To the Editor: As a 46-year-old with CF awaiting
a lung transplant, I would like to comment on the article by Dr Liou and colleagues.1 While the study does break new ground in identifying
an improved multiparameter technique for estimating remaining life expectancy
of adults with CF, I am extremely concerned by the conclusion implying that
physicians should consider using the results as a basis for recommending to
patients whether they should pursue a lung transplant. The unexamined assumption
is that a year of survival with a lung transplant is equivalent to one without
a lung transplant.
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