A retrospective cohort study examining health care utilization patterns in individuals diagnosed with an eating disorder in childhood and/or adolescence.
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| Title: | A retrospective cohort study examining health care utilization patterns in individuals diagnosed with an eating disorder in childhood and/or adolescence. |
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| Authors: | Couturier, Jennifer, Gayowsky, Anastasia, Findlay, Sheri, Webb, Cheryl, Sami, Sadaf, Chan, Anthony K. C., Chanchlani, Rahul, Kurdyak, Paul |
| Source: | International Journal of Eating Disorders. Oct2022, Vol. 55 Issue 10, p1316-1330. 15p. 1 Diagram, 4 Charts. |
| Subjects: | Hospital emergency services, Retrospective studies, Tertiary care, Medical care use, Affective disorders, Medical appointments, Odds ratio, Eating disorders, Medical needs assessment, Children, Adolescence |
| Abstract: | Objective: This study examined a 2‐year period following an eating disorder (ED) diagnosis in order to determine patterns of health care utilization. Method: We conducted a retrospective cohort study of children (n = 1560) diagnosed with an ED between 2000 and 2017. The ED diagnosis was made at a tertiary level hospital for children and adolescents presenting for outpatient assessment by specialist adolescent medicine physicians and recorded in a program database over this period of time. We then created three sex‐ and age‐matched comparison cohorts using provincial health administrative databases including: a general population cohort, a diabetes cohort (to compare nonmental health care utilization) and a mood disorder cohort (to compare mental health care utilization). Outcomes included hospitalizations, emergency department visits, as well as general practitioner, psychiatrist, and pediatrician visits. Odds ratios (dichotomous outcomes) and rate ratios (continuous outcomes) were calculated. Results: Compared to the general population cohort, the ED cohort had higher odds and rates of all types of health care utilization. Compared to the diabetes cohort, the ED cohort had higher odds of nonmental health‐related admissions (OR 1.45, 95% CI 1.09–1.95) and higher rates of nonmental health‐related emergency department visits (RR 1.59, 95% CI 1.18–2.13). Compared to the mood disorder cohort, the ED cohort had higher rates of pediatrician visits, which were mental health‐related (RR 14.88, 95% CI 10.64–20.82), however most other types of mental health service utilization were lower. Discussion: These patterns indicate that the service needs of young people diagnosed with EDs are higher than those with diabetes with respect to nonmental health admissions and emergency department visits, while in terms of mental health service utilization, there appears to be a lack of use of mental health services compared to youth with mood disorders with the exception of pediatrician mental health visits. These findings must be interpreted in the context of under‐detection and under‐treatment of EDs. Public Significance Statement: Our study found that the health service needs of young people with EDs are higher than those with diabetes with respect to admissions and emergency department visits, while there appears to be a lack of use of mental health services compared to youth with mood disorders with the exception of pediatrician mental health visits. [ABSTRACT FROM AUTHOR] |
| Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 159470855 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: A retrospective cohort study examining health care utilization patterns in individuals diagnosed with an eating disorder in childhood and/or adolescence. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Couturier%2C+Jennifer%22">Couturier, Jennifer</searchLink><br /><searchLink fieldCode="AR" term="%22Gayowsky%2C+Anastasia%22">Gayowsky, Anastasia</searchLink><br /><searchLink fieldCode="AR" term="%22Findlay%2C+Sheri%22">Findlay, Sheri</searchLink><br /><searchLink fieldCode="AR" term="%22Webb%2C+Cheryl%22">Webb, Cheryl</searchLink><br /><searchLink fieldCode="AR" term="%22Sami%2C+Sadaf%22">Sami, Sadaf</searchLink><br /><searchLink fieldCode="AR" term="%22Chan%2C+Anthony+K%2E+C%2E%22">Chan, Anthony K. C.</searchLink><br /><searchLink fieldCode="AR" term="%22Chanchlani%2C+Rahul%22">Chanchlani, Rahul</searchLink><br /><searchLink fieldCode="AR" term="%22Kurdyak%2C+Paul%22">Kurdyak, Paul</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Eating+Disorders%22">International Journal of Eating Disorders</searchLink>. Oct2022, Vol. 55 Issue 10, p1316-1330. 15p. 1 Diagram, 4 Charts. