{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T23:28:07Z","timestamp":1786490887242,"version":"build-2736575974"},"reference-count":27,"publisher":"Elsevier BV","issue":"7","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T00:00:00Z","timestamp":1779753600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000265","name":"UK Research and Innovation Medical Research Council","doi-asserted-by":"publisher","award":["MR\/X030539\/1"],"award-info":[{"award-number":["MR\/X030539\/1"]}],"id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000272","name":"National Institute for Health and Care Research","doi-asserted-by":"publisher","award":["NIHR303520"],"award-info":[{"award-number":["NIHR303520"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004489","name":"Mitacs Inc","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004489","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100019418","name":"National Institute for Health Research Maudsley Biomedical Research Centre","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100019418","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000267","name":"Arts and Humanities Research Council","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000267","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000269","name":"Economic and Social Research Council","doi-asserted-by":"publisher","award":["MR\/W002418\/1"],"award-info":[{"award-number":["MR\/W002418\/1"]}],"id":[{"id":"10.13039\/501100000269","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","thelancet.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Lancet Primary Care"],"published-print":{"date-parts":[[2026,7]]},"DOI":"10.1016\/j.lanprc.2026.100179","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T23:30:27Z","timestamp":1785886227000},"page":"100179","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Weight status and pathways to eating disorder referral from primary care in England and Northern Ireland: a cross-sectional analysis of routine care data"],"prefix":"10.1016","volume":"2","author":[{"given":"Chloe","family":"Gao","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Wilkins","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Dregan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karina L","family":"Allen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1468-0989","authenticated-orcid":false,"given":"Jamie","family":"Scuffell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrike","family":"Schmidt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.lanprc.2026.100179_bib1","doi-asserted-by":"crossref","first-page":"1402","DOI":"10.1093\/ajcn\/nqy342","article-title":"Prevalence of eating disorders over the 2000\u20132018 period: a systematic literature review","volume":"109","author":"Galmiche","year":"2019","journal-title":"Am J Clin Nutr"},{"key":"10.1016\/j.lanprc.2026.100179_bib2","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2018-026691","article-title":"Epidemiology of eating disorders in primary care in children and young people: a Clinical Practice Research Datalink study in England","volume":"9","author":"Wood","year":"2019","journal-title":"BMJ Open"},{"key":"10.1016\/j.lanprc.2026.100179_bib3","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1002\/erv.2745","article-title":"Duration of untreated eating disorder and relationship to outcomes: a systematic review of the literature","volume":"29","author":"Austin","year":"2021","journal-title":"Eur Eat Disord Rev"},{"key":"10.1016\/j.lanprc.2026.100179_bib4","doi-asserted-by":"crossref","DOI":"10.1192\/j.eurpsy.2023.23","article-title":"Pathways to eating disorder care: a European multicenter study","volume":"66","author":"Monteleone","year":"2023","journal-title":"Eur Psychiatry"},{"key":"10.1016\/j.lanprc.2026.100179_bib5","doi-asserted-by":"crossref","first-page":"e59","DOI":"10.1192\/bjo.2019.48","article-title":"Current eating disorder healthcare services\u2014the perspectives and experiences of individuals with eating disorders, their families and health professionals: systematic review and thematic synthesis","volume":"5","author":"Johns","year":"2019","journal-title":"BJPsych Open"},{"key":"10.1016\/j.lanprc.2026.100179_bib8","doi-asserted-by":"crossref","first-page":"1259","DOI":"10.1002\/eat.23732","article-title":"Turning eating disorders screening in primary practice into treatment: a clinical practice approach","volume":"55","author":"Wade","year":"2022","journal-title":"Int J Eat Disord"},{"key":"10.1016\/j.lanprc.2026.100179_bib9","doi-asserted-by":"crossref","first-page":"2315","DOI":"10.1002\/eat.24069","article-title":"Factors influencing the duration of untreated illness among patients with anorexia nervosa: a multicenter and multi-informant study","volume":"56","author":"Gumz","year":"2023","journal-title":"Int J Eat Disord"},{"key":"10.1016\/j.lanprc.2026.100179_bib10","doi-asserted-by":"crossref","DOI":"10.1016\/j.cpr.2025.102547","article-title":"A meta-analysis of mortality rates in eating disorders: an update of the literature from 2010 to 2024","volume":"116","author":"Krug","year":"2025","journal-title":"Clin Psychol Rev"},{"key":"10.1016\/j.lanprc.2026.100179_bib11","doi-asserted-by":"crossref","first-page":"e968","DOI":"10.4088\/JCP.15m10059","article-title":"Estimating the prevalence of binge eating disorder in a community sample from the United States: comparing DSM-IV-TR and DSM-5 criteria","volume":"77","author":"Cossrow","year":"2016","journal-title":"J Clin Psychiatry"},{"key":"10.1016\/j.lanprc.2026.100179_bib14","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1016\/j.bodyim.2023.04.008","article-title":"\u201cYou don\u2019t look anorexic\u201d: atypical anorexia patient experiences of weight stigma in medical care","volume":"46","author":"Harrop","year":"2023","journal-title":"Body Image"},{"key":"10.1016\/j.lanprc.2026.100179_bib12","doi-asserted-by":"crossref","first-page":"1644","DOI":"10.1002\/eat.24483","article-title":"The prevalence of eating disorders and disordered eating in adults seeking obesity treatment: a systematic review with meta-analyses","volume":"58","author":"Melville","year":"2025","journal-title":"Int