<div class="FTQUOTE"><begin quote>and only leads to the question of why do some centers have results leaps and bounds ahead of others when every doctor and nurse on the team cares just as much about the patients?</end quote></div>
THAT is much of the whole basis of the article about the 'bell curve' ...the type of methods that put some hospitals/centers out ahead of others. I do not doubt either that doctors and staff at many clinics love their patients and are devoted to their care and the numbers can't tell you everything- but on certain levels, the numbers DON'T lie. If the patients at one small group of clinics have average lung functions substantially ahead of the rest of the clinics in the country, the team there is clearly doing something right to achieve those results, beyond just caring about the patients. Those pft's are telling you something. The very large group of clinics that average mid-80's for their ped fev1 obviously can learn SOMETHING from the small handful of clinics whose patients are averaging fev1's around 100%.
Part of the key- it's not just about fev1. It's about digestive health, how aggressively the other aspects of health are managed, stressing compliance, etc... some clinics are reactive vs. proactive. The top clinics are the ones that are PROACTIVE and teach preventative ways of managing this disease, avoiding damage before it sets in to get kids to adulthood in a healthier state.
This thread is interesting. Seeing the fev1's adults had when they exited ped care is a good # to see; the statistics in the care center data are comprised of such a broad range of ages and naturally younger children will push that average up. And the fev1 (and other statistics as well) upon exiting your ped center is a reflection of the progression of your disease, yes- but also a reflection of the care you've gotten to date as well.