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The Demography of Aging and Disability

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Principles and Practice of Geriatric Surgery

Abstract

Over the previous century, there has been an extraordinary demographic shift which will no doubt persist well into this one. The lengthening of life span by over 50% and consequent increase in the proportion of the population that we refer to as the “elderly” has created a new and different social, economic, and medical imperative. We are now faced with the daunting task of providing health and social care for a huge number of persons living well into old age with more chronic illnesses, and increased needs and expectations. Anticipating the kinds of health care services, this population requires coordinated and creative efforts by many sectors of society and considerable educational and research activities to determine the best methods to deliver services. Indeed, this textbook has been written to respond to some of these challenges by addressing the specialized needs of older persons facing surgery.

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References

  1. Wan H, Sengupta M, Velkoff V, DeBarros K (2005) 65+ in the United States: 2005. U.S. Census Bureau, Washington, DC

    Google Scholar 

  2. Hetzel L, Smith A (2001) The 65 years and over population: 2000. U.S. Census Bureau, Washington, DC

    Google Scholar 

  3. Myers GC (1990) Demography of aging. In: Binstock RH, George LK (eds) Handbook of aging and the social sciences. Academic, New York, pp 19–44

    Google Scholar 

  4. Thomlinson R (1976) Population dynamics. Causes and consequences of world demographic change. Random House, New York

    Google Scholar 

  5. Moore TJ (1993) Lifespan. Simon and Schuster, New York

    Google Scholar 

  6. National Center for Health Statistics (2003) Special excerpt: trend tables on 65 and older population. Department of Health and Human Services, Washington, DC

    Google Scholar 

  7. Olshansky SJ (2003) The demography of aging. In: Cassel CK, Leipzig RM, Cohen HJ, Larson EB, Meier DE (eds) Geriatric medicine: an evidence-based approach. Springer, New York

    Google Scholar 

  8. Austad SN (2006) Why women live longer than men: sex differences in longevity. Gend Med 3(2):79–92

    Article  PubMed  Google Scholar 

  9. Nathonson CA (1984) Sex differences in mortality. Annu Rev Sociol 10:191–213

    Article  Google Scholar 

  10. Verbrugge LM (1985) Gender and health: an update on hypotheses and evidence. J Health Soc Behav 26(3):156–182

    Article  PubMed  CAS  Google Scholar 

  11. Verbrugge LM (1989) The twain meet: empirical explanations of sex differences in health and mortality. J Health Soc Behav 30(3):282–304

    Article  PubMed  CAS  Google Scholar 

  12. Krieger N (2003) Gender, sexes, and health: what are the connections and why does it matter? Int J Epidemiol 32:652–657

    Article  PubMed  Google Scholar 

  13. Anderson RN (1999) Method for constructing complete annual U.S. life tables. Vital Health Stat 2(129):1–28

    Google Scholar 

  14. Arias E (2002) United States life tables, 2000. Natl Vital Stat Rep 51(3):1–38

    PubMed  Google Scholar 

  15. Federal Interagency Forum on Aging-Related Statistics (2004) Older Americans 2004: key indicators of well-being. U.S. Government Printing Office, Washington, DC

    Google Scholar 

  16. Rogers A, Raymer J (2001) Immigration and the regional demographics of the elderly population in the United States. J Gerontol A Biol Sci Med Sci 56B:S44–S55

    Google Scholar 

  17. Kinsella K, Velkoff V (2001) An aging world: 2001. US Census Bureau, Washington, DC

    Google Scholar 

  18. Kannisto V (1996) The advancing frontier of survival. Odense monographs on population aging, 2. Odense University Press, Odense

    Google Scholar 

  19. Manton K, Stallard E (1996) Longevity in the United States: age and sex-specific evidence on life span limits from mortality patterns 1960–1990. J Gerontol 51A:B362–B375

    Article  Google Scholar 

  20. Vaupel JW (1998) Demographic analysis of ageing and longevity. Am Econ Rev 88:242–247

    Google Scholar 

  21. Thatcher AR (1999) The long-term pattern of adult mortality and the highest attained age. J R Stat Soc 162(1):5–43

    Article  CAS  Google Scholar 

  22. Gavrilov LA, Gavrilov NS (1991) The biology of life span: a quantitative approach. Harwood Academic, Chur

    Google Scholar 

  23. Wilmoth JR (1996) Mortality projections for Japan: a comparison of four methods. In: Caselli G, Lopez A (eds) Health and mortality among elderly populations. Oxford University Press, Oxford, pp 266–287

