Managing an ageing cystic fibrosis population: challenges and priorities

Freddy J Frost1,2, Daniel G Peckham3, Imogen C Felton4

  • 1Adult Cystic Fibrosis Centre Liverpool Heart and Chest Hospital NHS Foundation Trust, Liverpool, UK ffrost@liverpool.ac.uk.

Insights

People with cystic fibrosis (pwCF) are living longer due to medical advances. Future care must address the unique health challenges of aging pwCF, focusing on quality of life.

Area of Science:

  • Pulmonology
  • Gerontology
  • Genetics

Background:

  • Increasing life expectancy in people with cystic fibrosis (pwCF) necessitates a shift in care towards managing age-related complexities.
  • Advancements in early diagnosis, multidisciplinary care, and CFTR modulator therapies have significantly improved outcomes for pwCF.
  • The aging CF population presents unique health challenges requiring focused research and adapted clinical strategies.

Purpose of the Study:

  • To review the key challenges and research priorities for the health needs of an aging population with cystic fibrosis.
  • To highlight the evolving landscape of care for pwCF, considering the impact of increased longevity and therapeutic advancements.
  • To identify emerging issues and propose multidisciplinary research approaches for holistic wellbeing in aging pwCF.

Main Methods:

  • Literature review synthesizing current evidence on aging in cystic fibrosis.
  • Analysis of research gaps and future priorities in managing age-related conditions in pwCF.
  • Integration of clinical, patient, and community perspectives for comprehensive care strategies.

Main Results:

  • Aging pwCF face heightened risks of cancers, cardiovascular diseases, and altered metabolic profiles.
  • CFTR modulators show promise but long-term effects on inflammation, immunity, and disease trajectories require further study.
  • Nutritional management, obesity, accelerated immune/pulmonary aging, menopause, antimicrobial resistance, and chronic inflammation are critical considerations.

Conclusions:

  • Effective management of aging pwCF requires multidisciplinary research integrating diverse perspectives.
  • Leveraging CF registries, clinical trial networks, and aging research collaborations is crucial.
  • The goal is to ensure aging pwCF not only live longer but also achieve improved quality of life and holistic wellbeing.

Related Concept Videos

Cystic Fibrosis: Pathogenesis01:23

Cystic Fibrosis: Pathogenesis

Cystic fibrosis (CF), an autosomal recessive disorder, significantly affects the function of exocrine glands. This genetically inherited disease is characterized by the production of thick and sticky mucus, which can severely affect various organs and systems in the body.
CF is primarily caused by a genetic mutation in a chromosome 7 gene coding for the cystic fibrosis transmembrane conductance regulator (CFTR) protein. The most common gene mutation leading to CF is the ΔF508 mutation, but...
Cystic Fibrosis: Management01:24

Cystic Fibrosis: Management

Cystic fibrosis (CF) is an autosomal recessive disorder that predominantly affects individuals of Northern European descent, occurring at a rate of 1 in 3500. It is caused by a genetic mutation in a gene on chromosome 7, most commonly the ΔF508 mutation, that codes for the cystic fibrosis transmembrane conductance regulator (CFTR) protein. This results in thicker mucus secretions and obstruction pathologies in multiple organs, including the lungs and sinuses.
Sinus disease and chronic sinusitis...
Pneumonia V: Nursing management and Prevention01:30

Pneumonia V: Nursing management and Prevention

Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.