(To see other currencies, click on price)
MORE ABOUT THIS BOOK
Main description:
Coronary artery bypass surgery in the elderly: Too often or too seldom? It is a testimony to scientific advances that raising a simple inquiry today, such as whether coronary artery bypass surgery is done too often or too seldom in elderlypatients, requiresanexplorationofwhatviewsonemightholdonseveral medical as well as non-medical issues. Unlike earlier years when doctors were clinically free to decide what should be done with a patient, health has become an expensive human right, decisions about which also involve the patient, the epidemiologist, the health policy administrator, politicians, the exchequer, and the philosopher. In its broadest definition health has come to mean the core of well-being and, therefore, the goal ofany socio-economic system. Until only a decade ago, medical opinion regarding how often coronary artery bypass surgery (CABG) was indicated or useful was unclear. Becauseof multi-organ senescence, the elderly were expected to have a higher rate operative morbidity and mortality and, having crossed an advanced life span, might not live very long after the operation. Decision making on medical grounds first depends on knowing if a patient can survive an operation compared to how long they would survive without it, i. e.
Contents:
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. Szecsi, 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. Koenig. 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 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.
PRODUCT DETAILS
Publisher: Springer
Publication date: October, 2012
Pages: 280
Weight: 471g
Availability: Available
Subcategories: Cardiothoracic, Cardiovascular Medicine, Geriatrics, Public Health
From the same series
Jean-Claude Tardif
Xander H T Wehrens
Johan H. C. Reiber
Raimund Erbel
M.P. Sambhi
Pedro Brugada
W. Bleifeld
Naranjan S. Dhalla
Bohuslav Ostadal
Ralph Shabetai
Jason X.-J. Yuan
Hein J.J. Wellens
R. C. Becker
Franz H. Messerli
C.H. Peels
Stephen M. Factor
Hiroyuki Suga
Hugo Ector
Brian E. Jaski
Richard A. Walsh
Seymour Glagov
Michiel J. Janse
Lloyd W. Klein
Thomas H Marwick
Ernst E. van der Wall
P.J. Walter
Ernst E. van der Wall
Ernst E. van der Wall
A-M. Salmasi
Michel Emile Safar
A-M. Salmasi
Ernst E. van der Wall
Andrea Natale
Albert de Roos
C.A. Nienaber
Guillem Pons-Llado
Vinzenz Hombach
R. Vos
J. Candell-Riera
R.W. Stout
Peter Hanrath
Johan H. C. Reiber
P.A.F.M. Doevendans
Jack Rychik
P.A.F.M. Doevendans
P.E. Vardas
Makoto Nagano
George D. Dangas
Myrvin H. Ellestad
C.J. Preusse
Thomas H Marwick
Thomas H Marwick
Ernst E. van der Wall
G.T. Meester
A.G. Herman
J.C. Tardif
Johan H. C. Reiber
Ernst E. van der Wall
Lloyd W. Klein
Akira Matsumori
Robert L. Wilensky
Bernard Swynghedauw
Juan Carlos Kaski
Franz H. Messerli
John F. Keaney Jr.
Keith L. March
Naranjan S. Dhalla
Zainul Abedin
Juan Carlos Kaski
Eric J Topol
A.V. Bruschke
Richard C. Becker
J. Candell-Riera
Ghassan Bkaily
Lionel H. Opie
Bernard Swynghedauw
Geoffrey Burnstock
P. Cummins
Nicholas Sperelakis
Mina Rajskina
A.A. Knowlton
Johan H. C. Reiber
Irene D. Turpie
J. A. E. Spaan
Ernst E. van der Wall
Masatsugu Hori
Bing Liem Liong
R. Fagard
M. Iwase
R. Stroobandt
A.V. Bruschke
David M. Mirvis
Franz H. Messerli
G. Assmann
Melvin Scheinman
J. Morganroth
J.W. de Jong
M.B. Rosenbaum
C. Tissa Kappagoda
H.V. Villareal
J. Morganroth
Ernst E. van der Wall
Naranjan S. Dhalla
H. Mitchell Perry Jr.
M.P. Spencer
Henk Keurs
C.T. Lancée
J.R. Roelandt
G.S. Wagner
H. Kesteloot
A.C. Arntzenius
Johan H. C. Reiber
A. Maseri
Michel Emile Safar
M.P. Spencer
W. Bleifeld
Henk Keurs
Willem H. Birkenhager
Antonio Bayes de Luna
J.R. Roelandt
Naranjan S. Dhalla
H. Rijsterborgh
Marianne J. Legato
Naranjan S. Dhalla
S. Chien
Rafael Beyar
H.E. Van Dam
M.P. Spencer
J.R. Roelandt
Hilbert J.Th. Thalen
C. Marchesi
J.P.M Hamer
Rafael Beyar
L.N. Bouman
A. Alboni
Douglas P. Zipes
Nicholas Sperelakis
Borys Surawicz
Antonio Bayes de Luna
Johan H. C. Reiber
Hein J.J. Wellens
J.V. Chapman
E. Aliot
Vinzenz Hombach
Michael R. Rosen
William H. Gaasch
Pawan K. Singal
Robert Plonsey
H.L. Stone
J. Soler-Soler
Ernst E. van der Wall
Michel Emile Safar
J. Morganroth
Hein J.J. Wellens
J.R. Roelandt
Vinzenz Hombach
Richard S. Meltzer
Marvin A. Konstam
Naranjan S. Dhalla
Naranjan S. Dhalla
S.N. Willich
Johan H. C. Reiber
C.A. Nienaber
Ernst E. van der Wall
Robert J. Siegel
Markus Schwaiger
Andrew Wechsler
Elliot Rapaport
Naranjan S. Dhalla
John E. Tooke
Derek Yellon
Henk Keurs
Steve M. Teague
J.W. de Jong
Naranjan S. Dhalla
Nicholas Sperelakis
P.H. Heintzen
J. Morganroth
John B. Lombardini
Adam Schneeweiss
J.R. Roelandt
Naranjan S. Dhalla
Naranjan S. Dhalla
J.C. Chatham
Pim J. de Feyter
David W. Holt
Catherine A. Neill
J. Roelandt
A.P. Shepherd
Gastone Leonetti
Nico H.J. Pijls
K. Robinson
P.A.F.M. Doevendans
Douglas P. Zipes
Jose Marin-Garcia
Jonathan S. Steinberg
Francisco Villarreal
Dick Macdonald
Ragavendra R. Baliga
Dick Macdonald