{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T23:02:39Z","timestamp":1784674959580,"version":"3.55.0"},"reference-count":33,"publisher":"Georg Thieme Verlag KG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rehabilitation (Stuttg)"],"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Osteoporose geh\u00f6rt mit Millionen Betroffenen und hoher Frakturlast zu den\nbedeutendsten Volkskrankheiten. Osteoporotische Wirbelk\u00f6rperfrakturen\nverursachen strukturelle Sch\u00e4den, funktionelle Einschr\u00e4nkungen, Schmerzen,\nMobilit\u00e4tsverlust, reduzierte Teilhabe und eine erh\u00f6hte Mortalit\u00e4t. Trotz\ndieser klinischen und sozialmedizinischen Relevanz fehlen bislang\nstandardisierte Empfehlungen zur Begutachtung im Schwerbehindertenrecht.\nZiel der Arbeit war die Entwicklung bundesweit einheitlicher,\nICF-orientierter Kriterien zur Ermittlung des Grades der Behinderung (GdB)\nbei manifester Osteoporose mit Wirbelk\u00f6rperfrakturen.<\/jats:p>\n                  <jats:p>Die Entwicklung erfolgte in einem modifizierten Delphi-Prozess mit drei\nBefragungsrunden. Ein nationaler Lenkungsausschuss koordinierte die\nDatenerhebung und definierte Konsensschwellen. Die Expertengruppe bestand\naus Osteologen, Rheumatologen, Orthop\u00e4den, Geriatern, Sozial- und\nRehabilitationsmedizinern sowie einer Patientenvertreterin. Bewertet wurden\nItems aus den ICF-Dom\u00e4nen K\u00f6rperstruktur, K\u00f6rperfunktion sowie Aktivit\u00e4t und\nTeilhabe; ein Konsens wurde bei \u226570% Zustimmung erreicht.<\/jats:p>\n                  <jats:p>Es wurden klar definierte, vierstufige Kriterien erarbeitet, die den\nabstrakten Schweregradformulierungen der Versorgungsmedizin-Verordnung\n(VersMedV) zugeordnet werden k\u00f6nnen und zentrale struktur- und\nfunktionsbezogene Merkmale vertebraler Frakturen sowie alltagsrelevante\nfunktionelle und teilhabeorientierte Aspekte abbilden. Die konsentierten\nBewertungskriterien bilden erstmals ein operationalisiertes System zur\nGdB-Zuordnung auf Grundlage valider, reproduzierbarer Messinstrumente.<\/jats:p>\n                  <jats:p>Die Ergebnisse liefern erstmals einen ICF-orientierten, operationalisierten\nAnsatz zur sozialmedizinischen Beurteilung der Osteoporose mit\nWirbelk\u00f6rperfrakturen und schaffen eine Grundlage f\u00fcr eine bundesweit\neinheitliche, objektive und reproduzierbare GdB-Ermittlun<\/jats:p>","DOI":"10.1055\/a-2880-8297","type":"journal-article","created":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T22:41:57Z","timestamp":1784673717000},"source":"Crossref","is-referenced-by-count":0,"title":["Empfehlungen zur standardisierten Begutachtung der manifesten\nOsteoporose mit Wirbelk\u00f6rperfrakturen im Schwerbehindertenrecht"],"prefix":"10.1055","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-0378-3766","authenticated-orcid":false,"given":"Nils","family":"Schulz","sequence":"additional","affiliation":[{"name":"Justus-Liebig-Universit\u00e4t Giessen, Campus Kerckhoff, Germany","place":["Bad Nauheim"],"department":["Osteologie und Physikalische Medizin"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karin","family":"Mahn","sequence":"additional","affiliation":[{"name":"Klinik Der F\u00fcrstenhof, Germany","place":["Bad Pyrmont"],"department":["Rheumatologie und Osteologie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bj\u00f6rn","family":"Buehring","sequence":"additional","affiliation":[{"name":"Bergisches Rheuma-Zentrum, Cellitinnen-Krankenhaus St\nJosef, Germany","place":["Wuppertal"],"department":["Rheumatologie"]},{"name":"Ruhr-Universit\u00e4t Bochum, Germany","place":["Bochum"],"department":["Rheumatologie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antje","family":"Dominok","sequence":"additional","affiliation":[{"name":"MEDICLIN MVZ Leipzig, Germany","place":["Leipzig"],"department":["Physikalische und Rehabilitative Medizin"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Uwe","family":"Lange","sequence":"additional","affiliation":[{"name":"Justus-Liebig-Universit\u00e4t Giessen, Campus Kerckhoff, Germany","place":["Bad Nauheim"],"department":["Osteologie und Physikalische Medizin"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Uwe","family":"Maus","sequence":"additional","affiliation":[{"name":"Universit\u00e4tsklinikum D\u00fcsseldorf, Germany","place":["D\u00fcsseldorf"],"department":["Orthop\u00e4die und Unfallchirurgie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Niedhart","sequence":"additional","affiliation":[{"name":"Osteologisches Schwerpunktzentrum, Germany","place":["Heinsberg"],"department":["Osteologie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Pfeifer","sequence":"additional","affiliation":[{"name":"Klinik Der F\u00fcrstenhof, Germany","place":["Bad Pyrmont"],"department":["Rheumatologie und Osteologie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monika","family":"Reu\u00df-Borst","sequence":"additional","affiliation":[{"name":"Facharztpraxis f\u00fcr Innere Medizin, Germany","place":["Bad Bocklet"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petra","family":"Simonetti","sequence":"additional","affiliation":[{"name":"Bundesselbsthilfeverband f\u00fcr Osteoporose e.V., Germany","department":["Landesverband Hessen"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3000-5836","authenticated-orcid":false,"given":"Martin","family":"Gehlen","sequence":"additional","affiliation":[{"name":"Klinik Der F\u00fcrstenhof, Germany","place":["Bad Pyrmont"],"department":["Rheumatologie und Osteologie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp","family":"Klemm","sequence":"additional","affiliation":[{"name":"Justus-Liebig-Universit\u00e4t Giessen, Campus Kerckhoff, Germany","place":["Bad Nauheim"],"department":["Osteologie und Physikalische Medizin"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,7,21]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"82","DOI":"10.1007\/s11657-020-00871-9","article-title":"SCOPE 2021: a new scorecard for osteoporosis in Europe","volume":"16","author":"J A Kanis","year":"2021","journal-title":"Arch 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