Ageing in Cystic Fibrosis and Long-term Survival

被引:32
作者
Simmonds, N. J. [1 ]
机构
[1] Univ London Imperial Coll Sci Technol & Med, Royal Brompton Hosp, Dept Cyst Fibrosis, London SW3 6NA, England
关键词
Adults; Ageing; Cystic fibrosis; Survival; DISEASE; AGE; DIAGNOSIS; PHENOTYPE; GENOTYPE; MUTATION;
D O I
10.1016/j.prrv.2013.01.007
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
The demographics of cystic fibrosis continue to change with adults outnumbering children in most developed countries. Median predicted survival is now over 40 years and 7.6% are aged >40 years. Patients surviving beyond 40 cover the full spectrum of disease from homozygous F508del to single organ disease. Differences in the characteristics of older patients are recognised, but generally patients diagnosed in adulthood are still at risk of accelerated lung function decline. Improved survival brings new challenges, including a rising rate of CF co-morbidities such as diabetes, in addition to other medical problems such as renal impairment and ototoxicity. (C) 2013 Elsevier Ltd. All rights reserved.
引用
收藏
页码:6 / 9
页数:4
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