Publication: Adherence of nutritional support prescriptions to clinical practice guidelines in patients with anorexia nervosa.
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Date
2019
Authors
Alañón Pardo, María Del Mar
Ferrit Martín, Mónica
Calleja Hernández, Miguel Ángel
Morillas Márquez, Francisco
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Abstract
Background: nutritional support (NS) is a core element in the treatment of underweight patients with anorexia nervosa (AN). Objective: to analyze the adherence of NS prescriptions to clinical practice guidelines (CPGs) for AN patients and to compare the effectiveness, safety, and cost of NS according to adherence. Methods: this retrospective observational study included AN patients admitted to an Eating Disorders Unit between January 2006 and December 2009 and followed until December 2014. NS prescriptions were compared with guidelines published by the American Psychiatric Association (APA), the National Institute for Clinical Excellence (NICE), and the Spanish Ministry of Health and Consumption (SMHC). Adherence was defined as percentage of hospitalizations that followed all recommendations. Results: adherence to APA and NICE/SMHC was observed in 10.2% and 73.4%, respectively, of the total of 177 hospitalizations. Body weight and body mass index were higher at admission in the NICE/SMHC adherence versus non-adherence group (p
Description
MeSH Terms
Adolescent
Adult
Anorexia Nervosa
Female
Guideline Adherence
Humans
Male
Middle Aged
Nutritional Support
Practice Guidelines as Topic
Prescriptions
Retrospective Studies
Treatment Outcome
Young Adult
Adult
Anorexia Nervosa
Female
Guideline Adherence
Humans
Male
Middle Aged
Nutritional Support
Practice Guidelines as Topic
Prescriptions
Retrospective Studies
Treatment Outcome
Young Adult
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Keywords
Trastornos de conducta alimentaria. Anorexia nerviosa. Soporte nutricional. Guías. Adecuación.