| An eleven site national quality improvement evaluation of adolescent medicine-based eating disorder programs: predictors of weight outcomes at one year and risk adjustment analyses. | |
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MedLine Citation:
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PMID: 22098769 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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PURPOSE: This quality improvement project collected and analyzed short-term weight gain data for patients with restrictive eating disorders (EDs) treated in outpatient adolescent medicine-based ED programs nationally. METHODS: Data on presentation and treatment of low-weight ED patients aged 9-21 years presenting in 2006 were retrospectively collected from 11 independent ED programs at intake and at 1-year follow-up. Low-weight was defined as < 90% median body weight (MBW) which is specific to age. Treatment components at each program were analyzed. Risk adjustment was performed for weight gain at 1 year for each site, accounting for clinical variables identified as significant in bivariate analyses. RESULTS: The sites contained 6-51 patients per site (total N = 267); the mean age was 14.1-17.1 years; duration of illness before intake was 5.7-18.6 months; % MBW at intake was 77.5-83.0; and % MBW at follow-up was 88.8-93.8. In general, 40%-63% of low weight ED subjects reached ≥90% MBW at 1-year follow-up. At intake, patients with higher % MBW (p = .0002) and shorter duration of illness (p = .01) were more likely to be ≥90% MBW at follow-up. Risk-adjusted odds ratios controlled for % MBW and duration of illness were .8 (.5, 1.4)-1.3 (.3, 3.8), with no significant differences among sites. CONCLUSION: A total of 11 ED programs successfully compared quality improvement data. Shorter duration of illness before intake and higher % MBW predicted improved weight outcomes at 1 year. After adjusting for risk factors, program outcomes did not differ significantly. All adolescent medicine-based ED programs were effective in assisting patients to gain weight. |
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Authors:
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Sara F Forman; Leah F Grodin; Dionne A Graham; Cara J Sylvester; David S Rosen; Cynthia J Kapphahn; S Todd Callahan; Eric J Sigel; Terrill Bravender; Rebecka Peebles; Mary Romano; Ellen S Rome; Martin Fisher; Joan B Malizio; Kathleen A Mammel; Albert C Hergenroeder; Sara M Buckelew; Neville H Golden; Elizabeth R Woods; |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of adolescent health : official publication of the Society for Adolescent Medicine Volume: 49 ISSN: 1879-1972 ISO Abbreviation: J Adolesc Health Publication Date: 2011 Dec |
Date Detail:
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Created Date: 2011-11-21 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9102136 Medline TA: J Adolesc Health Country: United States |
Other Details:
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Languages: eng Pagination: 594-600 Citation Subset: IM |
Copyright Information:
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Copyright © 2011 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Division of Adolescent/Young Adult Medicine, Children's Hospital Boston, Boston, Massachusetts. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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