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Implementation of Non-invasive Point of Care Transient Elastography for Evaluation of Liver Disease in Pediatric Populations with Cystic Fibrosis
Published on: August 29, 2025
[Cystic fibrosis in the Western health region]
1Barneklinikken Haukeland Sykehus, Bergen.
Insights
Cystic fibrosis survival rates in Western Norway have significantly improved, with patients born after 1990 all being alive. This indicates a positive outlook for cystic fibrosis patient longevity in the region.
Area of Science:
- Medical Research
- Pulmonology
- Genetics
Context:
- Cystic fibrosis (CF) is a genetic disorder affecting multiple organs.
- Western Norway has a diagnosed population of 78 CF patients since 1960.
- Geographic distribution shows Hordaland county as the most affected region.
Purpose:
- To analyze survival trends and demographic data of cystic fibrosis patients in Western Norway.
- To compare regional CF patient outcomes with national and international data.
- To assess the impact of improved medical care on CF patient longevity.
Summary:
- Survival rates for cystic fibrosis patients in Western Norway have shown marked improvement, particularly for those diagnosed after 1990.
- The cohort born before 1971 had a 71% survival rate, increasing to 91% for those born between 1971-1990.
- Pseudomonas aeruginosa infection rates are lower than the Norwegian average, potentially contributing to better outcomes.
Impact:
- Western Norway's CF patient survival rates are favorable compared to international benchmarks.
- The study suggests a realistic expectation for median survival to exceed 30 years for current CF patients.
- Findings highlight the effectiveness of regional healthcare strategies for cystic fibrosis management.
Abstract:
78 patients with cystic fibrosis have been diagnosed in western Norway (Health Region 3) since 1960. 31 were born before 1971 (40%). 44 patients were born in the county of Hordaland (62%), including the city of Bergen where the western Cystic Fibrosis Centre is located. 24 (31%) patients were born in Rogaland, and five (7%) in Sogn & Fjordane. 12 patients have died, 9 of them born before 1971 (survival in this cohort of patients is 71%). During two decades from 1971 to 1990, 3 out of 33 patients have died (survival 91%). All patients born after 1990 are alive. The median age at death was 18.5 years. Among patients alive in 1999, 32 (41.5%) are more than 20 years and 19 (24.7%) are more than 30 years old. Median age among all patients is 19.5 years (range 3-51). Chronic lung infection with Pseudomonas aeruginosa has been diagnosed in 20.8% of all patients, which is lower than the average of Norwegian cystic fibrosis patients (35%). Survival among cystic fibrosis patients in Western Norway is good compared to data from other countries. It seems realistic to expect that our patients should achieve a median survival to more than 30 years of age.
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