    Google Scholar 

  24. Robine J, Vaupel JW (2002) Emergence of supercentenarians in low-mortality countries. North Am Actuar J 6(3):54–63

    Google Scholar 

  25. Shock NW (1960) Age changes in physiological functions in the total animal: the role of tissue loss. In: Strehler BL, Ebert JD, Shock NW (eds) The biology of aging: a symposium. American Institute of Biological Science, Washington, DC, pp 258–264

    Google Scholar 

  26. Cavalieri TA, Chopra A, Bryman PN (1992) When outside the norm is normal: interpreting lab data in the aged. Geriatrics 47:66–70

    PubMed  CAS  Google Scholar 

  27. Timiras PS (1996) Physilogy of aging: standards for age-related functional competence. In: Gregor R, Windhorst U (eds) Human physiology from cellular mechanisms to integration. Springer, Berlin, pp 2391–2405

    Google Scholar 

  28. Suzman RM, Willis DP, Manton KG (1992) The oldest old. Oxford University Press, Oxford

    Google Scholar 

  29. Rowe JW, Kahn RL (1987) Human aging: usual and successful. Science 237:143–149

    Article  PubMed  CAS  Google Scholar 

  30. Seeman TE (1994) Successful aging: reconceptualizing the aging process from a more positive perspective. In: Vellas BJ, Albarede JL, Garry PJ (eds) Epidemiology and aging: facts and research in gerontology. Springer, New York, pp 61–73

    Google Scholar 

  31. Berkman LF, Seeman TE, Albert M (1993) High, usual and impaired functioning in community-dwelling older men and women: findings from the MacArthur Foundation Research Network on Successful Aging. J Clin Epidemiol 46:1129–1140

    Article  PubMed  CAS  Google Scholar 

  32. Seeman TE, Charpentier PA, Berkman LF, Tinetti ME, Guralnik JM, Albert M, Blazer D, Rowe JW (1994) Predicting changes in physical performance in a high-functioning elderly cohort: MacArthur studies of successful aging. J Gerontol 49:M97–M108

    Article  PubMed  CAS  Google Scholar 

  33. Martin GM (1996) Genetic modulation of the senescent phenotype of Homo sapiens. Exp Gerontol 31:49–59

    Article  PubMed  CAS  Google Scholar 

  34. Fedoroff N, David B (1992) The dynamic genome: Barbara McClintock’s ideas in the century of genetics. Cold Spring Harbor Laboratory Press, Plainview, NY

    Google Scholar 

  35. Strawbridge WJ, Kaplan GA, Camacho T (1992) The dynamics of functional change and disability in an elderly cohort: results from the Alameda County Study. J Am Geriatr Soc 40:799–806

    PubMed  CAS  Google Scholar 

  36. Strawbridge WJ, Camacho T, Cohen RD (1993) Gender differences in factors associated with change in physical functioning in old age: a 6-year longitudinal study. Gerontologist 5:603–609

    Article  Google Scholar 

  37. Kaplan GA, Wilson TW, Cohen RD (1994) Social functioning and overall mortality: prospective evidence from the Kuopio Ischemic Heart Disease Risk Factor Study. Epidemiology 5:495–500

    PubMed  CAS  Google Scholar 

  38. Kannisto V, Lauritsen J (1994) Reduction in mortality at advanced ages. Popul Dev Rev 20:793–810

    Article  Google Scholar 

  39. Wilmoth JR (1997) In search of limits. In: Wachter KW, Finch CE (eds) Between zeus and the salmon: the biodemography of longevity. National Academy Press, Washington, DC, pp 38–64

    Google Scholar 

  40. Lee RD, Carter LR (1992) Modeling and forecasting U.S. mortality. J Am Stat Assoc 87:659–675

    Google Scholar 

  41. Wilmoth JR, Skytthe S, Friou D (1996) The oldest man ever? A case study of exceptional longevity. Gerontology 36:783–788

    Article  CAS  Google Scholar 

  42. Crimmins EM, Saito Y, Ingegnari D (1997) Trends in disability-free life expectancy in the United States, 1970–90. Popul Dev Rev 23(3):555–572

    Article  Google Scholar 

  43. Manton KG, Corder L, Stallard E (1997) Chronic disability trends in elderly United States populations: 1982–1994. Proc Natl Acad Sci USA 94:2593–2598

    Article  PubMed  CAS  Google Scholar 

  44. Freedman VA (1998) Understanding trends in functional ­limitations among older Americans. Am J Public Health 10:1457–1462

    Article  Google Scholar 

  45. Manton KG, Gu X (2001) Changes in the prevalence of chronic disability in the United States black and non-black population above age 65, from 1982 to 1999. Proc Natl Acad Sci USA 98:6354–6359

