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Eating Disorder

Matthew J Carr, Darren M Ashscroft, Evangelos Kontopantelis, David While, Yvonne Awenant, Jayne Cooper, Carolyn Chew-Graham, Nav Kapur, Roger T Webb

Type
Disease or Syndrome
ID
PH376
Version ID
752
Data Sources
Valid event data range
01/01/2001 - 31/12/2012
Sex
Female, Male
Agreement Date
2016-03-08
Coding system
Read codes v2
Tags /Collections
ClinicalCodes Repository Phenotype Library

Definition

Background:

Little is known about the clinical management of patients in primary care following self-harm.

Methods:

A descriptive cohort study using data from 684 UK general practices that contributed to the Clinical Practice Research Datalink (CPRD) during 2001-2013. We identified 49,970 patients with a self-harm episode, 41,500 of whom had one complete year of follow-up.

Results:

Among those with complete follow-up, 26,065 (62.8%, 62.3-63.3) were prescribed psychotropic medication and 6318 (15.2%, 14.9-15.6) were referred to mental health services; 4105 (9.9%, CI 9.6-10.2) were medicated without an antecedent psychiatric diagnosis or referral, and 4,506 (10.9%, CI 10.6-11.2) had a diagnosis but were not subsequently medicated or referred. Patients registered at practices in the most deprived localities were 27.1% (CI 21.5-32.2) less likely to be referred than those in the least deprived. Despite a specifically flagged NICE 'Do not do' recommendation in 2011 against prescribing tricyclic antidepressants following self-harm because of their potentially lethal toxicity in overdose, 8.8% (CI 7.8-9.8) of individuals were issued a prescription in the subsequent year. The percentage prescribed Citalopram, an SSRI antidepressant with higher toxicity in overdose, fell sharply during 2012/2013 in the aftermath of a Medicines and Healthcare products Regulatory Agency (MHRA) safety alert issued in 2011.

Conclusions:

A relatively small percentage of these vulnerable patients are referred to mental health services, and reduced likelihood of referral in more deprived localities reflects a marked health inequality. National clinical guidelines have not yet been effective in reducing rates of tricyclic antidepressant prescribing for this high-risk group.

Publications

  • Matthew J Carr, Darren M Ashcroft, Evangelos Kontopantelis, David While, Yvonne Awenant, Jayne Cooper, Carolyn Chew-Graham, Nav Kapur, Roger T Webb, Clinical management following self-harm in a UK-wide primary care cohort. Journal of Affective Disorders, 197(2016) 182-188, 2016.

Clinical Code List

Rows: 38
Code Description Entity type Category Coding System (Read)
1612.00 Appetite loss - anorexia res36: Eating disorder diagnostic Read
1612.11 Anorexia symptom res36: Eating disorder diagnostic Read
1614.00 Excessive eating - polyphagia res36: Eating disorder diagnostic Read
1614.11 Hyperalimentation - symptom res36: Eating disorder diagnostic Read
1614.12 Polyphagia symptom res36: Eating disorder diagnostic Read
8HTN.00 Referral to eating disorders clinic res36: Eating disorder diagnostic Read
9Nk9.00 Seen in eating disorder clinic res36: Eating disorder diagnostic Read
E271.00 Anorexia nervosa res36: Eating disorder diagnostic Read
E275.00 Other and unspecified non-organic eating disorders res36: Eating disorder diagnostic Read
E275000 Unspecified non-organic eating disorder res36: Eating disorder diagnostic Read
E275100 Bulimia (non-organic overeating) res36: Eating disorder diagnostic Read
E275111 Compulsive eating disorder res36: Eating disorder diagnostic Read
E275y00 Other specified non-organic eating disorder res36: Eating disorder diagnostic Read
E275z00 Non-organic eating disorder NOS res36: Eating disorder diagnostic Read
Eu50.00 [X]Eating disorders res36: Eating disorder diagnostic Read
Eu50000 [X]Anorexia nervosa res36: Eating disorder diagnostic Read
Eu50100 [X]Atypical anorexia nervosa res36: Eating disorder diagnostic Read
Eu50200 [X]Bulimia nervosa res36: Eating disorder diagnostic Read
Eu50211 [X]Bulimia NOS res36: Eating disorder diagnostic Read
Eu50212 [X]Hyperorexia nervosa res36: Eating disorder diagnostic Read
Eu50300 [X]Atypical bulimia nervosa res36: Eating disorder diagnostic Read
Eu50400 [X]Overeating associated with other psychological disturbncs res36: Eating disorder diagnostic Read
Eu50411 [X]Psychogenic overeating res36: Eating disorder diagnostic Read
Eu50y00 [X]Other eating disorders res36: Eating disorder diagnostic Read
Eu50y11 [X]Pica in adults res36: Eating disorder diagnostic Read
Eu50z00 [X]Eating disorder, unspecified res36: Eating disorder diagnostic Read
Fy05.00 Nocturnal sleep-related eating disorder res36: Eating disorder diagnostic Read
R030.00 [D]Anorexia res36: Eating disorder diagnostic Read
R030z00 [D]Anorexia NOS res36: Eating disorder diagnostic Read
R036.00 [D]Polyphagia res36: Eating disorder diagnostic Read
R036000 [D]Excessive eating res36: Eating disorder diagnostic Read
R036011 [D]Bulimia NOS res36: Eating disorder diagnostic Read
R036100 [D]Hyperalimentation res36: Eating disorder diagnostic Read
R036z00 [D]Polyphagia NOS res36: Eating disorder diagnostic Read
SN42100 Starvation res36: Eating disorder diagnostic Read
U1B3.11 [X]Starvation res36: Eating disorder diagnostic Read
Z4B5.00 Eating disorder counselling res36: Eating disorder diagnostic Read
ZC2CD00 Dietary advice for eating disorder res36: Eating disorder diagnostic Read

API

To Export Phenotype Details:

Format API
XML site_root/api/v1/public/phenotypes/PH376/version/752/detail/?format=xml
JSON site_root/api/v1/public/phenotypes/PH376/version/752/detail/?format=json
R Package

# Download here

library(ConceptLibraryClient)


# Connect to API

client = connect_to_API(public=TRUE)


# Get details of phenotype

details = get_phenotype_detail_by_version('PH376', '752', api_client=client)

To Export Phenotype Code List:

Format API
XML site_root/api/v1/public/phenotypes/PH376/version/752/export/codes/?format=xml
JSON site_root/api/v1/public/phenotypes/PH376/version/752/export/codes/?format=json
CSV site_root/phenotypes/PH376/version/752/export/codes/
R Package

# Download here

library(ConceptLibraryClient)


# Connect to API

client = connect_to_API(public=TRUE)


# Get codelists of phenotype

codelists = get_phenotype_code_list('PH376', '752', api_client=client)

Version History

Version
ID
Name Owner Publish date
752 Eating Disorder ieuan.scanlon 2021-10-06 currently shown

Export - export all codes into a csv file/JSON/XML for the current phenotype version.

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