Evidence map›Paper›PMID 39558191›Full record

ArticleJournal of eating disorders2024

Does 24/7 care result in better outcomes for adults with eating disorders? A comparison of inpatient/residential care to partial hospitalization/intensive outpatient care for patients at low BMIs.

Renee D Rienecke, Dan V Blalock, Alan Duffy, Craig Johnson, Megan Riddle, Daniel Le Grange, Philip S Mehler, Harry A Brandt

Abstract read
In one paragraph

Article in Journal of eating disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Article
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.

Renee D RieneckeEating Recovery Center and Pathlight Mood & Anxiety Centers, Denver, CO, USA. renee.rienecke@ercpathlight.com.
Dan V BlalockCenter of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Medical Center, Durham, NC, USA.
Alan DuffyEating Recovery Center and Pathlight Mood & Anxiety Centers, Denver, CO, USA.
Craig JohnsonEating Recovery Center and Pathlight Mood & Anxiety Centers, Denver, CO, USA.
Megan RiddleEating Recovery Center and Pathlight Mood & Anxiety Centers, Denver, CO, USA.
Daniel Le GrangeDepartment of Psychiatry and Behavioral Sciences, University of California San Francisco School of Medicine, San Francisco, CA, USA.
Philip S MehlerEating Recovery Center and Pathlight Mood & Anxiety Centers, Denver, CO, USA.
Harry A BrandtEating Recovery Center and Pathlight Mood & Anxiety Centers, Denver, CO, USA.

Funding

HSRD VA IK2 HX003085
6 · The paper itself

Abstract

backgroundHigher level of care (HLOC) treatment for eating disorders (EDs) is sometimes necessary, but research is lacking on whether HLOCs are actually more effective than less structured, lower levels of care. The purpose of the current study was to compare outcomes for patients with EDs at low weights who entered 24/7 care (inpatient and residential) to those entering non-24/7 care (partial hospitalization programming and intensive outpatient programming).

methodsParticipants were 1104 adults with body mass indices (BMI) between 14 and 17 receiving treatment for an ED at a large multisite treatment facility offering HLOCs between August 2019 and February 2024. The Eating Disorder Examination-Questionnaire (EDE-Q), assessing ED psychopathology, was completed at admission and discharge. Weight was taken throughout treatment.

resultsIn unadjusted analyses, there was a significant difference between those receiving 24/7 care (3.79) versus non-24/7 care (2.17) in BMI increase during treatment. In adjusted analyses controlling for ED diagnosis, length of stay, and admission BMI, results remained the same. Weight gain per week was significantly greater for patients in 24/7 care. Changes in ED psychopathology, as measured by the EDE-Q, were not significantly associated with 24/7 care.

conclusionsThe current study suggests that patients with EDs at low BMIs gain more weight at a faster rate when participating in 24/7 care compared to non-24/7 care. Entering treatment at an appropriate level may result in shorter overall lengths of stay and may increase the chances of a positive long-term outcome.

Indexed as

Eating disordersInpatientIntensive outpatientOutcomesPartial hospitalizationResidentialWeight gain

Identifiers

PMID39558191
PMCPMC11571935

What OpenQuestion holds

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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.