Evidence map›Paper›PMID 31256764›Full record

ArticleThe British journal of psychiatry : the journal of mental science2020

Shining the light on eating disorders, incidence, prognosis and profiling of patients in primary and secondary care: national data linkage study.

Joanne C Demmler, Sinead T Brophy, Amanda Marchant, Ann John, Jacinta O A Tan

Open access · hybridAbstract read
In one paragraph

Article in The British journal of psychiatry : the journal of mental science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 4 pooled it
13.3field-weighted citation impact, top 1% 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

46 citing papers in PubMed, 4 syntheses or guidelines pooled it, 110 citations in OpenAlex.

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  12. Parental perceptions of participation in young adult-focused eating disorder treatment.European eating disorders review : the journal of the Eating Disorders Association · 2026
    Article
  13. Healthcare utilization for eating disorders in Australia: 10 years of health data linkage.The Australian and New Zealand journal of psychiatry · 2025
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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

5 authors at 1 institution in 1 country.

Joanne C DemmlerLecturer in Health Data Science, Swansea University, UK.ORCID 0000-0002-4675-6271
Sinead T BrophyProfessor of Public Health Informatics, Swansea University, UK.
Amanda MarchantData Analyst, Swansea University, UK.
Ann JohnProfessor of Public Health and Psychiatry, Swansea University, UK.
Jacinta O A TanAssociate Professor of Psychiatry, Swansea University, UK.
Swansea University · GB

Funding

Arthritis Research UKBritish Heart FoundationCancer Research UKMedical Research Council MR/K006525/1
6 · The paper itself

Abstract

backgroundDiagnosing eating disorders can be difficult and few people with the disorder receive specialist services despite the associated high morbidity and mortality.

aimsTo examine the burden of eating disorders in the population in terms of incidence, comorbidities and survival.

methodWe used linked electronic health records from general practitioner and hospital admissions in Wales, UK within the Secure Anonymised Information Linkage (SAIL) databank to investigate the incidence of new eating disorder diagnoses. We examined the frequency of comorbid diagnoses and prescribed medications in cases and controls in the 2 years before and 3 years after diagnosis, and performed a survival analysis.

resultsA total of 15 558 people were diagnosed with eating disorders between 1990 and 2017. The incidence peaked at 24 per 100 000 people in 2003/04. People with eating disorders showed higher levels of other mental disorders (odds ratio 4.32, 95% CI 4.01-4.66) and external causes of morbidity and mortality (odds ratio 2.92, 95% CI 2.44-3.50). They had greater prescription of central nervous system drugs (odds ratio 3.15, 95% CI 2.97-3.33), gastrointestinal drugs (odds ratio 2.61, 95% CI 2.45-2.79) and dietetic drugs (odds ratio 2.42, 95% CI 2.24-2.62) before diagnosis. These excess diagnoses and prescriptions remained 3 years after diagnosis. Mortality was raised compared with controls for some eating disorders, particularly in females with anorexia nervosa.

conclusionsIncidence of diagnosed eating disorders is relatively low in the population but there is a major longer term burden in morbidity and mortality to the individual.

Indexed as

Information Storage and RetrievalPrimary Health CareSecondary Health CareAdolescentAdultAgedAnorexia NervosaChildFeeding and Eating DisordersFemaleHumansIncidenceMaleMiddle AgedPrognosisWalesanorexia nervosabulimia nervosaEating disorderepidemiologyincidence

Identifiers

PMID31256764
PMCPMC7557634
OpenAlexW2955891221

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.