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Published online before print December 20, 2006
Eur Respir J 2006, doi:10.1183/09031936.00099506
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ORIGINAL ARTICLE

Cystic Fibrosis mortality and survival in the United Kingdom, 1947 to 2003

J.A. Dodge 1*, P.A. Lewis 2, M. Stanton 2, J. Wilsher 2

1 Dept Child Health, University of Wales Swansea, Swansea, UK
2 Dept Mathematical Sciences, University of Bath, Bath, UK

* To whom correspondence should be addressed. E-mail: j.a.dodge{at}btinternet.com.


   Abstract

Data up to 1995 have previously been published on the survival of three year cohorts of people with cystic fibrosis (CF) in the UK born between 1968 and 1992. This paper reports survival data up to the end of 2003 together with a 2003 population estimate.

All persons with CF born in the UK between 1968 and 1992 were identified by active enquiry, up to 1997, through recognised CF clinics and other hospital consultants. We have added information from the death certification authorities up to end 2003. Death certificates which could not be matched with UKCFS records were investigated and the data reconciled.

The observed survival to 2003 of CF subjects born in 1978 is males 55%, females 49%. For 1988 and 1992 the data are 91% and 88% and 97% and 96% respectively. The estimated 2003 mid-year CF population is 8284.

The continuing improvement in survival of CF subjects in successive cohorts means that the previous prediction of median survival exceeding 50 years for those born in 2000 continues to look realistic, even in the absence of proven effective therapy aimed at correcting the basic CF defect.

Keywords:  Cystic fibrosis, epidemiology, expectation of life, survival




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