Hannes Jacobs, Stephanie Stiel, Anna Völkel, Tanja Schleef, Birte Burger, Jona Theodor Stahmeyer, Kathrin Wandscher, Anna Levke Brütt, Falk Hoffmann
{"title":"新入住养老院的居民的特征和存活率随时间的变化：对德国2011年至2020年健康保险索赔数据的分析","authors":"Hannes Jacobs, Stephanie Stiel, Anna Völkel, Tanja Schleef, Birte Burger, Jona Theodor Stahmeyer, Kathrin Wandscher, Anna Levke Brütt, Falk Hoffmann","doi":"10.1007/s10433-025-00871-z","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Studies on changes in characteristics and survival of nursing home residents (NHRs) are rare. Therefore, this study aims to analyze ten-year trends in newly admitted German NHRs.</p><p><strong>Methods: </strong>For this retrospective cohort study, claims data of a regional German health insurance fund was used to identify all residents aged 65 years and older newly admitted to a nursing home between 2011 and 2020 (with a follow-up period ending on December 31, 2021). Characteristics of NHRs were analysed descriptively and stratified by 5 two-year cohorts. Survival times and mortality were assessed by applying the Kaplan-Meier-method and a cox regression was used.</p><p><strong>Results: </strong>A total of 113,929 residents were newly admitted between 2011 and 2020 (69% female; mean age 83.8 years). Over the years, the proportion of men and the mean age slightly increased. Prevalence of dementia remained nearly stable (45-48%) while cancer prevalence raised from 30 to 37%. Overall, median survival time decreased from 745 days in 2011/2012 to 615 days in 2019/2020. Survival times in residents with dementia decreased significantly (median survival from 790 to 651 days) while it remained nearly unchanged in cancer patients (from 444 to 410 days).</p><p><strong>Conclusions: </strong>We found that survival after nursing home admission decreased in Germany from 2011 to 2020, which was accompanied by shorter survival in residents with dementia and by an increasing proportion of those with cancer, who already experience higher mortality. There is a growing need to integrate palliative care in nursing homes and to also provide appropriate care for older patients with cancer outside nursing homes.</p>","PeriodicalId":47766,"journal":{"name":"European Journal of Ageing","volume":"22 1","pages":"34"},"PeriodicalIF":3.5000,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12279626/pdf/","citationCount":"0","resultStr":"{\"title\":\"Change over time in characteristics and survival of residents newly admitted to nursing homes: an analysis of health insurance claims data from 2011 to 2020 in Germany.\",\"authors\":\"Hannes Jacobs, Stephanie Stiel, Anna Völkel, Tanja Schleef, Birte Burger, Jona Theodor Stahmeyer, Kathrin Wandscher, Anna Levke Brütt, Falk Hoffmann\",\"doi\":\"10.1007/s10433-025-00871-z\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Studies on changes in characteristics and survival of nursing home residents (NHRs) are rare. Therefore, this study aims to analyze ten-year trends in newly admitted German NHRs.</p><p><strong>Methods: </strong>For this retrospective cohort study, claims data of a regional German health insurance fund was used to identify all residents aged 65 years and older newly admitted to a nursing home between 2011 and 2020 (with a follow-up period ending on December 31, 2021). Characteristics of NHRs were analysed descriptively and stratified by 5 two-year cohorts. Survival times and mortality were assessed by applying the Kaplan-Meier-method and a cox regression was used.</p><p><strong>Results: </strong>A total of 113,929 residents were newly admitted between 2011 and 2020 (69% female; mean age 83.8 years). Over the years, the proportion of men and the mean age slightly increased. Prevalence of dementia remained nearly stable (45-48%) while cancer prevalence raised from 30 to 37%. Overall, median survival time decreased from 745 days in 2011/2012 to 615 days in 2019/2020. Survival times in residents with dementia decreased significantly (median survival from 790 to 651 days) while it remained nearly unchanged in cancer patients (from 444 to 410 days).</p><p><strong>Conclusions: </strong>We found that survival after nursing home admission decreased in Germany from 2011 to 2020, which was accompanied by shorter survival in residents with dementia and by an increasing proportion of those with cancer, who already experience higher mortality. There is a growing need to integrate palliative care in nursing homes and to also provide appropriate care for older patients with cancer outside nursing homes.</p>\",\"PeriodicalId\":47766,\"journal\":{\"name\":\"European Journal of Ageing\",\"volume\":\"22 1\",\"pages\":\"34\"},\"PeriodicalIF\":3.5000,\"publicationDate\":\"2025-07-21\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12279626/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"European Journal of Ageing\",\"FirstCategoryId\":\"90\",\"ListUrlMain\":\"https://doi.org/10.1007/s10433-025-00871-z\",\"RegionNum\":2,\"RegionCategory\":\"社会学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Journal of Ageing","FirstCategoryId":"90","ListUrlMain":"https://doi.org/10.1007/s10433-025-00871-z","RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"GERONTOLOGY","Score":null,"Total":0}
Change over time in characteristics and survival of residents newly admitted to nursing homes: an analysis of health insurance claims data from 2011 to 2020 in Germany.
Background: Studies on changes in characteristics and survival of nursing home residents (NHRs) are rare. Therefore, this study aims to analyze ten-year trends in newly admitted German NHRs.
Methods: For this retrospective cohort study, claims data of a regional German health insurance fund was used to identify all residents aged 65 years and older newly admitted to a nursing home between 2011 and 2020 (with a follow-up period ending on December 31, 2021). Characteristics of NHRs were analysed descriptively and stratified by 5 two-year cohorts. Survival times and mortality were assessed by applying the Kaplan-Meier-method and a cox regression was used.
Results: A total of 113,929 residents were newly admitted between 2011 and 2020 (69% female; mean age 83.8 years). Over the years, the proportion of men and the mean age slightly increased. Prevalence of dementia remained nearly stable (45-48%) while cancer prevalence raised from 30 to 37%. Overall, median survival time decreased from 745 days in 2011/2012 to 615 days in 2019/2020. Survival times in residents with dementia decreased significantly (median survival from 790 to 651 days) while it remained nearly unchanged in cancer patients (from 444 to 410 days).
Conclusions: We found that survival after nursing home admission decreased in Germany from 2011 to 2020, which was accompanied by shorter survival in residents with dementia and by an increasing proportion of those with cancer, who already experience higher mortality. There is a growing need to integrate palliative care in nursing homes and to also provide appropriate care for older patients with cancer outside nursing homes.
期刊介绍：
The European Journal of Ageing: Social, Behavioural and Health Perspectives is an interdisciplinary journal devoted to the understanding of ageing in European societies and the world over.
EJA publishes original articles on the social, behavioral and population health aspects of ageing and encourages an integrated approach between these aspects.
Emphasis is put on publishing empirical research (including meta-analyses), but conceptual papers (including narrative reviews) and methodological contributions will also be considered.
EJA welcomes expert opinions on critical issues in ageing.
By stimulating communication between researchers and those using research findings, it aims to contribute to the formulation of better policies and the development of better practice in serving older adults.
To further specify, with the term ''social'' is meant the full scope of social science of ageing related research from the micro to the macro level of analysis. With the term ''behavioural'' the full scope of psychological ageing research including life span approaches based on a range of age groups from young to old is envisaged. The term ''population health-related'' denotes social-epidemiological and public health oriented research including research on functional health in the widest possible sense.
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