The projected increase of vertebral osteomyelitis in Germany implies a demanding challenge for future healthcare management of aging populations

© 2024. The Author(s)..

PURPOSE: Since an increase in the occurrence of native vertebral osteomyelitis (VO) is expected and reliable projections are missing, it is urgent to provide a reliable forecast model and make it a part of future health care considerations.

METHODS: Comprehensive nationwide data provided by the Federal Statistical Office of Germany were used to forecast total numbers and incidence rates (IR) of VO as a function of age and gender until 2040. Projections were done using autoregressive integrated moving average model on historical data from 2005 to 2019 in relation to official population projections from 2020 to 2040.

RESULTS: The IR of VO is expected to increase from 12.4 in 2019 to 21.5 per 100,000 inhabitants [95% CI 20.9-22.1] in 2040. The highest increase is predicted in patients over 75 years of age for both men and women leading to a steep increase in absolute numbers, which is fourfold higher compared to patients younger than 75 years. While the IR per age group will not increase any further after 2035, the subsequent increase is due to a higher number of individuals aged 75 years or older.

CONCLUSIONS: Our data suggest that increasing IR of VO will seriously challenge healthcare systems, particularly due to demographic change and increasing proportions of populations turning 75 years and older. With respect to globally fast aging populations, future health care policies need to address this burden by anticipating limitations in financial and human resources and developing high-level evidence-based guidelines for prevention and interdisciplinary treatment.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Infection - (2024) vom: 09. Apr.

Sprache:

Englisch

Beteiligte Personen:

Heck, Vincent Johann [VerfasserIn]
Prasse, Tobias [VerfasserIn]
Klug, Kristina [VerfasserIn]
Vinas-Rios, Juan Manuel [VerfasserIn]
Oikonomidis, Stavros [VerfasserIn]
Klug, Alexander [VerfasserIn]
Kernich, Nikolaus [VerfasserIn]
Weber, Maximilian [VerfasserIn]
von der Höh, Nicolas [VerfasserIn]
Lenz, Maximilian [VerfasserIn]
Walter, Sebastian Gottfried [VerfasserIn]
Himpe, Bastian [VerfasserIn]
Eysel, Peer [VerfasserIn]
Scheyerer, Max Joseph [VerfasserIn]

Links:

Volltext

Themen:

Forecast model
Journal Article
Osteomyelitis
Projection
Spondylodiscitis
Vertebral infection

Anmerkungen:

Date Revised 09.04.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1007/s15010-024-02243-8

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM37082007X