Tracking CF disease progression with CT and respiratory symptoms in a cohort of children aged 6-19 years

Leonie A. Tepper, Daan Caudri, Elisabeth M.W.J. Utens, Els C. Van Der Wiel, Alexandra L. Quittner, Harm A.W.M. Tiddens

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

Introduction: Cystic fibrosis (CF) lung disease is characterized by bronchiectasis and trapped air on chest computed tomography (CT). Objective: We aim to validate bronchiectasis and trapped air as outcome measures by evaluating associations between changes in bronchiectasis, trapped air and patient-reported respiratory symptoms. Methods: A longitudinal cohort study has been conducted. CF patients (aged 6-19 years) who had two routine CTs and completed twice a Cystic Fibrosis Questionnaire-Revised within 2 years (referred to as T1 and T2), in the period of July 2007 to January 2012 were included. Bronchiectasis and trapped air were scored using the CF-CTscoring system. Correlation coefficients and student's paired ttests were performed. Results: In total 40 patients were included with a median age at T1 of 12.6 years (range 6-17 years), and at T2 14.5 years (range 8-19 years). At T1, bronchiectasis (r= -0.49, P< 0.01) and trapped air (r = -0.34, P=0.04) correlated with CFQ-R Respiratory Symptoms Scores (CFQ-R RSS). At T2 similar correlations were found with the CFQ-R RSS. Over 2 years, there was significant progression in bronchiectasis (P=0.03) and trapped air (P=0.03), but not in CFQ-R RSS. Changes in bronchiectasis and trapped air were not associated with changes in CFQ-R RSS. Conclusion: Our results indicate that bronchiectasis and trapped are sensitive outcome measures in CF lung disease, showing a significant association with CFQ-R RSS at two-time points. However, progression of bronchiectasis and trapped air over 2 year does not necessarily correlate to changes in quality of life.

Original languageEnglish (US)
Pages (from-to)1182-1189
Number of pages8
JournalPediatric pulmonology
Volume49
Issue number12
DOIs
StatePublished - Dec 1 2014

Keywords

  • Imaging
  • Outcome measures
  • Quality of life
  • Validation

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Pulmonary and Respiratory Medicine

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    Tepper, L. A., Caudri, D., Utens, E. M. W. J., Van Der Wiel, E. C., Quittner, A. L., & Tiddens, H. A. W. M. (2014). Tracking CF disease progression with CT and respiratory symptoms in a cohort of children aged 6-19 years. Pediatric pulmonology, 49(12), 1182-1189. https://doi.org/10.1002/ppul.22991