Epidemiology of eating disorders in primary care in children and young people: A Clinical Practice Research Datalink study in England
BMJ Open Aug 09, 2019
Wood S, Marchant A, Allsopp M, et al. - Through a retrospective, electronic cohort study carried out using the Clinical Practice Research Datalink in those aged 11–24 years between 2004 and 2014 in England (n = 1,135,038), researchers measured annual incidence rates of eating disorders (ED, a group of conditions in which negative ideas about eating, body shape, and weight supplement behaviors like restricting eating, binge eating, extreme exercise, vomiting, and laxative use) in primary care by age, sex, and deprivation and examined the care received through referrals, psychotropic prescriptions, and correlated secondary care service use. A total of 4,775 people with a first-ever recorded ED diagnosis were recognized. The crude incidence rate was 100.1 per 100,000 person-years at risk. Incidence rates were greatest in women, 16–20 years of age and people from the least deprived areas. Incidence rates declined across the study period, especially for people with bulimia nervosa and from the most deprived areas. From primary to secondary care, a total of 17.4% of first-ever recorded ED cases were referred. About 27.1% and 53.4% of people had an inpatient admission 6 months prior or 12 months following an incident ED diagnosis and an outpatient attendance, respectively. The most ordinarily prescribed psychotropic medicines were antidepressants. Therefore, in primary care, new ED presentations were decreasing. Recognizing the cause of this decrease (coding behaviors, variations in help-seeking or a genuine decrease in new cases) was significant to plan services, allocate resources and deliver efficient care.
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