title: [Geriatric trauma centers from the idea to implementation. What has been achieved?].
abstract: The geriatric trauma working party, a subgroup of the German Society of Trauma Surgery (Deutsche Gesellschaft für Unfallchirurgie, DGU), focuses on the challenges of geriatric fractures, which are steadily increasing due to demographic changes. Inherent comorbidities implicate perioperative complications leading to loss of mobility and endangered independence followed by an increased burden on the social services. An interdisciplinary approach is required. The geriatric trauma working party defined criteria for interdisciplinary treatment and comprehensive care as well as early rehabilitation in interdisciplinary geriatric fracture centers. By passing an independent audit process these centers can achieve certification as a geriatric trauma center DGU (AltersTraumaZentrum DGU). Certified centers can participate in a recently established geriatric fracture registry which includes an internationally consented data set. Audit and registry enable centers to acquire an international benchmark, ensure permanent improvement in quality and allow participation in health services research.
authors.affiliation: Zentrum für Orthopädie, Unfall- und Handchirurgie, Klinik für Unfall- und Handchirurgie, Katholisches Klinikum Oberhausen, St. Clemens Hospital, Wilhelmstr. 34, 46145, Oberhausen, Deutschland. thomas.friess@clemenshospitale.de.
authors.forename: T
authors.initials: T
authors.lastname: Friess
authors.affiliation: Klinik für Orthopädie und Unfallchirurgie, Diakonissenkrankenhaus Karlsruhe, Karlsruhe, Deutschland.
authors.forename: E
authors.initials: E
authors.lastname: Hartwig
authors.affiliation: Klinik für Orthopädie, Unfallchirurgie und Wiederherstellungschirurgie, Marienhospital Stuttgart, Stuttgart, Deutschland.
authors.forename: U
authors.initials: U
authors.lastname: Liener
authors.affiliation: Akademie der Unfallchirurgie (AUC) München, München, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: Sturm
authors.affiliation: Berufsgenossenschaftliche Unfallklinik Frankfurt, Frankfurt am Main, Deutschland.
authors.forename: R
authors.initials: R
authors.lastname: Hoffmann
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D050723:Fractures, Bone / Q000175:diagnosis* / Q000628:therapy*; D005858:Germany; D006299:Health Services for the Aged / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017146:Models, Organizational; D017410:Practice Guidelines as Topic; D012042:Registries; D014193:Trauma Centers / Q000458:organization & administration*
keywords: Geriatric fracture centers; Geriatric fracture registry; Geriatric trauma; Orthogeriatric comanagement; Orthogeriatric cooperation model