Evidence map›Paper›PMID 42842002›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2026

The challenges and opportunities of major trauma care in Germany - results of multidisciplinary expert interviews of the LeAf trauma study.

Anne Neubert, Sebastian Hempe, Dan Bieler, Carina Jaekel, Catharina Gaeth, Christine Höfer, Stefanie Bartha, Elisabeth Schwojer, Rolf Lefering, Gina Royko and 3 more

Abstract read
In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Anne NeubertDepartment of Orthopedics and Traumatology, University Hospital and Medical Faculty, Heinrich-Heine-University Duesseldorf, Duesseldorf, Germany.ORCID http://orcid.org/0000-0002-6323-3747
Sebastian HempeDepartment of Orthopedics and Trauma Surgery, Reconstructive Surgery, Hand Surgery, Plastic Surgery and Burn Medicine, German Armed Forces Central Hospital, Koblenz, Germany.ORCID http://orcid.org/0000-0003-1992-9250
Dan BielerDepartment of Orthopedics and Trauma Surgery, Reconstructive Surgery, Hand Surgery, Plastic Surgery and Burn Medicine, German Armed Forces Central Hospital, Koblenz, Germany.ORCID http://orcid.org/0000-0002-0708-1259
Carina JaekelDepartment of Orthopedics and Traumatology, University Hospital and Medical Faculty, Heinrich-Heine-University Duesseldorf, Duesseldorf, Germany.ORCID http://orcid.org/0000-0003-2188-3861
Catharina GaethDepartment of Orthopedics and Trauma Surgery, Reconstructive Surgery, Hand Surgery, Plastic Surgery and Burn Medicine, German Armed Forces Central Hospital, Koblenz, Germany.ORCID http://orcid.org/0009-0000-9116-2838
Christine HöferAUC - Academy for Traumatology @ German Society of Traumatology, Munich, Germany.ORCID http://orcid.org/0000-0002-2475-0696
Stefanie BarthaAUC - Academy for Traumatology @ German Society of Traumatology, Munich, Germany.ORCID http://orcid.org/0009-0009-1279-987X
Elisabeth SchwojerAUC - Academy for Traumatology @ German Society of Traumatology, Munich, Germany.ORCID http://orcid.org/0009-0007-0172-7665
Rolf LeferingInstitute for Research in Operative Medicine, Witten/Herdecke University, Cologne, Germany.ORCID http://orcid.org/0000-0002-0141-1747
Gina RoykoUniversity Clinic for Trauma Surgery, Otto von Guericke University Magdeburg, Magdeburg, Germany.
Denise SchulzDepartment of Orthopedics and Traumatology, University Hospital and Medical Faculty, Heinrich-Heine-University Duesseldorf, Duesseldorf, Germany. Denise.Schulz@med.uni-duesseldorf.de.ORCID http://orcid.org/0000-0001-9285-7746
LeAf Trauma study group
Katharina FetzInstitute for Research in Operative Medicine, Witten/Herdecke University, Cologne, Germany.ORCID http://orcid.org/0000-0002-2391-2243

Funding

Innovationsfonds des Gemeinsamen Bundesausschusses 01VSF21033
6 · The paper itself

Abstract

backgroundThe recovery process of major trauma survivors involves various sectors within a complex system of different medical service providers and stakeholders who accompany and support patients throughout the recovery pathway. The aim was to explore experiences and opinions of experts, who are actively involved in the care of major trauma patients in the German healthcare system.

methodsSemistructured in-depth group interviews were used to investigate experiences and opinions of experts with the focus on exploration of expert perspectives on opportunities and challenges of the cross sectoral care. An exploratory analysis was performed with an artificial intelligence-based coding software. In a second step, a system map was developed, and all inter- and intra-sectoral challenges and all opportunities for the optimization of processes were mapped.

results39 experts from 13 medical specialties and occupational groups who were interviewed highlighted that intersectional issues especially across and within sectors pose a significant challenge to patient care. Four challenges were highlighted that significantly influence patient care: (1) Communication between sectors; (2) Complexity of transitions between sectors; (3) Inadequate aftercare and (4) Lack of psychosocial care. DISCUSSION: In conclusion five key learnings can be derived which could help to transform the healthcare system towards a system in which the complex condition major trauma with its high potential of chronification is enabling patients towards living a self-determined life and is creating opportunities for patients to return to work: (1) interdisciplinary collaboration (2), improved communication (3), early psychosocial screening and intervention (4), continuity of care (5), involvement of relatives.

Indexed as

Multiple TraumaWounds and InjuriesAftercareGermanyHumansInterdisciplinary CommunicationInterviews as TopicPatient Care TeamQualitative ResearchExpert interviewsMajor traumaPolytraumaQualitative researchReturn to work

Identifiers

PMID42842002
PMCPMC13645980

What OpenQuestion holds

Textmetadata
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Registered trials

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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.