694
PMCPMC13628895

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.