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A diagnostic subgroup comparison of health care utilization patterns in individuals with eating disorders diagnosed in childhood and/or adolescence.

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Title: A diagnostic subgroup comparison of health care utilization patterns in individuals with eating disorders diagnosed in childhood and/or adolescence.
Authors: Couturier, Jennifer, Gayowsky, Anastasia, Findlay, Sheri, Webb, Cheryl, Sami, Sadaf, Chan, Anthony, Chanchlani, Rahul, Kurdyak, Paul
Source: International Journal of Eating Disorders. Oct2023, Vol. 56 Issue 10, p1919-1930. 12p. 1 Diagram, 4 Charts, 2 Graphs.
Subjects: Diagnosis of eating disorders, Binge-eating disorder, Hospital emergency services, Confidence intervals, Retrospective studies, Acquisition of data, Pediatrics, Medical care use, Bulimia, Medical records, Hospital care, Descriptive statistics, Research funding, Anorexia nervosa, Odds ratio, Eating disorders, Longitudinal method, Mental health services, Children, Adolescence
Abstract: Objective: This study examined a 2‐year period after diagnosis of an eating disorder to compare health care utilization in diagnostic subgroups including: anorexia nervosa (AN), bulimia nervosa (BN), binge‐eating disorder (BED), avoidant/restrictive food intake disorder (ARFID), and other specified eating disorders (Other). Method: We conducted a retrospective study of children diagnosed with AN (n = 674), BN (n = 230), BED (n = 59), ARFID (n = 171), and Other (n = 315). We used a general population cohort for comparison, matched 5:1 to the diagnostic subgroups on sex and birth date. We then conducted a separate analysis using the ARFID subgroup as a reference group compared to the other subgroups. Outcomes were determined using data linkage with health administrative databases and included hospitalizations, emergency department, general practitioner, psychiatry, and pediatrician visits. Odds ratios (dichotomous outcomes) and rate ratios (continuous outcome) were calculated. Results: Mental health care utilization was higher for all subgroups compared to the general population. When the subgroups were compared to the ARFID subgroup, those with ARFID appeared to have similar health care utilization to the other subgroups, except when compared to those with AN. The AN subgroup had higher odds of a mental health related hospitalization (OR 1.62, 95% CI 1.04–2.5) higher rates of mental health related pediatrician visits (RR 1.76, 95% CI 1.26–2.46) and psychiatry visits (RR 1.69, 95% CI 1.07–2.68). Conclusions: Those with ARFID have similar utilization as other subtypes of eating disorders, except when compared to those with AN who have higher health care utilization. Public Significance: Our study found that the health service needs of young people with all types of eating disorders are substantially higher than the general population, and it appears that Avoidant/Restrictive Food Intake Disorder (ARFID) has similar health care utilization to other eating disorders. [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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  Label: Title
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  Data: A diagnostic subgroup comparison of health care utilization patterns in individuals with eating disorders diagnosed in childhood and/or adolescence.
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  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%22">Chan, Anthony</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>
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  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Eating+Disorders%22">International Journal of Eating Disorders</searchLink>. Oct2023, Vol. 56 Issue 10, p1919-1930. 12p. 1 Diagram, 4 Charts, 2 Graphs.
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  Data: <searchLink fieldCode="DE" term="%22Diagnosis+of+eating+disorders%22">Diagnosis of eating disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Binge-eating+disorder%22">Binge-eating disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+emergency+services%22">Hospital emergency services</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Retrospective+studies%22">Retrospective studies</searchLink><br /><searchLink fieldCode="DE" term="%22Acquisition+of+data%22">Acquisition of data</searchLink><br /><searchLink fieldCode="DE" term="%22Pediatrics%22">Pediatrics</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+use%22">Medical care use</searchLink><br /><searchLink fieldCode="DE" term="%22Bulimia%22">Bulimia</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+records%22">Medical records</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+care%22">Hospital care</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Anorexia+nervosa%22">Anorexia nervosa</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="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health+services%22">Mental health services</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 after diagnosis of an eating disorder to compare health care utilization in diagnostic subgroups including: anorexia nervosa (AN), bulimia nervosa (BN), binge‐eating disorder (BED), avoidant/restrictive food intake disorder (ARFID), and other specified eating disorders (Other). Method: We conducted a retrospective study of children diagnosed with AN (n = 674), BN (n = 230), BED (n = 59), ARFID (n = 171), and Other (n = 315). We used a general population cohort for comparison, matched 5:1 to the diagnostic subgroups on sex and birth date. We then conducted a separate analysis using the ARFID subgroup as a reference group compared to the other subgroups. Outcomes were determined using data linkage with health administrative databases and included hospitalizations, emergency department, general practitioner, psychiatry, and pediatrician visits. Odds ratios (dichotomous outcomes) and rate ratios (continuous outcome) were calculated. Results: Mental health care utilization was higher for all subgroups compared to the general population. When the subgroups were compared to the ARFID subgroup, those with ARFID appeared to have similar health care utilization to the other subgroups, except when compared to those with AN. The AN subgroup had higher odds of a mental health related hospitalization (OR 1.62, 95% CI 1.04–2.5) higher rates of mental health related pediatrician visits (RR 1.76, 95% CI 1.26–2.46) and psychiatry visits (RR 1.69, 95% CI 1.07–2.68). Conclusions: Those with ARFID have similar utilization as other subtypes of eating disorders, except when compared to those with AN who have higher health care utilization. Public Significance: Our study found that the health service needs of young people with all types of eating disorders are substantially higher than the general population, and it appears that Avoidant/Restrictive Food Intake Disorder (ARFID) has similar health care utilization to other eating disorders. [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.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=172805162
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1002/eat.24024
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 12
        StartPage: 1919
    Subjects:
      – SubjectFull: Diagnosis of eating disorders
        Type: general
      – SubjectFull: Binge-eating disorder
        Type: general
      – SubjectFull: Hospital emergency services
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Retrospective studies
        Type: general
      – SubjectFull: Acquisition of data
        Type: general
      – SubjectFull: Pediatrics
        Type: general
      – SubjectFull: Medical care use
        Type: general
      – SubjectFull: Bulimia
        Type: general
      – SubjectFull: Medical records
        Type: general
      – SubjectFull: Hospital care
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Anorexia nervosa
        Type: general
      – SubjectFull: Odds ratio
        Type: general
      – SubjectFull: Eating disorders
        Type: general
      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: Mental health services
        Type: general
      – SubjectFull: Children
        Type: general
      – SubjectFull: Adolescence
        Type: general
    Titles:
      – TitleFull: A diagnostic subgroup comparison of health care utilization patterns in individuals with eating disorders diagnosed in childhood and/or adolescence.
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            NameFull: Findlay, Sheri
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            NameFull: Webb, Cheryl
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            – D: 01
              M: 10
              Text: Oct2023
              Type: published
              Y: 2023
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            – TitleFull: International Journal of Eating Disorders
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