Evidence map›Paper›PMID 37788846›Full record

ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2023

Acute presentations of eating disorders among adolescents and adults before and during the COVID-19 pandemic in Ontario, Canada.

Alene Toulany, Natasha R Saunders, Paul Kurdyak, Rachel Strauss, Longdi Fu, Nicolette Joh-Carnella, Simon Chen, Astrid Guttmann, Therese A Stukel

Open access · goldAbstract read
In one paragraph

Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

7 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
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  4. A call for increased measurement of eating disorders and disordered eating in federal surveillance in Canada.Health promotion and chronic disease prevention in Canada : research, policy and practice · 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

9 authors at 1 institution in 1 country.

Alene ToulanyDepartment of Pediatrics (Toulany, Saunders, Guttmann), University of Toronto; ICES Central (Toulany, Saunders, Kurdyak, Strauss, Fu, Chen, Guttmann, Stukel); Centre for Addiction and Mental Health (Kurdyak), Toronto, Ont.; Schulich School of Medicine and Dentistry (Joh-Carnella), Western University, London, Ont.; Institute of Health Policy, Management and Evaluation (Stukel), University of Toronto, Toronto, Ont. alene.toulany@sickkids.ca.
Natasha R SaundersDepartment of Pediatrics (Toulany, Saunders, Guttmann), University of Toronto; ICES Central (Toulany, Saunders, Kurdyak, Strauss, Fu, Chen, Guttmann, Stukel); Centre for Addiction and Mental Health (Kurdyak), Toronto, Ont.; Schulich School of Medicine and Dentistry (Joh-Carnella), Western University, London, Ont.; Institute of Health Policy, Management and Evaluation (Stukel), University of Toronto, Toronto, Ont.
Paul KurdyakDepartment of Pediatrics (Toulany, Saunders, Guttmann), University of Toronto; ICES Central (Toulany, Saunders, Kurdyak, Strauss, Fu, Chen, Guttmann, Stukel); Centre for Addiction and Mental Health (Kurdyak), Toronto, Ont.; Schulich School of Medicine and Dentistry (Joh-Carnella), Western University, London, Ont.; Institute of Health Policy, Management and Evaluation (Stukel), University of Toronto, Toronto, Ont.
Rachel StraussDepartment of Pediatrics (Toulany, Saunders, Guttmann), University of Toronto; ICES Central (Toulany, Saunders, Kurdyak, Strauss, Fu, Chen, Guttmann, Stukel); Centre for Addiction and Mental Health (Kurdyak), Toronto, Ont.; Schulich School of Medicine and Dentistry (Joh-Carnella), Western University, London, Ont.; Institute of Health Policy, Management and Evaluation (Stukel), University of Toronto, Toronto, Ont.
Longdi FuDepartment of Pediatrics (Toulany, Saunders, Guttmann), University of Toronto; ICES Central (Toulany, Saunders, Kurdyak, Strauss, Fu, Chen, Guttmann, Stukel); Centre for Addiction and Mental Health (Kurdyak), Toronto, Ont.; Schulich School of Medicine and Dentistry (Joh-Carnella), Western University, London, Ont.; Institute of Health Policy, Management and Evaluation (Stukel), University of Toronto, Toronto, Ont.
Nicolette Joh-CarnellaDepartment of Pediatrics (Toulany, Saunders, Guttmann), University of Toronto; ICES Central (Toulany, Saunders, Kurdyak, Strauss, Fu, Chen, Guttmann, Stukel); Centre for Addiction and Mental Health (Kurdyak), Toronto, Ont.; Schulich School of Medicine and Dentistry (Joh-Carnella), Western University, London, Ont.; Institute of Health Policy, Management and Evaluation (Stukel), University of Toronto, Toronto, Ont.
Simon ChenDepartment of Pediatrics (Toulany, Saunders, Guttmann), University of Toronto; ICES Central (Toulany, Saunders, Kurdyak, Strauss, Fu, Chen, Guttmann, Stukel); Centre for Addiction and Mental Health (Kurdyak), Toronto, Ont.; Schulich School of Medicine and Dentistry (Joh-Carnella), Western University, London, Ont.; Institute of Health Policy, Management and Evaluation (Stukel), University of Toronto, Toronto, Ont.
Astrid GuttmannDepartment of Pediatrics (Toulany, Saunders, Guttmann), University of Toronto; ICES Central (Toulany, Saunders, Kurdyak, Strauss, Fu, Chen, Guttmann, Stukel); Centre for Addiction and Mental Health (Kurdyak), Toronto, Ont.; Schulich School of Medicine and Dentistry (Joh-Carnella), Western University, London, Ont.; Institute of Health Policy, Management and Evaluation (Stukel), University of Toronto, Toronto, Ont.
Therese A StukelDepartment of Pediatrics (Toulany, Saunders, Guttmann), University of Toronto; ICES Central (Toulany, Saunders, Kurdyak, Strauss, Fu, Chen, Guttmann, Stukel); Centre for Addiction and Mental Health (Kurdyak), Toronto, Ont.; Schulich School of Medicine and Dentistry (Joh-Carnella), Western University, London, Ont.; Institute of Health Policy, Management and Evaluation (Stukel), University of Toronto, Toronto, Ont.
University of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIncreased rates of pediatric eating disorders have been observed during the COVID-19 pandemic, but little is known about trends among adults. We aimed to evaluate rates of emergency department visits and hospital admissions for eating disorders among adolescents and adults during the pandemic.

methodsWe conducted a population-based, repeated cross-sectional study using linked health administrative data for Ontario residents aged 10-105 years during the prepandemic (Jan. 1, 2017, to Feb. 29, 2020) and pandemic (Mar. 1, 2020, to Aug. 31, 2022) periods. We evaluated monthly rates of emergency department visits and hospital admissions for eating disorders, stratified by age.

resultsCompared with expected rates derived from the prepandemic period, emergency department visits for eating disorders increased during the pandemic among adolescents aged 10-17 years (7.38 v. 3.33 per 100 000; incidence rate ratio [IRR] 2.21, 95% confidence interval [CI] 2.17-2.26), young adults aged 18-26 years (2.79 v. 2.46 per 100 000; IRR 1.13, 95% CI 1.10-1.16) and older adults aged 41-105 years (0.14 v. 0.11 per 100 000; IRR 1.15, 95% CI 1.07-1.24). Hospital admissions for eating disorders increased during the pandemic for adolescents (8.82 v. 5.74 per 100 000; IRR 1.54, 95% CI 1.54-1.54) but decreased for all adult age groups, especially older adults aged 41-105 years (0.21 v. 0.30 per 100 000; IRR 0.72, 95% CI 0.64-0.80).

interpretationEmergency department visits for eating disorders increased among adolescents, young adults and older adults during the pandemic, but hospital admissions increased only for adolescents and decreased for all adult groups. Differential rates of acute care use for eating disorders by age have important implications for allocation of inpatient mental health resources.

Indexed as

COVID-19Feeding and Eating DisordersAdolescentAgedChildCross-Sectional StudiesEmergency Service, HospitalHumansOntarioPandemicsYoung Adult

Identifiers

PMID37788846
PMCPMC10637328
OpenAlexW4387304582

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.