ArticleDeutsches Arzteblatt international2021
The Incidence of Fractures Among the Adult Population of Germany–an Analysis From 2009 through 2019
Article in Deutsches Arzteblatt international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07582575 (Nutrition and Trauma), which is not on this map. Cited by 222 papers, 8 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Nutrition and Trauma (NuTra) - The Influence of Malnutrition in Geriatric Trauma Patients
Who cites it
222 citing papers in PubMed, 8 syntheses or guidelines pooled it, 225 citations in OpenAlex.
- Intramedullary nailing versus sliding hip screw for AO/OTA 31-A2 and 31-A3 trochanteric fractures: a systematic review and meta-analysis of randomized controlled trials.BMC musculoskeletal disorders · 2026Pooled it
- Accuracy of junior doctor plain trauma X-ray interpretation: a systematic review and meta-analysis.BMC medical imaging · 2025Pooled it
- Developing a core outcome set for acetabular fractures: a systematic review (part I).Systematic reviews · 2025Pooled it
- [Indications for surgical treatment of traumatic fractures of the thoracic spine and lumbar spine].Unfallchirurgie (Heidelberg, Germany) · 2025Guideline
- Clinical Practice Guideline: The Diagnosis and Treatment of Osteoporosis.Deutsches Arzteblatt international · 2025Guideline
- Reverse total shoulder arthroplasty versus locked plate fixation for proximal humeral fractures in the elderly: a systematic review.PloS one · 2025Pooled it
- [Update of the S3-guideline on diagnostics, prophylaxis and treatment of osteoporosis].Zeitschrift fur Gerontologie und Geriatrie · 2023Guideline
- Quality of Life and Pain after Proximal Humeral Fractures in the Elderly: A Systematic Review.Medicina (Kaunas, Lithuania) · 2023Pooled it
- Fixing geriatric ankle fractures: fibular nail versus locking plate in a prospective multicenter study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Trial
- Comparison of surgical and conservative therapy in older patients with distal radius fracture: a prospective randomized clinic al trial.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2024Trial
- Early functional improvements using continuous passive motion therapy after angular-stable plate osteosynthesis of proximal humerus fractures - results of a prospective, randomized trial.Journal of orthopaedic surgery and research · 2024Trial
- Conservative versus operative treatment of FFP II fractures in a geriatric cohort: a prospective randomized pilot trial.Scientific reports · 2023Trial
- [Primary bone tumors of the spine].Radiologie (Heidelberg, Germany) · 2026Review
- Anterior-posterior versus posterior-only stabilization of unstable pelvic ring injuries in polytraumatized patients: a comparative analysis of clinical, radiological, and long-term functional outcomes.International orthopaedics · 2026Article
- The new trochanteric nail TFN-A has a higher complication rate in the treatment of proximal femoral fractures than the predecessor model PFN-A.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Article
- The limited value of routine radiographs in the follow-up treatment of proximal humerus fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Hip fracture surgery within 24 hours: no association between time to surgery and mortality in a real-world cohort.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Routine 6-Week Outpatient Visit in Patients After Osteosynthesis of Lower Extremity Fractures: Is It Truly Necessary?Journal of clinical medicine · 2026Article
- The replicability of real-world evidence for the surgical treatment of proximal humeral fractures in older patients evaluated using sceptical p-value.Scientific reports · 2026Observational
162 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDetailed analyses of epidemiological data on fractures are an impor - tant resource for persons and institutions providing health care services, as they yield information on the effects of current treatment strategies and on the need for preventive measures. The epidemiology of fractures in Germany, however, is unknown. The goal of this study is to determine the nationwide fracture burden from 2009 through 2019, as a function of anatomical site, age, and sex.
methodsAnnual compilations of ICD-10 diagnosis codes for the years 2009-2019 were made available to us by the German Federal Statistical Office. The prevalence and incidence of fractures at 30 different sites were quantified, and standardized sex and age distributions were calculated.
resultsA total of 688 403 fractures was registered in 2019. From 2009 to 2019, the incidence of fractures rose by 14%, to 1014 fractures per 100 000 persons per year. The most common fracture types were femoral neck fractures (120 per 100 000 persons per year), pertrochanteric femoral fractures (109 per 100 000 persons per year), and distal radius fractures (106 per 100 000 persons per year). All types were more common in women, with incidences that rose with age. The highest incidence was of pertrochanteric femoral fractures in women over age 90, with an incidence of 2550 per 100 000 persons per year. The largest rises in incidence were seen with regard to acetabular fractures (+ 58%) and clavicular fractures (+ 44%).
conclusionThe increasing frequency of fractures, particularly among the elderly, presents a challenge to the health care system. Given the high frequency of geriatric fractures, prophylactic measures against fractures ought to be intensified.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.