Evidence map›Paper›PMID 27837521›Full record

ArticleInternational journal of bipolar disorders2016

Bipolar disorder in children and adolescents: diagnostic inpatient rates from 2000 to 2013 in Germany.

Pradeep Rao, Julie K Moore, Richard Stewart, Kevin Runions, Natasha Bear, Janice W Y Wong, Martin Holtmann, Florian D Zepf

Open access · goldAbstract read
In one paragraph

Article in International journal of bipolar disorders, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. [The epidemiology of mental disorders in youth : A narrative review including Austrian data].Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2017
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Pradeep RaoCentre & Discipline of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy; School of Psychiatry and Clinical Neurosciences & School of Paediatrics and Child Health; Faculty of Medicine, Dentistry and Health Sciences, The University of Western Australia, Perth, Australia. pradeeprao14@doctors.net.uk.ORCID http://orcid.org/0000-0002-5637-7769
Julie K MooreCentre & Discipline of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy; School of Psychiatry and Clinical Neurosciences & School of Paediatrics and Child Health; Faculty of Medicine, Dentistry and Health Sciences, The University of Western Australia, Perth, Australia.
Richard StewartCentre & Discipline of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy; School of Psychiatry and Clinical Neurosciences & School of Paediatrics and Child Health; Faculty of Medicine, Dentistry and Health Sciences, The University of Western Australia, Perth, Australia.
Kevin RunionsTelethon Kids Institute, The University of Western Australia, Perth, Australia.
Natasha BearTelethon Kids Institute, The University of Western Australia, Perth, Australia.
Janice W Y WongCentre & Discipline of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy; School of Psychiatry and Clinical Neurosciences & School of Paediatrics and Child Health; Faculty of Medicine, Dentistry and Health Sciences, The University of Western Australia, Perth, Australia.
Martin HoltmannHospital for Child and Adolescent Psychiatry, LWL University Hospital of the Ruhr University Bochum, Hamm, Germany.
Florian D ZepfCentre & Discipline of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy; School of Psychiatry and Clinical Neurosciences & School of Paediatrics and Child Health; Faculty of Medicine, Dentistry and Health Sciences, The University of Western Australia, Perth, Australia.
The Kids Research Institute Australia · AUThe University of Western Australia · AULWL-Universitätsklinik Hamm · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite growing consensus on nosology and epidemiology of bipolar disorder (BD) in minors, differences remain. We contribute to this discussion by measuring long-term trends in the inpatient discharge rates of BD in minors.

methodsNationwide German inpatient discharge diagnoses of BD and other related psychiatric disorders were mapped between 2008 and 2013 using registry data from the German Federal Health Monitoring System. This was compared with previously published data, 2000-2007, to assess long-term trends in diagnosis of BD at discharge. Long-term trends (2000-2013) were also computed.

resultsDischarge diagnosis of BD increased by 18% (2.02-2.46 per 100,000) in minors. There was a significant increase of 24.1% in adolescents 15-19 years old (6.56-8.14 per 100,000). BD, at discharge, as a proportion of all psychiatric disorders, increased from 0.26% in 2008 to 0.27% in 2013. When analysing long-term trends (2000-2013), the rates for BD increased significantly as did trends for all mental disorders, except for psychotic disorders, which fell by almost 14%. Between 2000 and 2013, the rate for depression in minors increased by 730%. LIMITATIONS: The dataset consisted of cross-sectional administrative data points with diagnoses based on clinical criteria.

conclusionsThe rate of BD as a discharge diagnosis in German minors has increased significantly, consistently exceeding the general trend for a rise in rates for mental disorders. Overall, the rate of discharge diagnosis of BD from inpatient units in Germany remains a small proportion of all psychiatric diagnoses.

Indexed as

AdolescentsBipolar disorderChildrenDischarge diagnostic ratesGermanyInpatients

Identifiers

PMID27837521
PMCPMC5106426
OpenAlexW2554340702

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.