Mortality following hospital discharge with a diagnosis of eating disorder: National record linkage study, England, 2001–2009

Hoang, Uy; Goldacre, Michael J; James, Anthony

doi:10.1002/eat.22249

Cited by 108 publications

(93 citation statements)

References 19 publications

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“…The mortality risk, with a standardized mortality rate of 11.5 by 1 year after discharge, in individuals with anorexia nervosa aged 15-24 years is higher than that for other serious diseases in adolescence, such as asthma, type 1 diabetes and any other psychiatric disorder [6]. Nonetheless, differences in national healthcare politics lead to differences in populations treated in inpatient CAP or paediatric units.…”

Section: Treatment Settingsmentioning

confidence: 99%

Treatment of eating disorders in child and adolescent psychiatry

Herpertz‐Dahlmann

2017

Current Opinion in Psychiatry

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Purpose of review Recent research on the multimodal treatment of eating disorders in child and adolescent psychiatry has yielded a significant increase in randomized controlled trials and systematic reviews. This review aims to present relevant findings published during the last 2 years related to medical and psychological treatment of anorexia nervosa, bulimia nervosa and avoidant/restrictive food intake disorder (ARFID). Recent findingsFor anorexia nervosa, recent reports described the efficacy of different treatment settings, lengths of hospital stay and high vs. low-calorie refeeding programmes. For both anorexia and bulimia nervosa, a number of randomized controlled trials comparing individual and family-oriented treatment approaches were published. For the newly defined ARFID, only very preliminary results on possible treatment approaches implying a multidisciplinary treatment programme were obtained. SummaryAlthough there is some evidence of the effectiveness of new child and adolescent psychiatric treatment approaches to eating disorders, the relapse rate remains very high, and there is an urgent need for ongoing intensive research.

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Section: Treatment Settingsmentioning

confidence: 99%

Treatment of eating disorders in child and adolescent psychiatry

Herpertz‐Dahlmann

2017

Current Opinion in Psychiatry

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“…Eating disorders remain an important public and mental health concern amongst adolescents and young adults (Hoang, Goldacre, & James, 2014). Overwhelmingly affecting adolescent and emerging adult women, eating disorders can have lasting complications including increased risk for depression, obesity, substance use, and health problems (Wilson, Becker, & Heffernan, 2003).…”

Section: Introductionmentioning

confidence: 99%

Explaining the pathway from familial and peer social support to disordered eating: Is body dissatisfaction the link for male and female adolescents?

et al. 2016

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“…3 The all-cause age-standardised mortality ratio (SMR) in young people with anorexia nervosa has been estimated at 10 (relative to SMR ¼ 1 in the general population of equivalent age), which is about three times higher than that of other psychiatric disorders. 4,5 Several publications have suggested that rates of anorexia nervosa may have increased in recent decades. [6][7][8] However, others argue that observed changes may be due to differences in definition and diagnostic criteria, differences in methodologies, and improved availability and use of local mental health services.…”

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confidence: 99%

Trends in hospital admission rates for anorexia nervosa in Oxford (1968–2011) and England (1990–2011): database studies

et al. 2015

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Objectives: To report on long-term trends in hospital admission rates for anorexia nervosa using two English datasets. Design: We used data on hospital day-case and inpatient care across five decades in the Oxford Record Linkage Study (ORLS), and similar data for all England from 1990. We analysed rates of admission for anorexia nervosa in people aged 10-44 years, using hospital episodes (counting every admission) and first-recorded admissions (counting only the first record for each person). Setting: Former Oxford NHS Region; and England. Participants: None; anonymous statistical records were used. Results: In the longstanding ORLS, the age-standardised first-recorded admission rate for women was 2.7 (95% confidence interval 1.6-3.8) per 100,000 female population aged 10-44 years in 1968-1971; 2.7 (2.1-3.3) in 1992-1996; and 6.3 (5.5-7.2) in 2007-2011. Male rates were zero in the 1960s; 0.07 (0.0-0.1) per 100,000 men in 1992-1996; and 0.4 (0.2-0.6) in 2007-2011. In England, female rates increased from 4.2 (4.0-4.4) in 1998-2001 to 6.9 (6.7-7.1) in 2007-2011; and the corresponding male rates were 0.2 (0.1-0.3) and 0.5 (0.4-0.6). Episode-based admission rates rose more than person-based rates. The highest rates by far were in girls and women aged 15-19 years. Conclusions: In recent years, anorexia nervosa has become a greater burden on secondary care: not only have admission rates increased but so too have multiple admissions per person with anorexia nervosa. The increase in admission rates might reflect an increase in prevalence rates of anorexia nervosa in the general population, but other explanations, including lower clinical thresholds for admission, are possible and are discussed. KeywordsAnorexia nervosa, eating disorders, admission rates, hospital trends, mortality rates Anorexia nervosa (AN) is an eating disorder characterised by a distorted body image with a pathological fear of becoming fat, leading to extreme weight loss and low body mass index (<17.5 kg/m 2 ). It is more common in women than men: in a review of 29 cross-sectional surveys, it was stated that 'its incidence is about ten times higher in females than males'.1 A survey in the USA found a smaller female-to-male difference: the authors reported a total estimated lifetime prevalence of 0.6%, with 0.9% for women and 0.3% for men.2 These authors suggested that sex differences may not be as pronounced as previously thought because of greater reluctance of men than women to seek help.2 anorexia nervosa has a very variable course and prognosis: less than half of all patients fully recover, one-third improve with only residual symptoms and 20% follow a chronic course.3 The all-cause age-standardised mortality ratio (SMR) in young people with anorexia nervosa has been estimated at 10 (relative to SMR ¼ 1 in the general population of equivalent age), which is about three times higher than that of other psychiatric disorders. 4,5

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Mortality following hospital discharge with a diagnosis of eating disorder: National record linkage study, England, 2001–2009

Abstract: This study confirms the high SMR associated with ED, notably with anorexia and bulimia.

Cited by 108 publications

References 19 publications

Treatment of eating disorders in child and adolescent psychiatry

Treatment of eating disorders in child and adolescent psychiatry

Explaining the pathway from familial and peer social support to disordered eating: Is body dissatisfaction the link for male and female adolescents?

Trends in hospital admission rates for anorexia nervosa in Oxford (1968–2011) and England (1990–2011): database studies

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