Print

Eating Disorder

K Windfuhr, D While, N Kapur, D M Ashcroft, E Kontopantelis, M J Carr, J Shaw, L Applyby, R T Webb

Type
Disease or Syndrome
ID
PH701
Version ID
1402
Data Sources
Valid event data range
01/01/2002 - 31/12/2011
Sex
Female, Male
Agreement Date
2016-09-21
Coding system
Read codes v2
Tags /Collections
ClinicalCodes Repository Phenotype Library

Definition

Background:

Little is known about the precursors of suicide risk among primary-care patients. This study aimed to examine suicide risk in relation to patterns of clinical consultation, psychotropic drug prescribing, and psychiatric diagnoses.

Method:

Nested case-control study in the Clinical Practice Research Datalink (CPRD), England. Patients aged516 years who died by suicide during 2002–2011 (N = 2384) were matched on gender, age and practice with up to 20 living control patients (N = 46 899).

Results:

Risk was raised among non-consulting patients, and increased sharply with rising number of consultations in the preceding year [512 consultations v. 1: unadjusted odds ratio (OR) 6.0, 95% confidence interval (CI) 4.9–7.3]. Markedly elevated risk was also associated with the prescribing of multiple psychotropic medication types (55 types v. 0: OR 62.6, CI 44.3–88.4) and with having several psychiatric diagnoses (54 diagnoses v. 0: OR 31.1, CI 19.3–50.1). Risk was also raised among patients living in more socially deprived localities. The confounding effect of multiple psychotropic drug types largely accounted for the rising risk gradient observed with increasing consultation frequency.

Conclusions:

A greater proportion of patients with several psychiatric diagnoses, those prescribed multiple psychotropic medication types, and those who consult at very high frequency might be considered for referral to mental health services by their general practitioners. Non-consulters are also at increased risk, which suggests that conventional models of primary care may not be effective in meeting the needs of all people in the community experiencing major psychosocial difficulties.

Publications

  • K Windfuhr, D While, N Kapur, D M Ashcroft, E Kontopantelis, M J Carr, J Shaw, L Appleby, R T Webb, Suicide risk linked with clinical consultation frequency, psychiatric diagnoses and psychotropic medication prescribing in a national study of primary-care patients. Psychological Medicine, 46, 3407-3417, 2016.

Clinical Code List

Rows: 38
Code Description Entity type Category Coding System (Read)
1612.00 Appetite loss - anorexia res38: Eating disorder diagnostic Read
1612.11 Anorexia symptom res38: Eating disorder diagnostic Read
1614.00 Excessive eating - polyphagia res38: Eating disorder diagnostic Read
1614.11 Hyperalimentation - symptom res38: Eating disorder diagnostic Read
1614.12 Polyphagia symptom res38: Eating disorder diagnostic Read
8HTN.00 Referral to eating disorders clinic res38: Eating disorder diagnostic Read
9Nk9.00 Seen in eating disorder clinic res38: Eating disorder diagnostic Read
E271.00 Anorexia nervosa res38: Eating disorder diagnostic Read
E275.00 Other and unspecified non-organic eating disorders res38: Eating disorder diagnostic Read
E275000 Unspecified non-organic eating disorder res38: Eating disorder diagnostic Read
E275100 Bulimia (non-organic overeating) res38: Eating disorder diagnostic Read
E275111 Compulsive eating disorder res38: Eating disorder diagnostic Read
E275y00 Other specified non-organic eating disorder res38: Eating disorder diagnostic Read
E275z00 Non-organic eating disorder NOS res38: Eating disorder diagnostic Read
Eu50.00 [X]Eating disorders res38: Eating disorder diagnostic Read
Eu50000 [X]Anorexia nervosa res38: Eating disorder diagnostic Read
Eu50100 [X]Atypical anorexia nervosa res38: Eating disorder diagnostic Read
Eu50200 [X]Bulimia nervosa res38: Eating disorder diagnostic Read
Eu50211 [X]Bulimia NOS res38: Eating disorder diagnostic Read
Eu50212 [X]Hyperorexia nervosa res38: Eating disorder diagnostic Read
Eu50300 [X]Atypical bulimia nervosa res38: Eating disorder diagnostic Read
Eu50400 [X]Overeating associated with other psychological disturbncs res38: Eating disorder diagnostic Read
Eu50411 [X]Psychogenic overeating res38: Eating disorder diagnostic Read
Eu50y00 [X]Other eating disorders res38: Eating disorder diagnostic Read
Eu50y11 [X]Pica in adults res38: Eating disorder diagnostic Read
Eu50z00 [X]Eating disorder, unspecified res38: Eating disorder diagnostic Read
Fy05.00 Nocturnal sleep-related eating disorder res38: Eating disorder diagnostic Read
R030.00 [D]Anorexia res38: Eating disorder diagnostic Read
R030z00 [D]Anorexia NOS res38: Eating disorder diagnostic Read
R036.00 [D]Polyphagia res38: Eating disorder diagnostic Read
R036000 [D]Excessive eating res38: Eating disorder diagnostic Read
R036011 [D]Bulimia NOS res38: Eating disorder diagnostic Read
R036100 [D]Hyperalimentation res38: Eating disorder diagnostic Read
R036z00 [D]Polyphagia NOS res38: Eating disorder diagnostic Read
SN42100 Starvation res38: Eating disorder diagnostic Read
U1B3.11 [X]Starvation res38: Eating disorder diagnostic Read
Z4B5.00 Eating disorder counselling res38: Eating disorder diagnostic Read
ZC2CD00 Dietary advice for eating disorder res38: Eating disorder diagnostic Read

API

To Export Phenotype Details:

Format API
XML site_root/api/v1/public/phenotypes/PH701/version/1402/detail/?format=xml
JSON site_root/api/v1/public/phenotypes/PH701/version/1402/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('PH701', '1402', api_client=client)

To Export Phenotype Code List:

Format API
XML site_root/api/v1/public/phenotypes/PH701/version/1402/export/codes/?format=xml
JSON site_root/api/v1/public/phenotypes/PH701/version/1402/export/codes/?format=json
CSV site_root/phenotypes/PH701/version/1402/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('PH701', '1402', api_client=client)

Version History

Version
ID
Name Owner Publish date
1402 Eating Disorder ieuan.scanlon 2021-10-06 currently shown

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

Print - Print page.