Coronary Bypass Surgery in the Elderly: Ethical, Economical, and Quality of Life AspectsPaul J. Walter Preface. Foreword; N.K. Wenger. Part One: Demographics and health policy. 1. Demographic and economic trends in Europe and the need for coronary bypass surgery; M. Schneider. 2. Do growing proportions of elderly mean more cardiovascular diseases? H. Hofmeister, L. Muecke. Part Two: Favourable clinical results of CABG in the elderly. 3. Isolated CABG in the elderly: operative results and risk factors over the past three decades; W.J. Keon. 4. Combined valve and coronary bypass surgery in the elderly; J. Szécsi, P. Herijgers, I. Scheys, W. Flameng. 5. Cardiac surgery in the octogenarians: perioperative results and clinical follow-up; F. Fontan, A. Becat, G. Fernandez, N. Sourdille, P. Reynaud, P. Montserrat. 6. Coronary artery bypass grafting and use of the LIMA in octogenarians; G. Sahar, E. Raanani, I. Hertz, R. Brauner, B.A. Vidne. Part Three: Health care costs of elderly CABG patients. 7. Age-specific costs of heart surgery and follow-up treatment in Germany; D. Chruscz, W. König. Part Four: Clinical, economical and ethical controversies. 8. Opportunities to improve the cost-effectiveness of CABG surgery; W.B. Stason. 9. Who gets bypass surgery - should the doctor, patient or computer decide? J. Kellett. 10. The economics of treatment choice. Making choices in coronary bypass surgery in the elderly; A. Maynard. 11. The role of age and life expectancy in prioritising health care; J. Harris. 12. When does the cost of living exceed the return on our investment? The social and economic consequences of coronary bypass surgery inthe elderly; R.W. Evans. Part Five: The heart of the matter: Health-related quality of life after CABG in the elderly. 13. Coronary artery bypass surgery and health-related quality of life: Data from the National Health and Nutrition Examination Survey; P. Erickson. 14. The selection of health-related quality of life measures for older adults with cardiovascular disease; S.A. Shumaker, R. Anderson. 15. Survival and health-related quality of life of elderly patients undergoing cardiac surgery; N. Caine, S. Tait, J. Wallwork. 16. Health-related quality of life after coronary revascularization in older patients; P.D. Cleary, E. Guadagnoli, J.Z. Ayanian. 17. Longitudinal health-related quality of life assessment in 5 years after coronary artery bypass surgery &endash; does benefit continue with advancing age? R. Mohan, P.J. Walter, E. van Hove. 18. Health-related quality of life 5 years after coronary bypass surgery at age 75 or above: a research approach to item selection; P.J. Walter, R. Mohan, C. Cornelissen. Part Six: Rehabilitation. 19. Rehabilitation following coronary artery bypass graft surgery at elderly age; N.K. Wenger. Discussions. Index. |
Contents
Do growing proportions of elderly mean more cardiovascular | 13 |
Operative results and risk factors over | 27 |
Combined valve and coronary bypass surgery in the elderly 1171 | 41 |
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1995 Kluwer Academic activity age groups angina angiography angioplasty Anxiety & Depression aortic Aortic valve replacement artery bypass grafting artery bypass surgery assess benefit bypass graft surgery CABG patients CABG surgery cardiac surgery Cardiol cardioplegia cardiovascular disease clinical compared complications coronary artery bypass coronary artery disease coronary bypass surgery coronary heart disease coronary patients cost death decrease depression Dordrecht economic elderly age elderly patients EuroQOL evaluation expectancy Figure follow-up Fontan health status health-related quality hospital mortality HRQL hypertension improvement increase intervention ISBN ischemic heart disease Keon Kluwer Academic Publishers mean age measures Medicare Mohan mortality rate myocardial infarction Netherlands octogenarians older patients operation outcome P.J. Walter patients aged performed persons population post-operative preoperative procedures PTCA QALYs questionnaires questions rehabilitation reported revascularization risk factors scale scores significantly social statistics surgical survival symptoms Table therapy treatment valve replacement Wenger younger patients