title: [Interdisciplinary treatment in geriatric traumatology from the trauma surgeons' perspective : Results of a survey in Germany].
abstract: BACKGROUND
  Many patients treated on trauma surgery wards are geriatric trauma patients. To improve treatment of these often multimorbid patients, various interdisciplinary treatment concepts have been established in Germany between trauma surgeons and geriatricians.
  
  
  OBJECTIVE
  The aim of this study was to evaluate the dissemination and the impact of the different orthogeriatric treatment concepts for geriatric trauma in Germany. Material and methods In March and April 2014 an electronic questionnaire for assessing the interdisciplinary treatment of geriatric trauma patients was sent to 691 medical directors of trauma surgery departments in Germany.
  
  
  RESULTS
  A total of 259 (37 %) fully answered questionnaires could be analyzed. The analysis revealed that 70 % of all responding trauma surgery departments had an orthogeriatric treatment cooperation. Most of them reported having patient discharge agreements to geriatric rehabilitation facilities (59 %). Geriatric counseling services were reported by 39 % while 24 % reported having regular interdisciplinary visits and orthogeriatric wards were available in 13 %. The need for orthogeriatric services was considered to be high by 79 % of the participants and benefits especially for the patients were expected. These expectations were largely fulfilled. More than 70 % of respondents planned to intensify the orthogeriatric cooperation. In this context difficulties were seen in the lack of personnel resources, especially in a lack of geriatricians.
  
  
  CONCLUSIONS
  The results of this survey underline the impact and the positive experiences in orthogeriatric services. Solutions have to be found to address the emerging problem of capacity constraints.
authors.affiliation: Zentrum für Orthopädie und Unfallchirurgie, Universitätsklinikum Gießen und Marburg GmbH, Standort Marburg, Baldingerstraße, 35043, Marburg, Deutschland. buecking@med.uni-marburg.de.
authors.forename: B
authors.initials: B
authors.lastname: Bücking
authors.affiliation: Abteilung für Orthopädie und Unfallchirurgie, Krankenhaus Wermelskirchen, Wermelskirchen, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Walz
authors.affiliation: Klinik für Orthopädie und Unfallchirurgie, Diakonissenkrankenhaus Karlsruhe, Karlsruhe, Deutschland.
authors.forename: E
authors.initials: E
authors.lastname: Hartwig
authors.affiliation: Zentrum für Orthopädie, Unfall- und Handchirurgie, St. Clemens Hospital, Katholisches Klinikum Oberhausen, Oberhausen, Deutschland.
authors.forename: T
authors.initials: T
authors.lastname: Friess
authors.affiliation: Klinik für Orthopädie und Unfallchirurgie, Marienhospital Stuttgart, Stuttgart, Deutschland.
authors.forename: U
authors.initials: U
authors.lastname: Liener
authors.affiliation: Klinik für Unfall- und Wiederherstellungschirurgie, Universitätsklinikum Aachen, Aachen, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Knobe
authors.affiliation: Zentrum für Orthopädie und Unfallchirurgie, Universitätsklinikum Gießen und Marburg GmbH, Standort Marburg, Baldingerstraße, 35043, Marburg, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Ruchholtz
authors.affiliation: Zentrum für Orthopädie und Unfallchirurgie, Universitätsklinikum Gießen und Marburg GmbH, Standort Marburg, Baldingerstraße, 35043, Marburg, Deutschland.
authors.forename: C
authors.initials: C
authors.lastname: Bliemel
mesh_terms: D001291:Attitude of Health Personnel; D003695:Delivery of Health Care / Q000706:statistics & numerical data*; D000072219:Geriatricians / Q000706:statistics & numerical data; D005858:Germany; D019538:Health Care Surveys; D006299:Health Services for the Aged / Q000706:statistics & numerical data*; D020380:Needs Assessment; D010348:Patient Care Team / Q000706:statistics & numerical data*; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D066231:Surgeons / Q000706:statistics & numerical data; D014194:Traumatology / Q000706:statistics & numerical data*
keywords: Capacity problems; Geriatric fracture; Hip fracture; Interdisciplinary treatment; Trauma surgery geriatric cooperation