Validation of the French 3-year prognostic score for death or lung transplant in the United States cystic fibrosis population.

Validation of the French 3-year prognostic score for death or lung transplant in the United States cystic fibrosis population.
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DOI:
10.1016/j.jcf.2021.08.008
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发表时间:
2022-05
期刊:
Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society
影响因子:
--
通讯作者:
Goss CH
Goss CH
中科院分区:
其他
文献类型:
--
作者:
Ramos KJ;Wai TH;Sykes J;Ma X;Stephenson AL;Jennerich AL;Kapnadak SG;Mayer-Hamblett N;Goss CH

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2017年,Nkam等人发表了一项预后评分,用于预测成人囊性纤维化(CF)患者3年内的死亡或肺移植。他们的模型是使用法国CF注册中心数据开发的,随后在加拿大CF注册中心进行了验证。我们使用美国(US)CF基金会患者登记处的CF成人患者数据,结合联合器官共享网络(UNOS)登记处(2013年至2016年)的肺移植记录(n= 11,542)评估了该预后评分。我们发现,预后评分具有很好的判别指数,可预测美国CF人群的死亡或肺移植(AUC 0.88,95% CI 0.88-0.89),评分每增加一个单位,比值比(OR)为2.83(95% CI 2.69 - 2.97)。然而,在FEV 1 ≤30%预测值时,它作为死亡或肺移植的预测因子没有提供显著的额外效用。
In 2017, Nkam et al. published a prognostic score to predict death or lung transplant within 3 years among adult cystic fibrosis (CF) patients. Their model was developed using French CF registry data and was subsequently validated in the Canadian CF registry. We evaluated this prognostic score using data from adult patients with CF in the United States (US) CF Foundation Patient registry, combined with lung transplant records from the United Network for Organ Sharing (UNOS) Registry (2013 to 2016) (n=11,542). We found that the prognostic score had a very good discriminative index predicting death or lung transplant in the US CF population (AUC 0.88, 95% CI 0.88–0.89) with an odds ratio (OR) of 2.83 (95% CI 2.69 – 2.97) for each unit increase in the score. However, it did not provide significant additional utility over an FEV1 ≤30% of predicted as a predictor of death or lung transplant.
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