0
Letters |

Priorities for Lung Transplantation Among Patients With Cystic Fibrosis—Reply

Theodore G. Liou, MD; Frederick R. Adler, PhD; Barbara C. Cahill, MD; Bruce C. Marshall, MD
JAMA. 2002;287(12):1523-1525. doi:10.1001/jama.287.12.1523.
Text Size: A A A
Published online

Extract

In Reply: We appreciate Mr Maish's comments about our work and the important issue of quality of life (QOL). We found that only the sickest patients with CF had a survival benefit from lung transplantation. To answer Maish's specific question, we previously examined the apparent superior survival of transplanted patients from group 1 compared with groups 2 and 3 (Figure 1 in our article) and found no statistical difference.

The greater issue is his concern that physicians might lose sight of the toll that CF has on QOL. The principle primum non nocere (first, do no harm) requires physicians to consider risks before recommending any procedure. Our study provides the first estimate of survival risks and benefits of lung transplantation for patients with CF stratified by predicted survival. We focused on survival because it is an indisputable end point for measuring the benefit of therapy.

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 4

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();