    Article  PubMed  CAS  Google Scholar 

  46. Freedman VA, Martin LG, Schoeni RF (2002) Recent trends in disability and functioning among older adults in the United States. J Am Med Assoc 288(24):3137–3146

    Article  Google Scholar 

  47. Fries JF (1980) Aging, natural death, and the compression of morbidity. N Engl J Med 303(3):130–135

    Article  PubMed  CAS  Google Scholar 

  48. Manton KG, Stallard E, Corder LS (1998) The dynamics of dimensions of age-related disability 1982 to 1994 in the U.S. elderly population. J Gerontol A Biol Sci Med Sci 53(1):B59–B70

    Article  PubMed  CAS  Google Scholar 

  49. Manton K, XiLiang G (2005) Disability declines and trends in Medicare expenditures. Ageing Horiz 2:25–34

    Google Scholar 

  50. Singer BH, Manton KG (1998) The effects of health changes on projections of health service needs for the elderly population of the United States. Proc Natl Acad Sci USA 95(26):15618–15622

    Article  PubMed  CAS  Google Scholar 

  51. Manton KG, Land KC (2000) Active life expectancy estimates for the U.S. elderly population: a multi-dimensional continuous-mixture model of functional change applied to completed cohorts, 1982–1996. Demography 37(3):253–265

    Article  PubMed  CAS  Google Scholar 

  52. Katz SJ, Ford AB, Moskowitz RW, Jackson BA, Jaffe MW (1963) Studies of illness in the aged. The index of ADL: a standardized measure of biological and psychosocial function. J Am Med Assoc 185:914–919

    Article  CAS  Google Scholar 

  53. Katz SJ (1983) Assessing self-maintenance: activities of daily ­living, mobility and instrumental activities of daily living. J Am Geriatr Soc 31(12):721–726

    PubMed  CAS  Google Scholar 

  54. Katz SJ, Stroud M (1989) Functional assessment in geriatrics: a review of progress and directions. J Am Geriatr Soc 37:267–271

    PubMed  CAS  Google Scholar 

  55. Lawton MP, Brody EM (1969) Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist 9:179–186

    Article  PubMed  CAS  Google Scholar 

  56. Kane RL, Ouslander JC, Abrass IB (2003) Essentials of clinical geriatrics, 5th edn. McGraw Hill, New York

    Google Scholar 

  57. Jarvis C (1996) Getting around after 60: a profile of Britain’s older population. Age Concern Institute of Gerontology, Gerontology Data Service, HMSO, London

    Google Scholar 

  58. Martin J, Elliot D, Meltzer H (1988) The prevalence of disability among adults. Government Social Survey Department, HMSO, London

    Google Scholar 

  59. Lubitz JD, Riley GF (1993) Trends in Medicare payments in the last year of life. N Engl J Med 328(15):1092–1096

    Article  PubMed  CAS  Google Scholar 

  60. McMillan A, Mentnech RM, Lubitz JD, McBean AM, Russell D (1990) Trends and patterns in place of death for Medicare enrollees. Health Care Financ Rev 12:1–7

    PubMed  CAS  Google Scholar 

  61. Seshamani M, Gray A (2004) Time to death and health expenditure: an improved model for the impact of demographic change on health care costs. Age Ageing 33(6):556–561

    Article  PubMed  Google Scholar 

  62. Lubitz JD, Beebe J, Baker C (1995) Longevity and Medicare expenditures. N Engl J Med 332(15):999–1003

    Article  PubMed  CAS  Google Scholar 

  63. Anderson GF (2005) Medicare and chronic conditions. N Engl J Med 353(3):305–309

    Article  PubMed  CAS  Google Scholar 

  64. US Congressional Budget Office (2007) The budget and economic outlook: fiscal years 2008 to 2017. US Congressional Budget Office, Washington, DC

    Google Scholar 

  65. Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds (2007) Annual report of the board of trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds. Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds, Washington, DC

    Google Scholar 

  66. Salzman B (2006) Myths and realities of aging. Care Manag J 7(3):141–150

    Article  PubMed  Google Scholar 

  67. Alexander KP, Newby LK, Armstrong PW et al (2007) Acute coronary care in the elderly, Part II: ST-segment-elevation myocardial infarction: a scientific statement for healthcare professionals from the American Heart Association Council on Clinical Cardiology in collaboration with the Society of Geriatric Cardiology. Circulation 115(19):2570–2589

    Article  PubMed  Google Scholar 

  68. Bouchardy C, Rapiti E, Blagojevic S, Vlastos AT, Vlastos G (2007) Older female cancer patients: importance, causes, and consequences of undertreatment. J Clin Oncol 25(14):1858–1869

