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Pediatric Patients Hospitalized With Eating Disorders in Ontario, Canada, Over Time

IMPORTANCE: Understanding the evolving characteristics of pediatric patients hospitalized for eating disorders is important to ensure that services and treatments align with patient needs. OBJECTIVE: To examine temporal trends in the rates of hospitalizations for pediatric eating disorders by clinic...

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Autores principales: Smith, Sarah, Charach, Alice, To, Teresa, Toulany, Alene, Fung, Kinwah, Saunders, Natasha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Medical Association 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10696484/
https://www.ncbi.nlm.nih.gov/pubmed/38048130
http://dx.doi.org/10.1001/jamanetworkopen.2023.46012
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author Smith, Sarah
Charach, Alice
To, Teresa
Toulany, Alene
Fung, Kinwah
Saunders, Natasha
author_facet Smith, Sarah
Charach, Alice
To, Teresa
Toulany, Alene
Fung, Kinwah
Saunders, Natasha
author_sort Smith, Sarah
collection PubMed
description IMPORTANCE: Understanding the evolving characteristics of pediatric patients hospitalized for eating disorders is important to ensure that services and treatments align with patient needs. OBJECTIVE: To examine temporal trends in the rates of hospitalizations for pediatric eating disorders by clinical and demographic characteristics in Ontario, Canada, over a 17-year period. DESIGN, SETTING, AND PARTICIPANTS: This population-based, repeated, cross-sectional study used linked health administrative and demographic databases in Ontario, Canada, to identify individuals aged 5 to 17 years hospitalized with eating disorder diagnoses from April 1, 2002, to March 31, 2020. Data analyses were performed from May 2021 to June 2023. EXPOSURE: Fiscal year (April 1-March 31) of eating disorder hospitalization. MAIN OUTCOMES AND MEASURES: Outcomes of interest were absolute and relative changes in pediatric eating disorder hospitalization rates overall and stratified by patient sex, age groups, and eating disorder diagnostic groups. RESULTS: Over the study period, there were 11 654 pediatric eating disorder hospitalizations, of which 5268 (45.2%) were for anorexia nervosa and 1374 (11.8%) were for bulimia nervosa. There were a total of 10 648 hospitalizations (91.4%) among female patients, and the median (IQR) age was 15.0 (14-0-16.0) years. Hospitalization rates increased 139% from 2002 to 2019, from 2.0 per 10 000 population to 4.8 per 10 000 population. The largest relative changes were observed among male patients (416%; from 0.2 per 10 000 population to 1.1 per 10 000 population), individuals aged 12 to 14 years (196%; from 2.2 per 10 000 population to 6.6 per 10 000 population), and individuals with eating disorders other than anorexia or bulimia nervosa (255%; from 0.6 per 10 000 population to 2.1 per 10 000 population). Male patients, younger adolescents, and individuals with other eating disorders also represented larger proportions of hospitalizations by fiscal 2019. CONCLUSIONS AND RELEVANCE: In this cross-sectional study of eating disorder hospitalizations, pediatric hospitalizations increased over time, particularly among populations traditionally considered atypical. Existing eating disorder programs must adapt to accommodate changing patient presentations and increased volumes to ensure effective care delivery.
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spelling pubmed-106964842023-12-06 Pediatric Patients Hospitalized With Eating Disorders in Ontario, Canada, Over Time Smith, Sarah Charach, Alice To, Teresa Toulany, Alene Fung, Kinwah Saunders, Natasha JAMA Netw Open Original Investigation IMPORTANCE: Understanding the evolving characteristics of pediatric patients hospitalized for eating disorders is important to ensure that services and treatments align with patient needs. OBJECTIVE: To examine temporal trends in the rates of hospitalizations for pediatric eating disorders by clinical and demographic characteristics in Ontario, Canada, over a 17-year period. DESIGN, SETTING, AND PARTICIPANTS: This population-based, repeated, cross-sectional study used linked health administrative and demographic databases in Ontario, Canada, to identify individuals aged 5 to 17 years hospitalized with eating disorder diagnoses from April 1, 2002, to March 31, 2020. Data analyses were performed from May 2021 to June 2023. EXPOSURE: Fiscal year (April 1-March 31) of eating disorder hospitalization. MAIN OUTCOMES AND MEASURES: Outcomes of interest were absolute and relative changes in pediatric eating disorder hospitalization rates overall and stratified by patient sex, age groups, and eating disorder diagnostic groups. RESULTS: Over the study period, there were 11 654 pediatric eating disorder hospitalizations, of which 5268 (45.2%) were for anorexia nervosa and 1374 (11.8%) were for bulimia nervosa. There were a total of 10 648 hospitalizations (91.4%) among female patients, and the median (IQR) age was 15.0 (14-0-16.0) years. Hospitalization rates increased 139% from 2002 to 2019, from 2.0 per 10 000 population to 4.8 per 10 000 population. The largest relative changes were observed among male patients (416%; from 0.2 per 10 000 population to 1.1 per 10 000 population), individuals aged 12 to 14 years (196%; from 2.2 per 10 000 population to 6.6 per 10 000 population), and individuals with eating disorders other than anorexia or bulimia nervosa (255%; from 0.6 per 10 000 population to 2.1 per 10 000 population). Male patients, younger adolescents, and individuals with other eating disorders also represented larger proportions of hospitalizations by fiscal 2019. CONCLUSIONS AND RELEVANCE: In this cross-sectional study of eating disorder hospitalizations, pediatric hospitalizations increased over time, particularly among populations traditionally considered atypical. Existing eating disorder programs must adapt to accommodate changing patient presentations and increased volumes to ensure effective care delivery. American Medical Association 2023-12-04 /pmc/articles/PMC10696484/ /pubmed/38048130 http://dx.doi.org/10.1001/jamanetworkopen.2023.46012 Text en Copyright 2023 Smith S et al. JAMA Network Open. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the CC-BY License.
spellingShingle Original Investigation
Smith, Sarah
Charach, Alice
To, Teresa
Toulany, Alene
Fung, Kinwah
Saunders, Natasha
Pediatric Patients Hospitalized With Eating Disorders in Ontario, Canada, Over Time
title Pediatric Patients Hospitalized With Eating Disorders in Ontario, Canada, Over Time
title_full Pediatric Patients Hospitalized With Eating Disorders in Ontario, Canada, Over Time
title_fullStr Pediatric Patients Hospitalized With Eating Disorders in Ontario, Canada, Over Time
title_full_unstemmed Pediatric Patients Hospitalized With Eating Disorders in Ontario, Canada, Over Time
title_short Pediatric Patients Hospitalized With Eating Disorders in Ontario, Canada, Over Time
title_sort pediatric patients hospitalized with eating disorders in ontario, canada, over time
topic Original Investigation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10696484/
https://www.ncbi.nlm.nih.gov/pubmed/38048130
http://dx.doi.org/10.1001/jamanetworkopen.2023.46012
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