Evidence map›Paper›PMID 37092677›Full record

ArticleEuropean psychiatry : the journal of the Association of European Psychiatrists2023

Pathways to eating disorder care: A European multicenter study.

Alessio Maria Monteleone, Eugenia Barone, Giammarco Cascino, Ulrike Schmidt, Philip Gorwood, Umberto Volpe, Giovanni Abbate-Daga, Giovanni Castellini, Marina Díaz Marsá, Angela Favaro and 14 more

Abstract readMulticenter Study
In one paragraph

Article in European psychiatry : the journal of the Association of European Psychiatrists, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Observational
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  7. 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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  10. The current clinical approach to feeding and eating disorders aimed to increase personalization of management.World psychiatry : official journal of the World Psychiatric Association (WPA) · 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

24 authors.

Alessio Maria MonteleoneDepartment of Psychiatry, University of Campania L. Vanvitelli, Naples, Italy.ORCID 0000-0002-6786-4458
Eugenia BaroneDepartment of Psychiatry, University of Campania L. Vanvitelli, Naples, Italy.
Giammarco CascinoDepartment of Medicine, Surgery and Dentistry 'Scuola Medica Salernitana', University of Salerno, Salerno, Italy.
Ulrike SchmidtKing's College London, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, London, UK.
Philip GorwoodUniversité Paris Cité, Paris, France.ORCID 0000-0003-1845-3676
Umberto VolpeSection of Clinical Psychiatry, Department of Clinical Neurosciences/DIMSC, Università Politecnica delle Marche, Ancona, Italy.ORCID 0000-0001-9166-7609
Giovanni Abbate-DagaEating Disorders Center for Treatment and Research, Department of Neuroscience, University of Turin, Turin, Italy.ORCID 0000-0002-5826-5664
Giovanni CastelliniPsychiatry Unit, Department of Health Sciences, University of Florence, Florence, Italy.
Marina Díaz MarsáEating Disorder Unit, Hospital Clínico San Carlos, Universidad Complutense, Cibersam, Madrid, Spain.
Angela FavaroNeurosciences Department, University of Padua, Padua, Italy.ORCID 0000-0002-6540-5194
Akira FukutomiSouth London and Maudsley NHS Foundation Trust, London, UK.ORCID 0000-0001-8442-8415
Sebastien GuillaumeDepartment of Emergency Psychiatry and Acute Care, CHU Montpellier and University of Montpellier, Montpellier, France.ORCID 0000-0002-6769-9982
Petr MinaříkFirst Medical Faculty of Charles University and General University Hospital in Prague, Prague, Czech Republic.ORCID 0000-0002-6703-4470
José Antonio Soriano PachecoServei de Psiquiatría, Hospital de Sant Pau, Barcelone, Spain.
Matteo PaneroEating Disorders Center for Treatment and Research, Department of Neuroscience, University of Turin, Turin, Italy.ORCID 0000-0002-9385-0332
Hana PapežováFirst Medical Faculty of Charles University and General University Hospital in Prague, Prague, Czech Republic.
Valdo RiccaPsychiatry Unit, Department of Health Sciences, University of Florence, Florence, Italy.
Cristina Segura-GarciaDepartment of Medical and Surgical Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy.ORCID 0000-0002-5756-3045
Elisabetta ScanferlaUniversité Paris Cité, Paris, France.ORCID 0000-0002-6985-6662
Marta Tyszkiewicz-NwaforDepartment of Psychiatry, Poznan University of Medical Sciences, Poznan, Poland.ORCID 0000-0002-0141-4593
Fernando Fernandez-ArandaClinical Psychology Unit, Bellvitge University Hospital-IDIBELL and CIBERobn, ISCIII, Barcelona, Spain.ORCID 0000-0002-2968-9898
Ulrich VoderholzerSchoen Clinic Roseneck, Prien am Chiemsee, Germany.ORCID 0000-0003-0261-3145
Janet TreasureKing's College London, Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, London, UK.ORCID 0000-0003-0871-4596
Palmiero MonteleoneDepartment of Medicine, Surgery and Dentistry 'Scuola Medica Salernitana', University of Salerno, Salerno, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to assess barriers and facilitators in the pathways toward specialist care for eating disorders (EDs).

methodsEleven ED services located in seven European countries recruited patients with an ED. Clinicians administered an adapted version of the World Health Organization "Encounter Form," a standardized tool to assess the pathways to care. The unadjusted overall time needed to access the ED unit was described using the Kaplan-Meier curve.

resultsFour-hundred-nine patients were recruited. The median time between the onset of the current ED episode and the access to a specialized ED care was 2 years. Most of the participants did not directly access the specialist ED unit: primary "points of access" to care were mental health professionals and general practitioners. The involvement of different health professionals in the pathway, seeking help for general psychiatric symptoms, and lack of support from family members were associated with delayed access to ED units.

conclusionsEducational programs aiming to promote early diagnosis and treatment for EDs should pay particular attention to general practitioners, in addition to mental health professionals, and family members to increase awareness of these illnesses and of their treatment initiation process.

Indexed as

Feeding and Eating DisordersEuropeFamilyHealth PersonnelHumansBarrierseating disorderseducationalhealth care policypathways to care

Identifiers

PMID37092677
PMCPMC10228357

What OpenQuestion holds

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Registered trials

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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.