    Article  PubMed  Google Scholar 

  69. Grant PT, Henry JM, McNaughton GW (2000) The management of elderly blunt trauma victims in Scotland: evidence of ageism? Injury 31(7):519–528

    Article  PubMed  CAS  Google Scholar 

  70. Health Advisory Service 2000 (1998) “Not because they are old”: an independent inquiry into the care of older people on acute wards in general hospitals. Health Advisory Service 2000, London

    Google Scholar 

  71. Lookinland S, Anson K (1995) Perpetuation of ageist attitudes among present and future health care personnel: implications for elder care. J Adv Nurs 21(1):47–56

    Article  PubMed  CAS  Google Scholar 

  72. Hosking MP, Warner MA, Lodbell CM (1989) Outcomes of surgery in patients 90 years of age and older. J Am Med Assoc 261:1909–1915

    Article  CAS  Google Scholar 

  73. Elayda MAA, Hall RJ, Reul RM (1993) Aortic valve replacement in patients 80 years and older: operative risks and long-term results. Circulation 88:11–16

    Article  Google Scholar 

  74. Ko W, Gold JP, Lazzaro R (1992) Survival analysis of octogenarian patients with coronary artery disease managed by elective coronary artery bypass surgery versus conventional medical treatment. Circulation 86(Suppl II):191–197

    Google Scholar 

  75. Lundstrom M, Stenevi U, Thorburn W (2000) Cataract surgery in the very elderly. J Cataract Refract Surg 26:408–414

    Article  PubMed  CAS  Google Scholar 

  76. Wong TY (2001) Effect of increasing age on cataract surgery ­outcomes in very elderly patients. Br Med J 322:1104–1106

    Article  CAS  Google Scholar 

  77. Krishnan E, Fries JF, Kwoh CK (2007) Primary knee and hip arthroplasty among nonagenarians and centenarians in the United States. Arthritis Rheum 57(6):1038–1042

    Article  PubMed  Google Scholar 

  78. Bush DE, Finucane TE (1994) Permanent cardiac pacemakers in the elderly. J Am Geriatr Soc 42:326–334

    PubMed  CAS  Google Scholar 

  79. Shen WK, Hayes DL, Hammill SC (1996) Survival and functional independence after implantation of a permanent pacemaker in octogenarians and nonagenarians: a population-based study. Ann Intern Med 125:476–480

    PubMed  CAS  Google Scholar 

  80. Schmidt B, Brunner M, Olschewski M, Hummel C, Faber T (2003) Pacemaker therapy in very elderly patients: long-term survival and prognostic parameters. Am Heart J 146:908–913

    Article  PubMed  Google Scholar 

  81. Toff WD, Skehan JD, De Bono DP, Camm AJ (1997) The United Kingdom pacing and cardiovascular events (UKPACE) trial. Heart 78:221–223

    PubMed  CAS  Google Scholar 

  82. Toff WD, Camm AJ, Skehan JD (2005) Single-chamber versus dual-chamber pacing for high-grade atrioventricular block. N Engl J Med 353:145–155

    Article  PubMed  CAS  Google Scholar 

  83. Health Resources and Services Administration (2007) Annual report of the U.S. Organ Procurement and Transplantation Network and the Scientific Registry of Transplant Recipients: transplant data 1997–2006. Division of Transplantation, Health Resources and Services Administration, Healthcare Systems Bureau, Rockville, MD

    Google Scholar 

  84. Mahidhara R, Bastani S, Ross D, Saggar R, Lynch J (2008) Lung transplantation in older patients? J Thorac Cardiovasc Surg 135(2):412–420

    Article  PubMed  Google Scholar 

  85. Beckett NS, Peters R, Fletcher A, Staessen JA (2008) Treatment of hypertension in patients 80 years of age or older. N Engl J Med 358(18):1887–1898

    Article  PubMed  CAS  Google Scholar 

  86. Kamel HK, Hussain MS, Tariq S (2000) Failure to diagnose and treat osteoporosis in elderly patients hospitalized with hip fracture. Am J Med 109:326–328

    Article  PubMed  CAS  Google Scholar 

  87. Bauer DC (2000) Osteoporotic fractures: ignorance is bliss? Am J Med 109:338–339

    Article  PubMed  CAS  Google Scholar 

  88. Kung HC, Hoyert DL, Xu J, Murphy SL (2008) Deaths: final data for 2005. Natl Vital Stat Rep 56(10):1–120

    PubMed  Google Scholar 

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Sinha, S.K., Christmas, C. (2011). The Demography of Aging and Disability. In: Rosenthal, R., Zenilman, M., Katlic, M. (eds) Principles and Practice of Geriatric Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-6999-6_11

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