Andrich S, Haastert B, Neuhaus E, et al. - This study was carried out to calculate health care utilization and excess costs in patients aged a minimum of 60 years up to 1 year after pelvic fracture compared to a population without pelvic fracture. Routine data were used from large statutory health insurance (SHI) in Germany in this retrospective population-based observational study. Researchers frequently compared patients with a first pelvic fracture between 2008 and 2010 (n=5685, 82% female, mean age 80±9 years) with controls (n=193,159) by sex, age at index date, and index month. Researchers calculated health care utilization and mean total direct costs (SHI perspective) with 95% confidence intervals using BCA bootstrap procedures for 52 weeks before and after the index date. Cost ratios were computed in 4-week intervals after the index date by fitting mixed two-part models including adjustment for possible confounders and repeated measurement. The results of this study illustrate that pelvic fractures come along with high excess costs and should be considered when planning and allocating health care resources.