Abstract
Cardiothoracic surgery is performed primarily in older individuals. Within the United States and globally, the numbers of these older individuals will increase dramatically in the near future, driving enormous changes in the amount, profile, and delivery of health care. In this chapter we analyze recent trends in the patterns of treatment provided by cardiothoracic surgeons. While incidence rates for coronary artery bypass procedures have declined, other procedures have not changed significantly in frequency. With the forecasted increases in the number of older individuals there is good reason to believe that the volumes of cardiothoracic procedures that are performed will rise significantly, even if incidence rates continue to decline. Cardiothoracic surgeons should meet the challenges engendered by these changes through ongoing innovation and a continued focus on quality of care and clinical outcomes.
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Appendix 1: Cardiothoracic Surgical Procedures
Appendix 1: Cardiothoracic Surgical Procedures
Procedure description | ICD-9 Code(s) |
Pneumonectomy | 32.xx |
Local excision or destruction of lesion or tissue of lung/bronchus | 32.0x, 32.2x |
Other excision of bronchus | 32.1x |
Segmental resection of lung | 32.3x |
Lobectomy of lung | 32.4x |
Complete pneumonectomy | 32.5x |
Radical dissection of thoracic structures | 32.6x |
Other excision of lung | 32.9x |
Valve repair/replacement | 35.xx |
Closed heart valvotomy | 35.0x |
Open heart valvuloplasty without replacement | 35.1x |
Replacement of heart valve | 35.2x |
Coronary artery bypass graft | 36.xx |
Removal of coronary artery obstruction and insertion of stent(s) | 36.0x |
Bypass anastomosis for heart revascularization; w/wo arterial implant | 36.1x, 36.2x |
Other heart revascularization | 36.3x |
Other operations on vessels of heart | 36.4x |
Italicized procedures considered nonsurgical, excluded from analysis.
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Etzioni, D.A., Starnes, V.A. (2011). The Epidemiology and Economics of Cardiothoracic Surgery in the Elderly. In: Katlic, M. (eds) Cardiothoracic Surgery in the Elderly. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-0892-6_2
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DOI: https://doi.org/10.1007/978-1-4419-0892-6_2
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