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Hospital+emergency+services%22">Hospital emergency services</searchLink><br /><searchLink fieldCode="DE" term="%22Retrospective+studies%22">Retrospective studies</searchLink><br /><searchLink fieldCode="DE" term="%22Tertiary+care%22">Tertiary care</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+use%22">Medical care use</searchLink><br /><searchLink fieldCode="DE" term="%22Affective+disorders%22">Affective disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+appointments%22">Medical appointments</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink><br /><searchLink fieldCode="DE" term="%22Eating+disorders%22">Eating disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+needs+assessment%22">Medical needs assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Children%22">Children</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescence%22">Adolescence</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Objective: This study examined a 2‐year period following an eating disorder (ED) diagnosis in order to determine patterns of health care utilization. Method: We conducted a retrospective cohort study of children (n = 1560) diagnosed with an ED between 2000 and 2017. The ED diagnosis was made at a tertiary level hospital for children and adolescents presenting for outpatient assessment by specialist adolescent medicine physicians and recorded in a program database over this period of time. We then created three sex‐ and age‐matched comparison cohorts using provincial health administrative databases including: a general population cohort, a diabetes cohort (to compare nonmental health care utilization) and a mood disorder cohort (to compare mental health care utilization). Outcomes included hospitalizations, emergency department visits, as well as general practitioner, psychiatrist, and pediatrician visits. Odds ratios (dichotomous outcomes) and rate ratios (continuous outcomes) were calculated. Results: Compared to the general population cohort, the ED cohort had higher odds and rates of all types of health care utilization. Compared to the diabetes cohort, the ED cohort had higher odds of nonmental health‐related admissions (OR 1.45, 95% CI 1.09–1.95) and higher rates of nonmental health‐related emergency department visits (RR 1.59, 95% CI 1.18–2.13). Compared to the mood disorder cohort, the ED cohort had higher rates of pediatrician visits, which were mental health‐related (RR 14.88, 95% CI 10.64–20.82), however most other types of mental health service utilization were lower. Discussion: These patterns indicate that the service needs of young people diagnosed with EDs are higher than those with diabetes with respect to nonmental health admissions and emergency department visits, while in terms of mental health service utilization, there appears to be a lack of use of mental health services compared to youth with mood disorders with the exception of pediatrician mental health visits. These findings must be interpreted in the context of under‐detection and under‐treatment of EDs. Public Significance Statement: Our study found that the health service needs of young people with EDs are higher than those with diabetes with respect to admissions and emergency department visits, while there appears to be a lack of use of mental health services compared to youth with mood disorders with the exception of pediatrician mental health visits. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of International Journal of Eating Disorders is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1002/eat.23789 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 15 StartPage: 1316 Subjects: – SubjectFull: Hospital emergency services Type: general – SubjectFull: Retrospective studies Type: general – SubjectFull: Tertiary care Type: general – SubjectFull: Medical care use Type: general – SubjectFull: Affective disorders Type: general – SubjectFull: Medical appointments Type: general – SubjectFull: Odds ratio Type: general – SubjectFull: Eating disorders Type: general – SubjectFull: Medical needs assessment Type: general – SubjectFull: Children Type: general – SubjectFull: Adolescence Type: general Titles: – TitleFull: A retrospective cohort study examining health care utilization patterns in individuals diagnosed with an eating disorder in childhood and/or adolescence. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Couturier, Jennifer – PersonEntity: Name: NameFull: Gayowsky, Anastasia – PersonEntity: Name: NameFull: Findlay, Sheri – PersonEntity: Name: NameFull: Webb, Cheryl – PersonEntity: Name: NameFull: Sami, Sadaf – PersonEntity: Name: NameFull: Chan, Anthony K. C. – PersonEntity: Name: NameFull: Chanchlani, Rahul – PersonEntity: Name: NameFull: Kurdyak, Paul IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 10 Text: Oct2022 Type: published Y: 2022 Identifiers: – Type: issn-print Value: 02763478 Numbering: – Type: volume Value: 55 – Type: issue Value: 10 Titles: – TitleFull: International Journal of Eating Disorders Type: main |
| ResultId | 1 |
