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Tools for Decision Making Sections
Author Bio
Introduction
Part I
Part II
Age and Co-morbidity
Screening in the Elderly
Case Study 3: Patient Histories

Estimating Life Expectancy

Approach to Screen Decisions
Calculating the Impact of Co-morbid Illness
Currently selected section: Adjusting Life Expectancy
References


Chapter 14: Tools for Decision Making: Adjusting Life Expectancy for Co-morbid Illness
         The subject of this section is how to calculate life expectancy and how to adjust it for serious co-morbid illness.

First, what is life expectancy? It is the average length of life remaining to a person. The life expectancy for an average person of a given age is known from studies of the distribution of lengths of life in large populations. It is an empirical observation, and there are tables from which to obtain life expectancy of a person adjusted for age, race, and gender.

The number of people remaining in an aging cohort is also an empirical observation. However, several mathematical functions, when graphed, describe a curve that is a good approximation of the curve that shows the number of survivors in a cohort. Ideally, the curve obtained by plotting the mathematical function would be exactly the same as the curve showing the number of survivors. One of these is the Gompertz Function, which is hard to work with mathematically.

 


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