[Accident pension after fracture of the pelvic ring and acetabulum : Changes in pension claims and costs following isolated fractures of the pelvic ring and acetabulum in work-related accidents from 2013 to 2019-A DGUV registry analysis].

Background: It is known that fractures of the pelvic ring and acetabulum in work-related accidents are associated with long periods of incapacity to work, a high rate of reduction in earning capacity (MdE) and high costs for pension/severance pay.
Objective: Investigation of changes in pension claims and costs from 2013 to 2019 after isolated fractures of the pelvic ring and acetabulum in work-related accidents in Germany.
Material and Methods: For all patients from the German Social Accident Insurance (DGUV) registry with isolated fractures of the pelvic ring or acetabulum in work-related accidents, linear trend analyses were carried out among others for the proportion of MdE ≥20%, the proportion of cases receiving pension/severance pay and total costs for pension/severance pay from 2013 to 2019. A logistic regression analysis for the likelihood of receiving a pension was also performed.
Results: The proportion of MdE ≥20% decreased for fractures of the pelvic ring and acetabulum in total from 14.3% for 2013 to 8.2% for 2019 and there was a decreasing trend for the proportion of cases receiving pension/severance pay for fractures of the pelvic ring and acetabulum in total from 23.1% for 2013 to 13.6% for 2019 as well as for both fracture types individually. There was also a decrease in the costs for pensions/severance pay for fractures of the pelvic ring and acetabulum in total from € 1,542,531 for 2013 to € 1,006,887 for 2019. The likelihood of receiving a pension decreased by 8% per subsequent accident year between 2013 and 2019.
Conclusion: The proportion of pension claims and thus the costs for pensions/severance pay decreased for isolated fractures of the pelvic ring and acetabulum in work-related accidents from 2013 to 2019. The DGUV seems to fulfil its guideline Rehabilitation before pension.
Competing Interests: Einhaltung ethischer Richtlinien. Interessenkonflikt: N. Hinz, J. Dehoust, S. Mangelsdorf, A.-P. Schulz, K.-H. Frosch und M.J. Hartel geben an, dass kein Interessenkonflikt besteht. Vor dem Hintergrund, dass die studiengegenständlichen Patientendaten keinem Menschen mehr zugeordnet werden können (vollständig anonyme Datenauswertung), stellt diese Studie kein „Forschungsvorhaben am Menschen“ im Sinne des § 9 Abs. 2 des Hamburgischen Kammergesetzes für die Heilberufe dar und fällt auch nicht unter die nach § 15 Abs. 1 der Berufsordnung für Hamburger Ärzte und Ärztinnen beratungspflichtigen Forschungsvorhaben. Somit ist für diese Studie keine Beratung durch die Ethikkommission der Ärztekammer Hamburg erforderlich (2024-300456-WF). Diese Studie wurde im Einklang mit nationalem Recht sowie gemäß der Deklaration von Helsinki von 1975 (in der aktuellen, überarbeiteten Fassung) durchgeführt.
(© 2024. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature.)