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Coronary Bypass Surgery in the Elderly

Ethical, Economical and Quality of Life Aspects

P.J. Walter

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English
Springer
14 October 2012
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.
Edited by:  
Imprint:   Springer
Edition:   Softcover reprint of the original 1st ed. 1995
Volume:   161
Dimensions:   Height: 240mm,  Width: 160mm,  Spine: 15mm
Weight:   471g
ISBN:   9789401040938
ISBN 10:   9401040931
Series:   Developments in Cardiovascular Medicine
Pages:   268
Publication Date:  
Audience:   Professional and scholarly ,  Undergraduate
Format:   Paperback
Publisher's Status:   Active

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