{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T07:09:15Z","timestamp":1790665755049,"version":"4.1.0"},"reference-count":41,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2023,6,2]],"date-time":"2023-06-02T00:00:00Z","timestamp":1685664000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Elexacaftor\/tezacaftor\/ivacaftor (ETI) has been associated with unprecedented clinical improvements, transforming the management of cystic fibrosis (CF). However, side effects with implications for safety and well\u2010being have been reported, including neuropsychiatric changes. This study aimed to better characterize the emerging positive and negative impacts of ETI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The Cystic Fibrosis Foundation's Mental Health Advisory Committee distributed a 26\u2010item survey to US CF care teams to assess clinician observations of patient\u2010reported experiences with ETI. Survey responses measured the prevalence of these effects in five domains: (1) positive physical and psychological effects, (2) sleep difficulties, (3) cognitive difficulties, (4) worsening mental health, and (5) concerns about the future and finances.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seventy\u2010five healthcare providers responded from a pediatric, adult, and combined centers. Positive physical effects of ETI and increased optimism were reported in the upper quartiles (50%\u2013100%) and rated as having a significant impact on daily functioning. Sleep and cognitive difficulties were reported in 1%\u201324%, with slight impacts on functioning, and psychological symptoms (e.g., increased stress, depression, anxiety) and <jats:italic>new<\/jats:italic> psychiatric medications were reported in 1%\u201324%, with moderate impacts. Concerns about the future were reported in 1%\u201324%, with minimal impacts.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Across US centers, providers most often observed positive physical effects of ETI. However, a variety of negative side effects were also reported, including sleep disruptions and worsening psychological functioning, which should be systematically monitored by CF teams. These national\u2010level data are a first step in evaluating the prevalence and consequences of these side effects and can directly inform future studies.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ppul.26527","type":"journal-article","created":{"date-parts":[[2023,6,2]],"date-time":"2023-06-02T15:18:29Z","timestamp":1685719109000},"page":"2469-2477","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":53,"title":["Positive and negative impacts of elexacaftor\/tezacaftor\/ivacaftor: Healthcare providers' observations across US centers"],"prefix":"10.1002","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7120-2799","authenticated-orcid":false,"given":"Christina J.","family":"Bathgate","sequence":"first","affiliation":[{"name":"Department of Medicine National Jewish Health Denver Colorado 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