The database included over 12 million patients aged 12–27 years. MethodsĪ propensity score-matched cohort study of electronic medical records between the years 20 with patients followed up for 1 year after their index dispensed prescription was conducted. To establish and quantify the association between isotretinoin use for acne and 1-year incident neuropsychiatric adverse outcomes. Public Significance Statement - Our study found that the health service needs of young people with EDs are higher than those with diabetes with respect to admissions and emergency department visits, while there appears to be a lack of use of mental health services compared to youth with mood disorders with the exception of pediatrician mental health visits.Severe neuropsychiatric outcomes have been reported in individuals exposed to isotretinoin, but the evidence is inconclusive and complicated by several methodological limitations. These findings must be interpreted in the context of under-detection and under-treatment of EDs. Compared to the mood disorder cohort, the ED cohort had higher rates of pediatrician visits, which were mental health-related (RR 14.88, 95% CI 10.64–20.82), however most other types of mental health service utilization were lower.ĭiscussion - These patterns indicate that the service needs of young people diagnosed with EDs are higher than those with diabetes with respect to nonmental health admissions and emergency department visits, while in terms of mental health service utilization, there appears to be a lack of use of mental health services compared to youth with mood disorders with the exception of pediatrician mental health visits. Compared to the diabetes cohort, the ED cohort had higher odds of nonmental health-related admissions (OR 1.45, 95% CI 1.09–1.95) and higher rates of nonmental health-related emergency department visits (RR 1.59, 95% CI 1.18–2.13). Results - Compared to the general population cohort, the ED cohort had higher odds and rates of all types of health care utilization. Odds ratios (dichotomous outcomes) and rate ratios (continuous outcomes) were calculated. Outcomes included hospitalizations, emergency department visits, as well as general practitioner, psychiatrist, and pediatrician visits. We then created three sex- and age-matched comparison cohorts using provincial health administrative databases including: a general population cohort, a diabetes cohort (to compare nonmental health care utilization) and a mood disorder cohort (to compare mental health care utilization). The ED diagnosis was made at a tertiary level hospital for children and adolescents presenting for outpatient assessment by specialist adolescent medicine physicians and recorded in a program database over this period of time. Method - We conducted a retrospective cohort study of children (n = 1560) diagnosed with an ED between 20. Objective - This study examined a 2-year period following an eating disorder (ED) diagnosis in order to determine patterns of health care utilization. EXTERNAL PUBLICATION A retrospective cohort study examining health care utilization patterns in individuals diagnosed with an eating disorder in childhood and/or adolescenceĬouturier J, Gayowsky A, Findlay S, Webb C, Sami S, Chan AKC, Chanchlani R, Kurdyak P.
0 Comments
Leave a Reply. |