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