[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-455902-105":59,"doc-detail-455902-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","centenarians-with-proximal-humeral-fracture","Centenarians with proximal humeral fracture","","Germany’s demographic shift is increasing the number of centenarians, yet proximal humeral fractures (PHF) in this group are insufficiently studied. This study evaluates the epidemiology, treatment patterns, and outcomes of PHF in patients aged at least 100 years in Germany. Retrospective BARMER claims data (01/2011–09/2022) were analyzed and compared with patients aged 65–99 years, focusing on survival and adverse events after PHF.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/centenarians-with-proximal-humeral-fracture/455902/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/centenarians-with-proximal-humeral-fracture/455902.png","ImageObject",300,407,{"name":92,"@type":93},"Alex Sinclair","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-31","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What was the primary aim of the study on centenarians with PHF?","Question",{"text":112,"@type":113},"To evaluate the epidemiology, treatment, and outcomes after proximal humeral fracture in patients aged 100 years and older in Germany.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How was the study designed and what data were used?",{"text":117,"@type":113},"A retrospective claims-data analysis used BARMER health insurance records from 01/2011 to 09/2022, including inpatient and outpatient cases with coded PHF.",{"name":119,"@type":110,"acceptedAnswer":120},"What were the main findings about treatment and mortality?",{"text":121,"@type":113},"Centenarians were more often female with age-associated comorbidities, were less often treated surgically, and had worse outcomes with increasing age; 59.2% died one year after PHF.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},455902,1791156364,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":44,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":144,"preview_page_count":4},1099523882182,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","Koeppe etal. BMC Geriatrics (2026) 26:19 [https://doi.org/10.1186/s12877-025-06820-w](https://doi.org/10.1186/s12877-025-06820-w)  \nBMC Geriatrics  \nRESEARCH Open Access  \nCentenarians with proximal humeral fracture   \nJeanette Koeppe 1,2*†, Julia Sußiek3†, J. Christoph Katthagen2,3, Karen Fischhuber 1,2, Jan P. Happe2,3, Janette Iking2,3, Ursula Marschall4, Andreas Faldum 1, Michael J. Raschke3 and Josef Stolberg-Stolberg2,3  \nAbstract  \nBackground The demographic change in Germany leads to an increased number of centenarians. Within this population fragility fractures, such as the proximal humeral fracture (PHF), are not well investigated. This study aims to evaluate the epidemiology, treatment and outcome after a PHF in patients ≥ 100 years of age in Germany.  \nMethods Retrospective claims data of the BARMER health insurance were analyzed. All in-and outpatient cases of insurance holders ≥ 65 years from 01/2011 to 09/2022, with coded diagnosis of PHF were analyzed. The patients aged 65–99 years were used as a comparison group for the centenarians. Primary endpoints were overall survival, major adverse events (MAEs) and thrombo-embolic events.  \nResults In total, 100,482 patients with PHF were included in the study, with 230 aged 100 years and older. Centenarians with a PHF were more often female with several age-associated comorbidities, but less life-style associated risk factors. Centenarians were less often treated surgically. The outcome after PHF was worse with increasing age, 59. 2% of the centenarians died one year after the PHF.  \nConclusion The majority of centenarians sustaining a proximal humeral fracture was female. The most common treatment was the non-operative therapy. Nevertheless, also the operative therapy is associated with a low complication rate. As expected, the mortality rate is high, with almost 60% of deceased patients after one year. It remains unclear, if the mortality was related to proximal humeral fractures.  \nLevel of evidence Level III, retrospective comparative study.  \nKeywords Proximal humeral fracture, Centenarians, Geriatric surgery, Level of care, Health service research  \n†Jeanette Koeppe and Julia Sußiek contributed equally to this work.  \n*Correspondence:  \nJeanette Koeppe  \n[jeanette.koeppe@ukmuenster.de](jeanette.koeppe@ukmuenster.de)  \n1Institute of Biostatistics and Clinical Research, University of Muenster, Schmeddingstrasse 56, Muenster 48149, Germany  \n2Research group“Mathematical Surgery”, University Hospital Muenster, University of Muenster, Muenster, Germany  \n3Department of Trauma-, Hand-and Reconstructive Surgery, University Hospital Muenster, Albert-Schweitzer-Campus 1, Building W1, Muenster 48149, Germany  \n4BARMER Institute for Health System Research, Lichtscheider Strasse 89 12, Wuppertal 42285, Germany  \nIntroduction  \nThe demographic change in Germany results in a rising number of older patients. Simultaneously, the amount of people 100 years of age and older increases drastically: In 2024 there are 1.808 centenarians per 100.000 habitants and it is assumed that the number will double in Europe until 2050 [1]. With increasing older patients suffering from musculoskeletal diseases, health care provision and medical decision making will be challenging particularly in centenarians [2]. While the hip fracture in the centenarian population has been investigated in several studies [3, 4], there is actually no literature available regarding proximal humeral fracture (PHF). It is the third most common fracture in older people with an  \n© The Author(s) 2025. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are inc","cbCaim703qirSXra","https://ap.wps.com/l/cbCaim703qirSXra","pdf",1820715,"English","# Abstract\n# Introduction\n# Materials and methods\n## Data pool and patient cohort","[{\"question\":\"What was the primary aim of the study on centenarians with PHF?\",\"answer\":\"To evaluate the epidemiology, treatment, and outcomes after proximal humeral fracture in patients aged 100 years and older in Germany.\"},{\"question\":\"How was the study designed and what data were used?\",\"answer\":\"A retrospective claims-data analysis used BARMER health insurance records from 01/2011 to 09/2022, including inpatient and outpatient cases with coded PHF.\"},{\"question\":\"What were the main findings about treatment and mortality?\",\"answer\":\"Centenarians were more often female with age-associated comorbidities, were less often treated surgically, and had worse outcomes with increasing age; 59.2% died one year after PHF.\"}]","Centenarians with proximal humeral fracture | PDF",1790744631,23]