Annual Review Tests

What is an Annual Review?

Your CF annual review is a detailed assessment of every aspect of your condition and current therapies. This allows us to assess changes over the last year, identify where treatments can be improved, and produce a plan for the following year.
 

Annual Review Investigations

This includes breathing tests (lung function), exercise tests, blood tests, sputum specimen and investigations including a chest x-ray, liver ultrasound, bone density scan and oral glucose tolerance test (for patients who do not have CF-related diabetes.)
 
Patients will receive an annual review feedback letter on an annual basis reporting details of test results and feedback comments from the multi-disciplinary team. This includes sections on lung function, nutrition, results on sputum, blood test, vitamin levels, bone scan and ultrasound scan. We also list your current medications, give advice regarding your treatments and have a general comments section.
 
Please bring this letter to your next clinic appointment for discussion with the CF Consultant. This appointment is your opportunity to discuss your management plan for the following year based on the results of your investigations and assessments as detailed in your annual review feedback letter.
 
The Dietitian will discuss pancreatic enzymes, vitamin supplementation, calcium intake, dietary advice, bowel function and management of CF-related diabetes.
 
The Physiotherapist will discuss airway clearance technique, exercise, posture and incontinence issues.
 
The CF Nurse Specialist will discuss your health during the previous year, review your medication, allergies and medication sensitivities. You will be asked about employment/education, family support and living arrangements, contraception and fertility status so that we can provide you with any information you need or refer you to the appropriate person. The roles of the psychosocial service will be explained and a referral can be made if necessary.
 
As part of the annual review process the CF pharmacist (Douglas) will contact your GP for a current list of your medication. This helps us to keep our list of medication up to date and to identify any issues that you may wish to discuss with the team about your treatments. We will assume you consent to this process unless you tell us otherwise. Please let us know if you would rather we did not contact your GP without your knowledge.
 

Annual Review Tests - Information

 
INVESTIGATION
REASON
FREQUENCY
CHEST X-RAY
To check the health of your lungs.
ANNUALLY
ORAL GLUCOSE                TOLERANCE TEST
To screen for CF related diabetes.
ANNUALLY
EXERCISE ASSESSMENT
Lung function assessment during exercise.
ANNUALLY
SPUTUM POT
To check what is growing in your lungs.
EVERY VISIT
DEXA BONE SCAN
To screen for CF related bone disease.
3 YEARLY
ABDOMEN              ULTRASOUND SCAN
To screen for CF related liver disease.
1-3 YEARLY
 
 
 
 
AVAILABLE  ASSESSMENTS
ASSESSMENT
EXPLANATION
PHYSIOTHERAPY
 
Review of airway clearance techniques, equipment and advice on physical activity.
DIETETIC
Review of weight/BMI, dietary intake, pancreatic enzymes, vitamins and glucose tolerance.
* Please bring  your completed 3 day food diary.
CF NURSE
An opportunity to discuss your education, work, benefits, travel and relationships.
PSYCHOLOGY
An opportunity to discuss your emotions and how you cope with CF.
PHARMACY
Medication review and advice. As part of your care we may contact your GP for a list of medications. If you do not wish us to do this then please let us know.
MEDICAL
Review of your health and future treatments and care.
IMMUNISATION
It is recommended to have an annual flu vaccination.
 
 
 
 
 
 
 
 
 

Last Reviewed: 03/07/2015