Multiple-breath washout as a lung function test in cystic fibrosis: A cystic fibrosis foundation workshop report

The lung clearance index (LCI) is a lung function parameter derived from the multiple-breath washout (MBW) test. Although first developed 60 years ago, the technique was not widely used for many years. Recent technological advances in equipment design have produced gains in popularity for this test...

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Main Authors: Subbarao, P., Milla, C., Aurora, P., Davies, J., Davis, S., Hall, Graham, Heltshe, S., Latzin, P., Lindblad, A., Pittman, J., Robinson, P., Rosenfeld, M., Singer, F., Starner, T., Ratjen, F., Morgan, W.
Format: Journal Article
Published: 2015
Online Access:http://hdl.handle.net/20.500.11937/54367
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author Subbarao, P.
Milla, C.
Aurora, P.
Davies, J.
Davis, S.
Hall, Graham
Heltshe, S.
Latzin, P.
Lindblad, A.
Pittman, J.
Robinson, P.
Rosenfeld, M.
Singer, F.
Starner, T.
Ratjen, F.
Morgan, W.
author_facet Subbarao, P.
Milla, C.
Aurora, P.
Davies, J.
Davis, S.
Hall, Graham
Heltshe, S.
Latzin, P.
Lindblad, A.
Pittman, J.
Robinson, P.
Rosenfeld, M.
Singer, F.
Starner, T.
Ratjen, F.
Morgan, W.
author_sort Subbarao, P.
building Curtin Institutional Repository
collection Online Access
description The lung clearance index (LCI) is a lung function parameter derived from the multiple-breath washout (MBW) test. Although first developed 60 years ago, the technique was not widely used for many years. Recent technological advances in equipment design have produced gains in popularity for this test among cystic fibrosis (CF) researchers and clinicians, particularly for testing preschool-aged children. LCI has been shown to be feasible and sensitive to early CF lung disease in patients of all ages from infancy to adulthood. A workshop was convened in January 2014 by the North American Cystic Fibrosis Foundation to determine the readiness of the LCI for use in multicenter clinical trials as well as clinical care. The workshop concluded that the MBW text is a valuable potential outcome measure for CF clinical trials in preschool-aged patients and in older patients with FEV1 in the normal range. However, gaps in knowledge about the choice of device, gas, and standardization across systems are key issues precluding its use as a clinical trial end point in infants. Based on the current evidence, there are insufficient data to support the use of LCI or MBW parameters in the routine clinical management of patients with CF.
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spelling curtin-20.500.11937-543672018-03-29T09:09:36Z Multiple-breath washout as a lung function test in cystic fibrosis: A cystic fibrosis foundation workshop report Subbarao, P. Milla, C. Aurora, P. Davies, J. Davis, S. Hall, Graham Heltshe, S. Latzin, P. Lindblad, A. Pittman, J. Robinson, P. Rosenfeld, M. Singer, F. Starner, T. Ratjen, F. Morgan, W. The lung clearance index (LCI) is a lung function parameter derived from the multiple-breath washout (MBW) test. Although first developed 60 years ago, the technique was not widely used for many years. Recent technological advances in equipment design have produced gains in popularity for this test among cystic fibrosis (CF) researchers and clinicians, particularly for testing preschool-aged children. LCI has been shown to be feasible and sensitive to early CF lung disease in patients of all ages from infancy to adulthood. A workshop was convened in January 2014 by the North American Cystic Fibrosis Foundation to determine the readiness of the LCI for use in multicenter clinical trials as well as clinical care. The workshop concluded that the MBW text is a valuable potential outcome measure for CF clinical trials in preschool-aged patients and in older patients with FEV1 in the normal range. However, gaps in knowledge about the choice of device, gas, and standardization across systems are key issues precluding its use as a clinical trial end point in infants. Based on the current evidence, there are insufficient data to support the use of LCI or MBW parameters in the routine clinical management of patients with CF. 2015 Journal Article http://hdl.handle.net/20.500.11937/54367 10.1513/AnnalsATS.201501-021FR restricted
spellingShingle Subbarao, P.
Milla, C.
Aurora, P.
Davies, J.
Davis, S.
Hall, Graham
Heltshe, S.
Latzin, P.
Lindblad, A.
Pittman, J.
Robinson, P.
Rosenfeld, M.
Singer, F.
Starner, T.
Ratjen, F.
Morgan, W.
Multiple-breath washout as a lung function test in cystic fibrosis: A cystic fibrosis foundation workshop report
title Multiple-breath washout as a lung function test in cystic fibrosis: A cystic fibrosis foundation workshop report
title_full Multiple-breath washout as a lung function test in cystic fibrosis: A cystic fibrosis foundation workshop report
title_fullStr Multiple-breath washout as a lung function test in cystic fibrosis: A cystic fibrosis foundation workshop report
title_full_unstemmed Multiple-breath washout as a lung function test in cystic fibrosis: A cystic fibrosis foundation workshop report
title_short Multiple-breath washout as a lung function test in cystic fibrosis: A cystic fibrosis foundation workshop report
title_sort multiple-breath washout as a lung function test in cystic fibrosis: a cystic fibrosis foundation workshop report
url http://hdl.handle.net/20.500.11937/54367