TY - JOUR
T1 - Cost and cost-effectiveness of cardiac surgery in elderly patients
AU - Gelsomino, Sandro
AU - Lorusso, Roberto
AU - Livi, Ugolino
AU - Masullo, Gianluca
AU - Luca, Fabiana
AU - Maessen, Jos
AU - Gensini, Gian Franco
PY - 2011/11
Y1 - 2011/11
N2 - Objective: Cost-effectiveness of heart surgery for elderly patients is still poorly defined. We evaluated outcome, quality of life (QoL), cost, and cost-effectiveness of octogenarians undergoing cardiac surgery. Methods: One thousand six hundred forty octogenarians undergoing various cardiac surgical procedures were prospectively studied between January 1998 and January 2009 and compared with similar patients aged 70 to 79 years. Several questionnaires were used to assess QoL. Six hundred age-and sex-matched healthy octogenarians and three hundred forty patients older than 80 years with medically treated valvular or coronary artery disease were healthy and unoperated control groups, respectively. In-hospital costs were obtained from the hospital's financial accounting department and cost-effectiveness was estimated and expressed as cost/QoL-adjusted life year (QALY) and cost-effectiveness ratio. Results: Significant improvements occurred in elderly patients in Role Physical (P
AB - Objective: Cost-effectiveness of heart surgery for elderly patients is still poorly defined. We evaluated outcome, quality of life (QoL), cost, and cost-effectiveness of octogenarians undergoing cardiac surgery. Methods: One thousand six hundred forty octogenarians undergoing various cardiac surgical procedures were prospectively studied between January 1998 and January 2009 and compared with similar patients aged 70 to 79 years. Several questionnaires were used to assess QoL. Six hundred age-and sex-matched healthy octogenarians and three hundred forty patients older than 80 years with medically treated valvular or coronary artery disease were healthy and unoperated control groups, respectively. In-hospital costs were obtained from the hospital's financial accounting department and cost-effectiveness was estimated and expressed as cost/QoL-adjusted life year (QALY) and cost-effectiveness ratio. Results: Significant improvements occurred in elderly patients in Role Physical (P
U2 - 10.1016/j.jtcvs.2011.02.013
DO - 10.1016/j.jtcvs.2011.02.013
M3 - Article
C2 - 21492881
SN - 0022-5223
VL - 142
SP - 1062
EP - 1073
JO - Journal of Thoracic and Cardiovascular Surgery
JF - Journal of Thoracic and Cardiovascular Surgery
IS - 5
ER -