Centre care of cystic fibrosis improves clinical outcome

Centre care of cystic fibrosis improves clinical outcome

Although it is recommended that patients with cystic fibrosis are cared for by specialist centres there is no direct evidenceto support the provision of these services. On p 1771 Mahadevaet al compare patients with cystic fibrosis who never had specialistcare with those attending the adult cystic fibrosis centre inManchester. The results show that specialist management in a paediatricand adult cystic fibrosis centre results in a greatly improvedbody mass index and lung function despite earlier colonisationwith Pseudomonas aeruginosa. These data support the developmentof cystic fibrosis centres and suggest that patients with cysticfibrosis should receive centre care at the earliest possible ageif they are to gain the impetus for prolonged survival in adulthood.

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Clinical outcome in relation to care in centres specialising in cystic fibrosis: cross sectional study • Commentary: Management in paediatric and adult cystic fibrosis centres improves clinical outcome: Ravi Mahadeva, Kevin Webb, Roger C Westerbeek, Nick R Carroll, Mary E Dodd, Diana Bilton, David A Lomas, and J A Dodge
BMJ 1998 316: 1771-1775. [Abstract] [Full Text] [PDF]