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March 27, 2002

Priorities for Lung Transplantation Among Patients With Cystic Fibrosis

Author Affiliations

Stephen J.LurieMD, PhD, Senior EditorIndividualAuthor

JAMA. 2002;287(12):1523-1525. doi:10.1001/jama.287.12.1523

To the Editor: As a 46-year-old with CF awaiting a lung transplant, I would like to comment on the article by Dr Liou and colleagues.1 While the study does break new ground in identifying an improved multiparameter technique for estimating remaining life expectancy of adults with CF, I am extremely concerned by the conclusion implying that physicians should consider using the results as a basis for recommending to patients whether they should pursue a lung transplant. The unexamined assumption is that a year of survival with a lung transplant is equivalent to one without a lung transplant.