ArticleBMJ open2019
Epidemiology of eating disorders in primary care in children and young people: a Clinical Practice Research Datalink study in England.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- The complexities and contradictions of online eating disorder content: A qualitative evidence synthesis of young people's views and experiences.PLOS digital health · 2026Article
- Weight status and pathways to eating disorder referral from primary care in England and Northern Ireland: a cross-sectional analysis of routine care data.The Lancet. Primary care · 2026Article
- Primary care use among adults with eating disorders in England: a population-based cohort study using electronic health records.BMJ open · 2026Article
- Socioeconomic Deprivation in Adolescents Hospitalized with Anorexia Nervosa and Atypical Anorexia Nervosa.Children (Basel, Switzerland) · 2026Article
- Constructs, Predictive Factors and Measures: Insights From the Mental Health in the Moment (MHIM) Co-Production Panel.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Post-Traumatic Stress in Caregivers to Children and Young People With Eating Disorder (ED) Symptoms: A Cross-Sectional Examination of Relationships With Demographics, ED Factors and Caregiver Skills.European eating disorders review : the journal of the Eating Disorders Association · 2026Article
- Family Socioeconomic Position and Eating Disorder Symptoms Across Adolescence.JAMA network open · 2025Article
- Do previous pediatric inpatient interventions predict better outcomes for psychiatric inpatient treatment of anorexia nervosa?International journal of adolescent medicine and health · 2025Article
- Adverse outcomes in patients with a diagnosis of an eating disorder: primary care cohort study with linked secondary care and mortality records.BMJ medicine · 2025Article
- Cognitive Functions in Adolescent Girls with Anorexia Nervosa during Nutritional Rehabilitation.Nutrients · 2024Article
- Characterizing Medical Complications in Publicly Insured Youth With Eating Disorders.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024Article
- Article
- Hypothalamic-pituitary-adrenal axis in anorexia nervosa; an underestimated endocrine dysfunction among adolescents.Frontiers in pediatrics · 2024Review
- Impact of the COVID-19 pandemic on incidence of tics in children and young people: a population-based cohort study.EClinicalMedicine · 2023Article
- Management of transitions to adult services for young people with eating disorders: survey of current practice in England.BJPsych bulletin · 2023Article
- Article
- The youngest are hit hardest: The influence of the COVID-19 pandemic on the hospitalization rate for children, adolescents, and young adults with anorexia nervosa in a large German representative sample.European psychiatry : the journal of the Association of European Psychiatrists · 2022Article
- Seeking support for an eating disorder: a qualitative analysis of the university student experience-accessibility of support for students.Journal of eating disorders · 2022Article
- Incidence, Mortality and Survival in Young People with Co-Occurring Mental Disorders and Substance Use: A Retrospective Linked Routine Data Study in Wales.Clinical epidemiology · 2022Article
- Temporal trends in annual incidence rates for psychiatric disorders and self-harm among children and adolescents in the UK, 2003-2018.BMC psychiatry · 2021Article
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Authors and funding
7 authors.
Funding
Abstract
objectivesExamination of current temporal trends and clinical management patterns of eating disorders (ED) in primary care is lacking. We aimed to calculate annual incidence rates of EDs in primary care by age, sex and deprivation. We also explored the care received through referrals, psychotropic prescriptions and associated secondary care service use. PARTICIPANTS AND SETTINGS: A retrospective electronic cohort study was conducted using the Clinical Practice Research Datalink in those aged 11-24 years between 2004 and 2014 in England (n=1 135 038).
resultsA total of 4775 individuals with a first ever recorded ED diagnosis were identified. The crude incidence rate was 100.1 per 100 000 person years at risk (95% CI 97.2 to 102.9). Incidence rates were highest in females (189.3 per 100 000 person years, 95% CI 183.7 to 195.0, n=4336), 16-20 years of age (141.0 per 100 000 person years, 95% CI 135.4 to 146.9, n=2348) and individuals from the least deprived areas (115.8 per 100 000 person years (95% CI 109.3 to 122.5, n=1203). Incidence rates decreased across the study period (incidence rate ratio (IRR) 0.6, 95% CI 0.5 to 0.8), particularly for individuals with bulimia nervosa (IRR 0.5, 95% CI 0.3 to 0.7) and from the most deprived areas (IRR 0.5, 95% CI 0.4 to 0.7). A total of 17.4% (95% CI 16.3 to 18.5, n=831) of first ever recorded ED cases were referred from primary to secondary care. 27.1% (95% CI 25.9 to 28.4, n=1294) of individuals had an inpatient admission 6 months before or 12 months after an incident ED diagnosis and 53.4% (95% CI 52.0 to 54.9, n=2550) had an outpatient attendance. Antidepressants were the most commonly prescribed psychotropic medication.
conclusionsNew ED presentations in primary care are reducing. Understanding the cause of this decrease (coding behaviours, changes in help-seeking or a genuine reduction in new cases) is important to plan services, allocate resources and deliver effective care.
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