Characteristics and use of treatment modalities of patients with binge-eating disorder in the Department of Veterans Affairs

In 2013 binge-eating disorder (BED) was recognized as a formal diagnosis, but was historically included under the diagnosis code for eating disorder not otherwise specified (EDNOS). This study compared the characteristics and use of treatment modalities in BED patients to those with EDNOS without BE...

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Bibliographic Details
Published in:Eating behaviors : an international journal 2016-04, Vol.21, p.161-167
Main Authors: Bellows, Brandon K., DuVall, Scott L., Kamauu, Aaron W.C., Supina, Dylan, Pawaskar, Manjiri, Babcock, Thomas, LaFleur, Joanne
Format: Article
Language:English
Subjects:
Binge-eating disorder
Binge-Eating Disorder - classification
Binge-Eating Disorder - diagnosis
Binge-Eating Disorder - epidemiology
Binge-Eating Disorder - therapy
Depression - epidemiology
Eating disorder not otherwise specified
Electronic Health Records
Feeding and Eating Disorders - classification
Feeding and Eating Disorders - diagnosis
Feeding and Eating Disorders - epidemiology
Feeding and Eating Disorders - therapy
Female
Humans
Male
Middle Aged
Natural Language Processing
Obesity - epidemiology
Observational study
United States
United States Department of Veterans Affairs
Veterans - statistics & numerical data
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Summary:In 2013 binge-eating disorder (BED) was recognized as a formal diagnosis, but was historically included under the diagnosis code for eating disorder not otherwise specified (EDNOS). This study compared the characteristics and use of treatment modalities in BED patients to those with EDNOS without BED (EDNOS-only) and to matched-patients with no eating disorders (NED). Patients were identified for this study from electronic health records in the Department of Veterans Affairs from 2000 to 2011. Patients with BED were identified using natural language processing and patients with EDNOS-only were identified by ICD-9 code (307.50). First diagnosis defined index date for these groups. NED patients were frequency matched to BED patients up to 4:1, as available, on age, sex, BMI, depression, and index month encounter. Baseline characteristics and use of treatment modalities during the post-index year were compared using t-tests or chi-square tests. There were 593 BED, 1354 EDNOS-only, and 1895 matched-NED patients identified. Only 68 patients with BED had an EDNOS diagnosis. BED patients were younger (48.7 vs. 49.8years, p=0.04), more were male (72.2% vs. 62.8%, p
ISSN:1471-0153
1873-7358
DOI:10.1016/j.eatbeh.2016.03.013