

| Subject: | Rebuild specialists: speculation |
| From: | McComas_Glenn |
| Date: | Wed, 1 Mar 2000 18:11:38 -0500 |
Good morning, List friends -- Think of this topic as a warm-up for Friday. Today [Weds 3/1 ~9am] National Public Radio carried a report concerning survival rates for certain advanced/difficult surgical procedures in California. The investigators compared hospitals which do a comparatively large volume of procedures such as heart bypasses, etc.... and hospitals which did relatively few of those same operations. The results for the high-volume hospitals were significantly better. According to the report, some patients choose smaller hospitals for convenience, or because their physician has a connection there; but in California in one year, 602 patients -- who did not survive a given procedure in a smaller hospital -- would very probably have survived in a hospital that handled a large volume of that procedure. Obviously, these are statistical projections, but carefully arrived at..... surely of great concern to the 602 California families involved. Is there a parallel concerning the rebuilding of waterboxer engines? What is the success rate for a large sample of shops doing only one or two rebuilds per year? Just wondering.....?? Glenn Queenstown, MD
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