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Coronary Bypass Surgery in the Elderly - Ethical, Economical and Quality of Life Aspects (Paperback, Softcover reprint of the original 1st ed. 1995)
Loot Price: R1,601
Discovery Miles 16 010
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Coronary Bypass Surgery in the Elderly - Ethical, Economical and Quality of Life Aspects (Paperback, Softcover reprint of the original 1st ed. 1995)
Series: Developments in Cardiovascular Medicine, 161
Expected to ship within 10 - 15 working days
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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.
General
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