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Coronary Bypass Surgery in the Elderly : Ethical, Economical, and Quality of Life Aspects

By: P.J. Walter (Editor)

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Hardcover
292 Pages

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23.0 x 17.15 x 2.54

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The nineties have been characterized by a reappraisal of allocating expenditure for health care interventions. Coronary artery bypass in the elderly has emerged as an example of burgeoning expensive surgery whose appropriateness is under challenge. This book comprises the proceedings of an international symposium where world renowned leaders in aspects such as health economics, ethics, clinical cardiology, cardiac surgery, epidemiology, and health care policy discussed the need and outcome of the operation in old and very old patients. No other book has hitherto addressed this increasingly quoted intervention in debate on the right to health care for the elderly citizen. Clinical issues and operative results complement national costs and quantitated benefits in terms of quality of life as a justification for surgery. The book is addressed to cardiologists, geriatricians, cardiac surgeons, psychiatrists, rehabilitation physicians and public health care administrators.

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Non-Fiction Philosophy Medicine Clinical & Internal Medicine Cardiovascular Medicine Geriatric Medicine Medicine in General Health Systems & Services Medical Administration & Management Surgery Cardiothoracic Surgery Public Health & Preventive Medicine

List of Contributors
Preface
Foreword
Demographic and economic trends in Europe and the need for coronary bypass surgery	p. 3
Do growing proportions of elderly mean more cardiovascular diseases?	p. 13
Isolated CABG in the elderly: Operative results and risk factors over the past three decades	p. 27
Combined valve and coronary bypass surgery in the elderly	p. 41
Cardiac surgery in the octogenarians: Perioperative results and clinical follow-up	p. 55
Coronary artery bypass grafting and use of the LIMA in octogenarians	p. 61
Age-specific costs of heart surgery and follow-up treatment in Germany	p. 71
Opportunities to improve the cost-effectiveness of CABG surgery	p. 79
Who gets bypass surgery - should the doctor, patient or computer decide?	p. 91
The economics of treatment choice. Making choices in coronary bypass surgery in the elderly	p. 101
The role of age and life expectancy in prioritising health care	p. 111
When does the cost of living exceed the return on our investment? The social and economic consequences of coronary bypass surgery in the elderly	p. 121
Coronary artery bypass surgery and health-related quality of life: Data from the National Health and Nutrition Examination Survey	p. 137
The selection of health-related quality of life measures for older adults with cardiovascular disease	p. 145
Survival and health-related quality of life of elderly patients undergoing cardiac surgery	p. 155
Health-related quality of life after coronary revascularization in older patients	p. 167
Longitudinal health-related quality of life assessment in five years after coronary artery bypass surgery - does benefit continue with advancing age?	p. 179
Health-related quality of life five years after coronary bypass surgery at age 75 or above: A research approach to item selection	p. 195
Rehabilitation following coronary artery bypass graft surgery at elderly age	p. 213
Discussions	p. 223
Index	p. 259
Table of Contents provided by Blackwell. All Rights Reserved.

Coronary Bypass Surgery in the Elderly : Ethical, Economical, and Quality of Life Aspects

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Hardcover

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