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Background: Despite the importance of reducing treatment burden for people with cystic fibrosis (CF), it has not been fully understood as a concept. This study aims to quantify the treatment burden perceived by CF adults and explore the association between different validated treatment burden measures. Methods: This is a cross-sectional observational study of CF adults attending a single large UK adult center. Participants completed an online survey that contained three different treatment burden scales; CF Questionnaire-Revised (CFQ-R) subscale, CF Quality of Life (CFQoL) subscale, and the generic multimorbidity treatment burden questionnaire (MTBQ). Results: Among 101 participants, the median reported treatment burden by the CFQ-R subscale was 55.5 (IQR 33.3 – 66.6), the CFQoL subscale was 66.6 (IQR 46.6 – 86.6), and the MTBQ reversed global score was 84.6 (IQR 73.1 – 92.3). No correlation was found between respondents’ demographic or clinical variables and treatment burden measured via any of the three measures. All treatment burden measures showed correlations against each other. More treatments were associated with high treatment burden as measured by the CFQ-R, CFQoL subscales, and the MTBQ. However, longer treatment time and more complex treatment plans were correlated with high treatment burden as measured by the CFQ-R and CFQoL subscales, but not with the MTBQ. Conclusions: Treatment burden is a substantial issue in CF. Currently, the only available way to evaluate it is with the CF-specific quality of life measure treatment burden subscales (CFQ-R and CFQoL); both indicated that treatment burden increases with more treatments, longer treatment time, and more complex treatments.

There is a growing consensus that the perspective of the patient should be considered in the evaluation of novel interventions.What treatment outcomes matter to people with cystic fibrosis (CF), and what trade-offs would they make to realize these outcomes?Adults attending a specialist CF center were invited to complete an online discrete choice experiment (DCE). The DCE required participants to evaluate hypothetical CF treatment profiles, defined by impact on lung function, pulmonary exacerbations, abdominal symptoms, life expectancy, quality of life, inhaled medicine usage, and physiotherapy requirement. Choice data were analyzed, using multinomial logit and latent class models.One hundred and three people with CF completed the survey (median age, 35 years; range, 18-76 years); 52% were female; mean FEVThe relative importance of treatment burden to people with CF, compared with life expectancy and lung function, suggests it should be routinely captured in clinical trials as an important secondary outcome measure. When considering the patient perspective, it is important that decision-makers recognize that the values of people with CF are not homogeneous.

Camera trap surveys are useful to understand animal species population trends, distribution, habitat preference, behavior, community dynamics, periods of activity, and species associations with environmental conditions. This information is ecologically important, because many species play important roles in local ecosystems as predators, herbivores, seed dispersers, and disease vectors. Additionally, many of the larger wildlife species detected by camera traps are economically important through hunting, trapping, or ecotourism. Here we present a data set of camera-trap surveys from 6,043 locations across all 100 counties of North Carolina, USA from 2009 to 2019. These data come from 26 survey initiatives and contain 215,108 records of 36 mammal species and three species of terrestrial birds. This large data set increases the geographical distribution data for these 39 mammal and bird species by >500% over what is available for North Carolina in the Global Biodiversity Information Facility (GBIF). These data can be used to conduct inquiries about species, populations, communities, or ecosystems, and to produce useful information on wildlife behavior, distribution, and interactions. There are no copyright restrictions. Please cite this paper when using the data for publication.