Active Life Expectancy

Katz, Sidney; Branch, Laurence G.; Branson, Michael; Papsidero, Joseph A.; Beck, John C.; Greer, David S.

doi:10.1056/nejm198311173092005

Cited by 711 publications

(362 citation statements)

References 15 publications

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“…A commonly proposed reason for not treating elderly patients is that one should consider their active life expectancy (Katz et al, 1983), which obviously increases apparent cost in health economic terms. This is a political decision that a physician should not have to face (Sulmasy, 1992).…”

Section: Discussionmentioning

confidence: 99%

Elective surgery for colorectal cancer in the aged: a clinical-economical evaluation

Audisio

Cazzaniga²,

Robertson³

et al. 1997

Br J Cancer

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Summary A series of 56 consecutive patients, referred for surgery to a specialized institute, had elective laparotomies with various surgical procedures aimed at curing locoregional colorectal cancer. Data defining patient and tumour-related preoperative, operative and postoperative variables, including costs, were collected. The study group was divided into two age groups (< 65 vs . 65 years), which were similar in terms of patient-and tumour-related variables. Differences were not statistically significant (£440; 95% exact Cl; £ -50; 1800). There is no evidence to suggest that there are any total charge differences in treating the two age groups, as confirmed by the cost analysis.

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Section: Discussionmentioning

confidence: 99%

Elective surgery for colorectal cancer in the aged: a clinical-economical evaluation

Audisio

Cazzaniga²,

Robertson³

et al. 1997

Br J Cancer

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“…The main advantages of this approach, which is still the most commonly used method in health research, are that it adopts simple calculations and the required information is relatively easy to find. The double decrement life table method (Katz et al 1983) considers not only death but also transition towards definite life-states as decrement events for the cohort. This model does not envisage a return to the initial status: rather, death and disability are considered to be absorbing states, i.e.…”

Section: Introductionmentioning

confidence: 99%

Disability-free life expectancy: a cross-national comparison of six longitudinal studies on aging. The CLESA project

Minicuci¹,

Noale²,

Pluijm

et al. 2004

Eur J Ageing

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Disability-free life expectancy (DFLE) was compared in six countries taking part in the Crossnational Determinants of Quality of Life and Health Services for the Elderly (CLESA) project. Data from six existing longitudinal studies were used: TamELSA (Tampere, Finland), CALAS (Israel), ILSA (Italy), LASA (The Netherlands), Aging in Legane´s (Legane´s, Spain) and SATSA (Sweden). A harmonised four-item disability measure (bathing, dressing, transferring, toileting) was used to calculate DFLE; the harmonised measure was dichotomised into 'independent in all four activities' vs. 'dependent in at least one'. Calculations of DFLE were made using the multistate life table approach and the IMaCh program (INED/EuroRE-VES, http://eurorevesinedfr/imach/) for subjects aged 65-89 years. Prevalence ratios of disability varied significantly across countries, with Italy and Legane´s having the highest percentages among men and among women, respectively, while The Netherlands presented the lowest for both sexes. At 75 years of age the estimated total life expectancy among men ranged from 7.8 years in Tampere and Sweden to 9.0 years in Israel; among women it ranged from 9.5 years in Israel to 11.6 years in Italy. For both sexes Italy showed the lowest total life expectancy without disability (72% among men, 61% among women) and Sweden the highest (89% among men and 71% among women). The results yielded a north/south gradient, with residents in Tampere, The Netherlands and Sweden expected to spend a higher percentage of their lives without disability than those in Italy, Israel and Legane´s.

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“…Most of the existing literature has focused on the latter, particu larly on factors specific to the individual-ie medical complications, independence in da ily living, psychological adjustment to in jury, motivation and willingness to cooper ate with rehabilitation staff2-4 or employ ment status. 5 The present study was planned with the following aims: (1) to describe the occupa tional and social outcomes of SCI patients; (2) to compare their own assessment of independence in activities of daily living against an 'objective' (external) measure of it; and (3) to explore the associations between functional status, sociodemo graphic characteristics and type of injury.…”

Section: Introductionmentioning

confidence: 99%

The social and vocational outcome of spinal cord injury patients

et al. 1992

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Functional status, perception of adjustment, occupational outcome and social functioning were investigated in a group of spinal cord injury (SCI) patients (mean age 34, range 10-74 years) seen at a specialised spinal unit over the period January 1984-December 1988. Functional status was assessed using a standardised scale measuring patients' performance of specific tasks, and other measures of outcome were investigated by a structured interview. Almost two thirds (68%) of the patients were independent according to the standardised scale (33% quadriplegic and 84% paraplegic). Patients' autonomy appeared to be threatened by architectural barriers in and about the house: approximately one third (34%) of those classified as 'independent' on the standardised rehabilitation scale used needed some help in their everyday life. A negative occupational outcome emerged: compared to the pre-morbid situation, 43 patients (44% ) were worse off; 48 (49%) did not experience substantial changes-though it must be noted that 68% of these (33/48) were virtually unemployed (ie student, home maker, retired, unemployed) before the injury; and for 6 (7%) some improvement took place. With a multivariate analysis age was the only statistically significant predictor of poor occupational outcome, with older patients being worse off irrespective of the extent of disease and functional autonomy. The paper discusses these results and stresses the need for integrating results based on the use of standardised rehabilitation scales with the analysis of potential barriers influencing a patient's ability to exploit his/her autonomy.

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Active Life Expectancy

Cited by 711 publications

References 15 publications

Elective surgery for colorectal cancer in the aged: a clinical-economical evaluation

Elective surgery for colorectal cancer in the aged: a clinical-economical evaluation

Disability-free life expectancy: a cross-national comparison of six longitudinal studies on aging. The CLESA project

The social and vocational outcome of spinal cord injury patients

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