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Published on: December 9, 2015
Inpatient care for people with multiple sclerosis - a secondary data analysis in Germany between 2019 and 2024
Sarah Mai Viebahn1, Emily Nothnik2, Susan Raths2
1Department of Neurology, University Medicine Greifswald, Ferdinand-Sauerbruch-Straße, Greifswald, 17475, Germany. sarahmai.viebahn@med.uni-greifswald.de.
Neurological Research and Practice
|June 26, 2026
Summary
Inpatient care for multiple sclerosis (MS) in Germany decreased by 28% between 2019 and 2024, with a notable rise in day care utilization. This shift highlights regional disparities and increasing patient complexity in MS management.
Area of Science:
- Neurology
- Healthcare Management
- Public Health
Background:
- Multiple sclerosis (MS) is a chronic autoimmune disease with significant healthcare costs.
- Germany is shifting MS care from inpatient to outpatient settings due to treatment advancements.
- Limited data exists on inpatient utilization trends for multiple sclerosis (MS) in Germany.
Purpose of the Study:
- To analyze inpatient and day care admission patterns for people with MS (pwMS) in Germany from 2019 to 2024.
- To examine trends by MS subtype, patient demographics, procedures, and regional distribution.
- To understand the evolving landscape of MS care delivery in Germany.
Main Methods:
- Analysis of administrative data from the Institute for Hospital Remuneration (InEK) for MS cases (ICD-10-GM G35).
- Stratification of cases by MS subdiagnosis (G35.X).
- Regional analysis incorporating population density and hospital data.
Main Results:
- Nationwide inpatient MS admissions decreased by 28% (2019-2024), while day care cases increased by 36%.
- Significant regional variations in inpatient admission declines were observed (-11% to -59%).
- Day care utilization shifted towards anti-CD20 immunotherapy; inpatient stay duration increased for non-first manifestation cases.
Conclusions:
- Inpatient MS care in Germany is substantially declining, with day care utilization increasing.
- Significant regional disparities and rising case complexity necessitate standardized outpatient care.
- Unified reimbursement frameworks are crucial for adapting to evolving MS care patterns.
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