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This study assessed the economic case for enhanced care for adults newly diagnosed with AN.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S0924933824017516_sec2\" sec-type=\"methods\">\n\t    <jats:title>Methods<\/jats:title>\n\t    <jats:p>A five-state 312-month-cycle Markov model assessed the economic impact of four enhanced care pathways for adults newly diagnosed with AN in England, Germany, and Spain. Enhancements were halving wait times for any outpatient care, receiving specialist outpatient treatment post-referral, additional transitional support post-referral, and all enhancements combined. Care pathways, estimates of impact, resource use, and costs were drawn from literature. Net monetary benefits (NMBs), impacts on health system costs, and disability-adjusted life years (DALYs) averted were estimated. Parameter uncertainty was addressed in multi-way sensitivity analyses. Costs are presented in 2020 purchasing power parity adjusted Euros.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S0924933824017516_sec3\" sec-type=\"results\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>All four enhanced care pathways were superior to usual care, with the combined intervention scenario having the greatest NMBs of \u20ac248,575, \u20ac259,909, and \u20ac258,167 per adult in England, Germany, and Spain, respectively. This represented maximum NMB gains of 9.38% (\u20ac21,316), 4.3% (\u20ac10,722), and 4.66% (\u20ac11,491) in England, Germany and Spain compared to current care. Healthcare costs would reduce by more than 50%.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S0924933824017516_sec4\" sec-type=\"conclusions\">\n\t    <jats:title>Conclusions<\/jats:title>\n\t    <jats:p>Early and effective treatment can change the trajectory of AN. Reducing the untreated duration of the disorder is crucial. There is a good economic case in different country contexts for measures to reduce waiting times between diagnosis and treatment and increase access to enhanced outpatient treatment.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1192\/j.eurpsy.2024.1751","type":"journal-article","created":{"date-parts":[[2024,5,22]],"date-time":"2024-05-22T23:13:54Z","timestamp":1716419634000},"source":"Crossref","is-referenced-by-count":6,"title":["Quantifying the economic value of earlier and enhanced management of anorexia nervosa for adults in England, Germany and Spain: improving the care pathway"],"prefix":"10.1192","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0744-2664","authenticated-orcid":false,"given":"David","family":"McDaid","sequence":"first","affiliation":[{"name":"London School of Economics and Political Science"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0871-4596","authenticated-orcid":false,"given":"Janet","family":"Treasure","sequence":"additional","affiliation":[{"name":"King\u2019s College London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2968-9898","authenticated-orcid":false,"given":"Fernando","family":"Fern\u00e1ndez-Aranda","sequence":"additional","affiliation":[{"name":"Bellvitge Biomedical Research Institute (IDIBELL)"},{"name":"Bellvitge University Hospital"},{"name":"Instituto de Salud Carlos III"},{"name":"University of Barcelona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8450-3323","authenticated-orcid":false,"given":"Beate","family":"Herpertz-Dahlmann","sequence":"additional","affiliation":[{"name":"RWTH Aachen University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4554-6432","authenticated-orcid":false,"given":"Vinciane","family":"Quoidbach","sequence":"additional","affiliation":[{"name":"European Brain Council"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3822-5294","authenticated-orcid":false,"given":"Suzanne","family":"Dickson","sequence":"additional","affiliation":[{"name":"European Brain Council"},{"name":"Institute of Neuroscience and Physiology, The Sahlgrenska Academy at the University of Gothenburg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1845-3676","authenticated-orcid":false,"given":"Philip","family":"Gorwood","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Cit\u00e9"},{"name":"Institute of Psychiatry and Neurosciences of Paris (IPNP)"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2024,5,23]]},"reference":[{"key":"S0924933824017516_r6","volume-title":"Global burden of disease results","year":"2019"},{"key":"S0924933824017516_r32","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-015-0652-3"},{"key":"S0924933824017516_r44","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-021-00526-1"},{"key":"S0924933824017516_r41","doi-asserted-by":"publisher","DOI":"10.1002\/eat.24113"},{"key":"S0924933824017516_r65","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(22)00028-1"},{"key":"S0924933824017516_r9","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23704"},{"key":"S0924933824017516_r80","first-page":"1","article-title":"The alarms should no longer be ignored: survey of the demand, capacity and provision of adult community eating disorder services in England and Scotland before COVID-19","author":"Viljoen","year":"2023","journal-title":"BJPsych Bull"},{"key":"S0924933824017516_r88","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-022-02298-8"},{"key":"S0924933824017516_r11","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23836"},{"key":"S0924933824017516_r15","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2020.101905"},{"key":"S0924933824017516_r19","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0000000000000641"},{"key":"S0924933824017516_r35","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2825"},{"key":"S0924933824017516_r46","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2821"},{"key":"S0924933824017516_r84","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23610"},{"key":"S0924933824017516_r86","volume-title":"National cost collection: national schedule of NHS costs \u2013 year 2020\u201321 \u2013 NHS trust and NHS foundation trusts","year":"2021"},{"key":"S0924933824017516_r23","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2021.09.042"},{"key":"S0924933824017516_r26","doi-asserted-by":"publisher","DOI":"10.1177\/0141076815617651"},{"key":"S0924933824017516_r50","unstructured":"[50] World Health Organization. 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