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Published on: May 8, 2017
[Controversies in cystic fibrosis--from pediatrician to specialist]
Jose Dirceu Ribeiro1, Maria Angela G de O Ribeiro, Antonio Fernando Ribeiro
1Departamento de Pediatria, Universidade Estadual de Campinas, Campinas, SP. dirceu@head.fcm.unicamp.br
Insights
Cystic fibrosis (CF) is a serious inherited disease affecting multiple organs. Recent discoveries in CF etiology and pathophysiology have led to improved treatments and patient survival, despite no definitive cure.
Area of Science:
- Genetics
- Pulmonology
- Gastroenterology
Context:
- Cystic fibrosis (CF) is a significant inherited disorder impacting various organs, primarily the lungs and gastrointestinal tract.
- Patient clinical responses to CF vary widely, despite its genetic basis.
- The global prevalence of CF necessitates updated medical understanding and treatment strategies.
Purpose:
- To provide pediatricians with a comprehensive review of current controversies and recent advancements in cystic fibrosis (CF) treatment.
- To synthesize current knowledge on CF incidence, pathophysiology, diagnosis, and therapeutic interventions.
Summary:
- A systematic review of 79 articles from international journals on cystic fibrosis (CF) was conducted.
- The review critically examines key developments in CF, including its incidence, underlying mechanisms, diagnostic methods, and treatment approaches.
- Key findings highlight progress in understanding CF's origins and disease processes over the past two decades.
Impact:
- Advances in understanding cystic fibrosis (CF) etiology and pathophysiology have significantly improved patient management and survival rates.
- The review offers valuable insights for pediatricians managing CF patients, guiding them on current treatment controversies and emerging therapies.
- Ongoing research continues to enhance therapeutic options and long-term outcomes for individuals with cystic fibrosis (CF).
Objective:
Cystic fibrosis has become, in the last 70 years, the most important potentially fatal inherited disease that affects white individuals around the world. Although it is considered a genetic disorder, which strikes cells of different organs, not all patients present similar clinical response. Many clinical manifestations, mainly pulmonary and gastrointestinal, may develop in cystic fibrosis patients. The aim of this article is to offer pediatricians an updated review of the controversies and recent advances in the treatment of cystic fibrosis.
Sources:
Systematic review in the Medline database.
Summary Of The Findings:
Seventy-nine articles about cystic fibrosis published in international journals were reviewed. This article presents an updated and critical review of the main events related to the incidence, pathophysiology, diagnosis and treatment of cystic fibrosis.
Conclusions:
Even though no treatment is available for this disease, new findings about its etiology and pathophysiology have been discovered in the last two decades, improving treatment and survival of cystic fibrosis patients.
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