{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T06:36:14Z","timestamp":1763534174771,"version":"3.40.5"},"reference-count":39,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2020,9,7]],"date-time":"2020-09-07T00:00:00Z","timestamp":1599436800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100010809","name":"Jascha Fonden","doi-asserted-by":"publisher","award":["5240A"],"award-info":[{"award-number":["5240A"]}],"id":[{"id":"10.13039\/100010809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Treating patients with anorexia nervosa (AN) remains a major challenge. The choice between an inpatient or an outpatient care setting is an essential issue for the patients and for their relatives with major health economic implications. However, health services\u2010related studies are lacking. The present study was a descriptive exploration of time\u2010trends in treatment modes of patients with free and equal access to health services.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study was based on a nationwide cohort of patients diagnosed for the first time with AN, each followed for 5\u2009years in the registers covering the years 1994\u20132018. The per patient number of hospital admissions, cumulated number of days of hospitalization and number of outpatient visits during the first 5\u2009years after initial diagnosis were considered.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The cohort of patients with AN with at least 5\u2009years of follow\u2010up amounted to <jats:italic>N<\/jats:italic> =\u20097,505. A clear trend was observed in the per patient five\u2010year cumulated number of inpatient days, decreasing by 6% per year after adjustment for age at diagnosis, parental mental diagnosis, and family income. The five\u2010year number of hospital admissions after initial diagnosis decreased by 2% per year, while no trend was observed for outpatient visits.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The per patient number of hospitalizations and cumulated days of hospitalization during 5\u2009years after diagnosis were reduced for patients initially diagnosed with AN while there was no change in the number of outpatient visits. The factors contributing to these changes of treatment modes over time are in need of further study.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23378","type":"journal-article","created":{"date-parts":[[2020,9,24]],"date-time":"2020-09-24T18:38:20Z","timestamp":1600972700000},"page":"1952-1959","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Time trends in treatment modes of anorexia nervosa in a nationwide cohort with free and equal access to treatment"],"prefix":"10.1002","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4255-5544","authenticated-orcid":false,"given":"Ren\u00e9 Klinkby","family":"St\u00f8ving","sequence":"first","affiliation":[{"name":"Center for Eating Disorders Odense University Hospital  Odense Denmark"},{"name":"Research Unit for Medical Endocrinology Odense University Hospital  Odense Denmark"},{"name":"Department of Child and Adolescent Mental Health Odense Mental Health Services in the Region of Southern Denmark  Odense Denmark"},{"name":"Open Patient data Explorative Network (OPEN) Clinical Institute, University of Southern Denmark  Odense Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pia Veldt","family":"Larsen","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Mental Health Odense Mental Health Services in the Region of Southern Denmark  Odense Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura Al\u2010Dakhiel","family":"Winkler","sequence":"additional","affiliation":[{"name":"Center for Eating Disorders Odense University Hospital  Odense Denmark"},{"name":"Department of Child and Adolescent Mental Health Odense Mental Health Services in the Region of Southern Denmark  Odense Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Niels","family":"Bilenberg","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Mental Health Odense Mental Health Services in the Region of Southern Denmark  Odense Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael Ejnar","family":"R\u00f8der","sequence":"additional","affiliation":[{"name":"Steno Diabetes Center Odense Odense University Hospital  Odense Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hans\u2010Christoph","family":"Steinhausen","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Mental Health Odense Mental Health Services in the Region of Southern Denmark  Odense Denmark"},{"name":"Denmark Child and Adolescent Mental Health Centre Capital Region Psychiatry  Copenhagen Denmark"},{"name":"Department of Child and Adolescent Psychiatry Psychiatric University Hospital of Zurich  Zurich Switzerland"},{"name":"Clinical Psychology and Epidemiology Institute of Psychology, University of Basel  Basel Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,9,7]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech-2016-208513"},{"key":"e_1_2_7_4_1","first-page":"1","article-title":"Anorexia nervosa: 30\u2010year outcome","volume":"216","author":"Dobrescu S. 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