A Retrospective Chart Review Suggests That Coordinated, Multidisciplinary Treatment for Patients with Anorexia Nervosa Improves Odds of Weight Restoration

Kary Woodruff,1 Elizabeth A Joy,2 Ryan D Burns,3 Scott A Summers,1,* Julie M Metos,1,* Kristine C Jordan1 1Department of Nutrition and Integrative Physiology, University of Utah, Salt Lake City, UT, USA; 2Office of Health Promotion and Wellness, Intermountain Health, Salt Lake City, UT, USA; 3Department of Health and Kinesiology, University of Utah, Salt Lake City, UT, USA*These authors contributed equally to this workCorrespondence: Kary Woodruff, University of Utah, 250 South 1850 East, Room 210, Salt Lake City, UT, 84112, USA, Tel +1 801-585-5936, Email kary.woodruff@utah.eduPurpose: The objective of this study was to conduct a secondary data analysis of clinical information documented in the electronic medical record to assess the clinical outcomes of patients who received three different treatment approaches on clinical outcomes for treatment of patients with anorexia nervosa (AN).Patients and methods: Historical electronic medical record (EMR) data on patients aged 6 to 80 years diagnosed with AN seen in a healthcare system between 2007 and 2017 were stratified, according to services received, into three groups: Group A (n = 48) received hospital-based services; Group B (n = 290) saw one or two provider types; Group C (n = 26) received outpatient coordinated multidisciplinary care from three provider types. Clinical outcomes [body mass index for adults (BMI), body mass index percentile (BMI%ile) for pediatric patients] defined AN severity and weight restoration. EMR data were analyzed using a generalized mixed-effects model and a Markov Transition model to examine the odds of weight restoration and the change in odds of weight restoration across the number of provider visits, respectively.Results: Patients receiving coordinated multidisciplinary care had significantly higher odds of weight restoration compared with patients receiving hospital-based services only (OR = 3.76, 95% CI [1.04, 13.54], p = 0.042). In addition, patients receiving care from 1 to 2 providers (OR = 1.006, 95% CI [1.003, 1.010], p = ...