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Auch wenn erste klinische Studien auf eine funktionelle \u00dcberlegenheit der inversen Schulterendoprothese hindeuten, fehlt ein gesundheits\u00f6konomischer Vergleich in der Literatur. Krankenkassendaten von 55.070\u00a0Patienten ab einem Alter von 65\u00a0Jahren, welche nach proximaler Humerusfraktur mittels inverser Schulterendoprothese oder winkelstabiler Plattenosteosynthese versorgt worden sind, wurden auf Kosten und Liegedauer untersucht. Multivariable lineare Regressionsmodelle wurden zur Beurteilung von Komplikationen und Komorbidit\u00e4ten gerechnet. Die Liegedauer nach inverser Schulterendoprothese war mit 20,0 (\u00b113,5) Tagen statistisch auff\u00e4llig l\u00e4nger als nach winkelstabiler Plattenosteosynthese mit 14,6 (\u00b111,4) Tagen (<jats:italic>p<\/jats:italic>\u202f&lt;\u20090,001). Die Kosten pro Fall unterschieden sich mit 11.165,70 (\u00b15884,36) EUR f\u00fcr die inverser Prothese und 7030,11 (\u00b15532,02) EUR f\u00fcr die Plattenosteosynthese deutlich (<jats:italic>p<\/jats:italic>\u202f&lt;\u20090,001). Statistisch auff\u00e4llige Kostensteigerungen durch Komplikationen und Komorbidit\u00e4ten unterstreichen den Bedarf an spezialisierten geriatrischen Traumazentren.<\/jats:p>","DOI":"10.1007\/s00104-021-01491-w","type":"journal-article","created":{"date-parts":[[2021,9,17]],"date-time":"2021-09-17T09:06:08Z","timestamp":1631869568000},"page":"907-915","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Einfluss von Komplikationen und Komorbidit\u00e4ten auf Liegedauer und Kosten bei der operativen Behandlung der proximalen Humerusfraktur","Influence of complications and comorbidities on length of hospital stay and costs for surgical treatment of proximal humeral fractures"],"prefix":"10.1007","volume":"92","author":[{"given":"Josef","family":"Stolberg-Stolberg","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeanette","family":"K\u00f6ppe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Rischen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moritz","family":"Freist\u00fchler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Faldum","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. 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