Ophthalmology Department, Ulm University Hospital, Ulm, Germany.
Medical Neuroscience Program, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Graefes Arch Clin Exp Ophthalmol. 2024 Aug;262(8):2431-2438. doi: 10.1007/s00417-024-06392-2. Epub 2024 Mar 11.
This nationwide study aims to delineate the incidence and trends of rhegmatogenous retinal detachment (rRD) in Germany across 17 years (2005-2021).
We conducted a retrospective cohort study using data from the German Federal Statistics Office and the Institute for the Hospital Remuneration System (InEK). The dataset includes approximately 19 million annual inpatient admissions annually. Retinal detachment was identified through ICD-10 code H33.0. Adjusted incidence rates were estimated after excluding reoperation cases. We used R Statistical Software to calculate estimates to 2021, and Tableau for visualisation.
From 2005 to 2021, Germany reported 332,650 rRD cases, with males consistently more affected. Adjusted incidence rose from 15.6 per 100,000 in 2005 to 24.8 in 2021. Variable annual percentage changes in incidence were noted, averaging 4.0% for males and 2.6% for females. The annual mean age of affected individuals ranged from 60.2 to 62 years, with a median age between 62 and 63, suggesting increasing diagnoses at younger ages. Hospital stays declined from 6 to 3.3 days, and higher management rates were observed in Saarland and Rhineland-Palatine.
The study confirms an increasing incidence of rRD in Germany from 2005 to 2021, particularly among males. These findings call for further research to investigate the underlying causes. Collaboration among healthcare professionals, researchers, and policymakers is essential for effective management and improved visual outcomes.
本项全国性研究旨在描述德国 17 年间（2005-2021 年）孔源性视网膜脱离（rRD）的发病率和趋势。
我们使用德国联邦统计局和医院补偿系统研究所（InEK）的数据开展了一项回顾性队列研究。该数据集包含每年约 1900 万例年度住院患者。通过国际疾病分类第 10 版（ICD-10）代码 H33.0 识别视网膜脱离。排除再次手术病例后，计算调整后的发病率。我们使用 R 统计软件计算到 2021 年的估计值，并使用 Tableau 进行可视化。
从 2005 年至 2021 年，德国报告了 332650 例 rRD 病例，男性始终更为多见。调整后的发病率从 2005 年的每 10 万人 15.6 例上升至 2021 年的 24.8 例。每年的发病率变化百分比不同，男性平均为 4.0%，女性为 2.6%。受影响个体的平均年龄范围从 60.2 岁到 62 岁，中位数年龄在 62 至 63 岁之间，表明年龄较小者的诊断率不断上升。住院天数从 6 天减少到 3.3 天，且萨尔州和莱茵兰-普法尔茨的管理率更高。
本研究证实了 2005 年至 2021 年德国 rRD 的发病率不断上升，特别是在男性中。这些发现呼吁进一步研究以探讨潜在原因。医疗保健专业人员、研究人员和政策制定者之间的合作对于有效管理和改善视觉结局至关重要。
