Christoph Friedrich

Learn More
The proportion of older cancer patients is increasing due to demographic and disease-specific reasons. However, this group of patients is severely underrepresented in research and clinical therapy. Limitation in physical and functional capacity with considerable interindividual heterogeneity remains one of the important problems in the treatment decision(More)
With increasing life expectancy, a therapeutic decision raises the question of the primary goals to be aimed for. Is an absolute gain in age a goal equal to the preservation of an active life? While in younger patients the strategy followed by the patient and the doctor will usually be that of long-term survival, the decision making process for older(More)
The advantages of multiplanar reconstruction in rectal cancer recurrence diagnostics using medium resolution multi-detector CT are evaluated. We included 40 patients after a rectal cancer operation in this study. During follow-up ten patients developed a recurrence. All patients received a minimum of two CT-examinations in their follow-up program. A total(More)
Epidemiology of osteoporosis reveals some specific properties with considerable consequences on economic and social aspects, which are discussed briefly. Large parts of an aging population are under risk of developing osteoporosis with consecutive morbidity and mortality. The epidemiological consequences and economic burden will increase during the next 20(More)
The use of evidence-based medicine (EBM) in the field of geriatrics faces some specific problems. Deficits in representation of older people in medical trials and the attitude of the majority of patients and their physicians considering disease as normal aging counteract successful implementation. EBM is also feasible in older patients after some(More)
OBJECTIVE To assess the direct and indirect costs of hip fracture in dependence of postoperative care setting. STUDY DESIGN Prospective cohort study. METHODS 227 consecutive patients in three hospitals (city, town, and small town) presenting with hip fracture. For 177 patients there was follow-up regarding post-operative care-setting. During follow-up(More)
The number of elderly people with cancer will increase within the next decades. Cancer will surpass cardiovascular diseases as the leading cause of death. In comparison to younger patients elderly patients with cancer are less often treated within the scope of clinical trials. Data from health care research demonstrate that the treatment of elderly patients(More)
Osteoporosis is defined by an abnormal high loss of bone mineral. This loss leads to fractures of vertebral bodies as of the femoral neck with dramatic consequences. Therefore it is necessary to regard osteoporosis as a disease rather than normal aging process. Diagnosis of osteoporosis is based on clinical examination and measurement of bone-mineral(More)
Due to demographic developments malignancies of urogenital origin will gain increasing importance. The urologist will face a growing group of patients with co-morbidities and functional disabilities as these neoplasms increase with age. Optimisation of peri-interventional management successfully reduces the risks of surgery. Integration of taxane-based(More)