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. |
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| 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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| 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] |
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| ISSN: | 02763478 |
| DOI: | 10.1002/eat.24024 |