J Eat Disord"},{"key":"10.1016\/j.lanprc.2026.100179_bib13","doi-asserted-by":"crossref","first-page":"675","DOI":"10.1037\/a0025049","article-title":"Cognitive-behavioral therapy, behavioral weight loss, and sequential treatment for obese patients with binge-eating disorder: a randomized controlled trial","volume":"79","author":"Grilo","year":"2011","journal-title":"J Consult Clin Psychol"},{"key":"10.1016\/j.lanprc.2026.100179_bib15","doi-asserted-by":"crossref","DOI":"10.1016\/j.chiabu.2023.106396","article-title":"Risks of adverse childhood experiences on healthcare utilization and outcomes in early childhood","volume":"145","author":"Lewis","year":"2023","journal-title":"Child Abuse Negl"},{"key":"10.1016\/j.lanprc.2026.100179_bib30","first-page":"20","article-title":"Checklist and guidance on creating codelists for routinely collected health data research","volume":"4","author":"Matthewman","year":"2024","journal-title":"NIHR Open Res"},{"key":"10.1016\/j.lanprc.2026.100179_bib24","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1002\/eat.24568","article-title":"Identification and management of binge-eating disorder and bulimia nervosa in primary care settings: a qualitative systematic review of healthcare professionals\u2019 and patients\u2019 perceptions","volume":"59","author":"Kozm\u00e9r","year":"2026","journal-title":"Int J Eat Disord"},{"key":"10.1016\/j.lanprc.2026.100179_bib31","doi-asserted-by":"crossref","first-page":"2627","DOI":"10.1016\/S0140-6736(17)32129-3","article-title":"Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128\u00b79 million children, adolescents, and adults","volume":"390","year":"2017","journal-title":"Lancet"},{"key":"10.1016\/j.lanprc.2026.100179_bib17","series-title":"Harnessing the power of intersectionality: guidelines for quantitative intersectional health inequities research","author":"Bauer","year":"2014"},{"key":"10.1016\/j.lanprc.2026.100179_bib18","doi-asserted-by":"crossref","first-page":"2063","DOI":"10.1093\/aje\/kwac115","article-title":"A framework for descriptive epidemiology","volume":"191","author":"Lesko","year":"2022","journal-title":"Am J Epidemiol"},{"key":"10.1016\/j.lanprc.2026.100179_bib19","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1111\/j.2517-6161.1995.tb02031.x","article-title":"Controlling the false discovery rate: a practical and powerful approach to multiple testing","volume":"57","author":"Benjamini","year":"1995","journal-title":"J R Stat Soc Series B Stat Methodol"},{"key":"10.1016\/j.lanprc.2026.100179_bib20","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1002\/eat.23989","article-title":"Eating disorder psychopathology, psychiatric impairment, and symptom frequency of atypical anorexia nervosa versus anorexia nervosa: a systematic review and meta-analysis","volume":"57","author":"Johnson-Munguia","year":"2024","journal-title":"Int J Eat Disord"},{"key":"10.1016\/j.lanprc.2026.100179_bib21","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyt.2023.1157594","article-title":"Dismantling weight stigma in eating disorder treatment: next steps for the field","volume":"14","author":"McEntee","year":"2023","journal-title":"Front Psychiatry"},{"key":"10.1016\/j.lanprc.2026.100179_bib22","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1016\/j.comppsych.2016.02.010","article-title":"Examining the utility of narrowing anorexia nervosa subtypes for adults","volume":"67","author":"Peterson","year":"2016","journal-title":"Compr Psychiatry"},{"key":"10.1016\/j.lanprc.2026.100179_bib23","doi-asserted-by":"crossref","first-page":"1242","DOI":"10.1001\/jama.2025.0132","article-title":"Eating disorders: a review","volume":"333","author":"Attia","year":"2025","journal-title":"JAMA"},{"key":"10.1016\/j.lanprc.2026.100179_bib25","doi-asserted-by":"crossref","first-page":"752","DOI":"10.1002\/erv.2999","article-title":"Barriers and facilitators affecting treatment uptake behaviours for patients with eating disorders: a systematic review synthesising patient, caregiver and clinician perspectives","volume":"31","author":"Daugelat","year":"2023","journal-title":"Eur Eat Disord Rev"},{"key":"10.1016\/j.lanprc.2026.100179_bib27","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2025-102163","article-title":"From policy to action: a document content analysis reviewing the adoption of the healthcare inequalities programme in local health system plans in England","volume":"15","author":"Elliott","year":"2025","journal-title":"BMJ Open"},{"key":"10.1016\/j.lanprc.2026.100179_bib28","doi-asserted-by":"crossref","first-page":"1717","DOI":"10.1002\/eat.23994","article-title":"Distribution and clinical comparison of restrictive feeding and eating disorders using ICD-10 and ICD-11 criteria","volume":"56","author":"D\u00fcplois","year":"2023","journal-title":"Int J Eat Disord"},{"key":"10.1016\/j.lanprc.2026.100179_bib29","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2026-119143","article-title":"Primary care use among adults with eating disorders in England: a population-based cohort study using electronic health records","volume":"16","author":"Wilkins","year":"2026","journal-title":"BMJ Open"}],"container-title":["The Lancet Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S3050514326000750?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S3050514326000750?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T22:37:28Z","timestamp":1786487848000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S3050514326000750"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":27,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["S3050514326000750"],"URL":"https:\/\/doi.org\/10.1016\/j.lanprc.2026.100179","relation":{},"ISSN":["3050-5143"],"issn-type":[{"value":"3050-5143","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Weight status and pathways to eating disorder referral from primary care in England and Northern Ireland: a cross-sectional analysis of routine care data","name":"articletitle","label":"Article Title"},{"value":"The Lancet Primary Care","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.lanprc.2026.100179","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}],"article-number":"100179"}}