Predictors of non-referral of patients with cystic fibrosis for lung transplant evaluation in the United States.

ABSTRACT:

Background

Lung transplantation is an intervention that improves survival for adult patients with cystic fibrosis (CF). Some patients with CF are never referred for lung transplant evaluation despite meeting physiologic criteria for referral.

Methods

We performed a retrospective analysis of adult patients (≥18years of age) in the Cystic Fibrosis Foundation Patient Registry (CFFPR), eligible for their first evaluation for lung transplantation during the years 2001-2008 based on FEV1<30% predicted in two consecutive years.

Results

Within the CFFPR, 1240 patients met eligibility criteria. Eight hundred and nine (65.2%) were referred for lung transplant evaluation, and 431 (34.8%) were not referred. In a multivariable model, Medicaid insurance (OR 1.79, 95% CI 1.29-2.47),

SUBMITTER: Ramos KJ 

PROVIDER: S-EPMC4828327 | biostudies-literature | 2016 Mar

REPOSITORIES: biostudies-literature