[Interdisciplinary treatment in geriatric traumatology from the XXXX surgeons' perspective : Results of a survey in Germany].

@entity1 @entity130
BACKGROUND: Many @entity1 treated on @entity130 surgery wards are geriatric @entity130 @entity1 . To improve treatment of these often multimorbid @entity1 , various interdisciplinary treatment concepts have been established in Germany between @entity130 surgeons and geriatricians. OBJECTIVES: The aim of this study was to evaluate the dissemination and the impact of the different orthogeriatric treatment concepts for geriatric @entity130 in Germany. Material and methods In March and April 2014 an electronic questionnaire for assessing the interdisciplinary treatment of geriatric @entity130 @entity1 was sent to 691 medical directors of @entity130 surgery departments in Germany. RESULTS: A total of 259 (37   %) fully answered questionnaires could be analyzed. The analysis revealed that 70   % of all responding @entity130 surgery departments had an orthogeriatric treatment cooperation. Most of them  reported having @entity1 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 @entity1 and benefits especially for the @entity1 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. CONCLUSION: 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.
