Evidence map›Paper›PMID 42157636›Full record

ReviewPediatric pulmonology2026

Cystic Fibrosis Transition From Pediatrics to Adult Care in Low-Middle Income Countries.

Ahmet Uluer, Leah Ratner, Fadi Asfour, Noor Elshaar, Chandra Swanson

Abstract readReview
In one paragraph

Review in Pediatric pulmonology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Ahmet UluerDepartment of Pediatrics, Division of Pulmonary Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0003-2335-4242
Leah RatnerDepartment of Internal Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0001-6326-3543
Fadi AsfourDepartment of Pediatrics, The University of Utah, Salt Lake City, Utah, USA.
Noor ElshaarDepartment of Pediatrics, Division of Pulmonary Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Chandra SwansonDepartment of Pediatrics, Division of Pulmonary Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs survival improves for individuals with cystic fibrosis (CF) worldwide, the number of adolescents requiring transition from pediatric to adult care is rapidly growing. In addition to limited resources and lack of uniform access to medical care, traditional treatments, and advanced therapies, the increasing number of transitioning young adults in low- and middle-income countries (LMICs) face barriers and challenges to safe transition from pediatric to adult healthcare that are both universal and unique. This shift in demographics presents distinct challenges due to an underdeveloped and under-resourced adult CF care infrastructure, sociopolitical variation, and cultural complexities.

methodsWe conducted a structured literature to identify and synthesize published evidence on healthcare transition (HCT) for people with CF (pwCF) in LMICs.

resultsThis manuscript summarizes available literature and insights on HCT for pwCF in LMICs, identifies key barriers, and explores cultural, religious, and health system factors. Additionally, we emphasize the practical need to transition adolescents to adult care to maintain pediatric hospital capacity for younger children, as well as the developmental and educational needs of young adults entering a medical system that is challenging for adults even without chronic disease.

conclusionWith much of the transition literature reflecting health systems in high-income countries (HIC), this integrated socio-ecological and socio-cultural overview underscores the urgent need for context-specific, culturally sensitive transition frameworks focused on reproductive and mental health, the integration of adolescent-responsive, family-inclusive, and even faith-informed care models in LMICs. Our review and observations informed the author's recommendations.

Indexed as

Cystic FibrosisDeveloping CountriesTransition to Adult CareAdolescentAdultChildHealth Services AccessibilityHumansPediatricsResource-Limited SettingsYoung Adultadolescent‐responsive carecystic fibrosishealthcare transitionlow‐middle‐income‐countriespediatric to adult healthcareresource‐deniedresource‐limited

Identifiers

PMID42157636
PMCPMC13383970

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.