title: Predictors of outcome at 1 year in adolescents with DSM-5 restrictive eating disorders: report of the national eating disorders quality improvement collaborative.
abstract: OBJECTIVE
  The National Eating Disorders Quality Improvement Collaborative evaluated data of patients with restrictive eating disorders to analyze demographics of diagnostic categories and predictors of weight restoration at 1 year.
  
  
  METHODS
  Fourteen Adolescent Medicine eating disorder programs participated in a retrospective review of 700 adolescents aged 9-21 years with three visits, with DSM-5 categories of restrictive eating disorders including anorexia nervosa (AN), atypical AN, and avoidant/restrictive food intake disorder (ARFID). Data including demographics, weight and height at intake and follow-up, treatment before intake, and treatment during the year of follow-up were analyzed.
  
  
  RESULTS
  At intake, 53.6% met criteria for AN, 33.9% for atypical AN, and 12.4% for ARFID. Adolescents with ARFID were more likely to be male, younger, and had a longer duration of illness before presentation. All sites had a positive change in mean percentage median body mass index (%MBMI) for their population at 1-year follow-up. Controlling for age, gender, duration of illness, diagnosis, and prior higher level of care, only %MBMI at intake was a significant predictor of weight recovery. In the model, there was a 12.7% change in %MBMI (interquartile range, 6.5-19.3). Type of treatment was not predictive, and there were no significant differences between programs in terms of weight restoration.
  
  
  CONCLUSIONS
  The National Eating Disorders Quality Improvement Collaborative provides a description of the patient population presenting to a national cross-section of 14 Adolescent Medicine eating disorder programs and categorized by DSM-5. Treatment modalities need to be further evaluated to assess for more global aspects of recovery.
authors.affiliation: Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts. Electronic address: sara.forman@childrens.harvard.edu.
authors.forename: Sara F
authors.initials: SF
authors.lastname: Forman
authors.affiliation: Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts.
authors.forename: Nicole
authors.initials: N
authors.lastname: McKenzie
authors.affiliation: Program for Patient Safety and Quality, Boston Children's Hospital, Boston, Massachusetts.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Hehn
authors.affiliation: Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts.
authors.forename: Maria C
authors.initials: MC
authors.lastname: Monge
authors.affiliation: Division of Adolescent Medicine, Stanford University School of Medicine, Stanford, California.
authors.forename: Cynthia J
authors.initials: CJ
authors.lastname: Kapphahn
authors.affiliation: Division of Adolescent Pediatrics, Beaumont Children's Hospital, Royal Oak, Michigan.
authors.forename: Kathleen A
authors.initials: KA
authors.lastname: Mammel
authors.affiliation: Division of Adolescent Medicine, Vanderbilt University Medical Center, Nashville, Tennessee; Department of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee.
authors.forename: S Todd
authors.initials: ST
authors.lastname: Callahan
authors.affiliation: Children's Hospital of Colorado, Section of Adolescent Medicine, University of Colorado, Aurora, Colorado.
authors.forename: Eric J
authors.initials: EJ
authors.lastname: Sigel
authors.affiliation: Department of Pediatrics, The Ohio State University, Columbus, Ohio; Nationwide Children's Hospital, Columbus, Ohio.
authors.forename: Terrill
authors.initials: T
authors.lastname: Bravender
authors.affiliation: Division of Adolescent Medicine, Vanderbilt University Medical Center, Nashville, Tennessee; Department of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee.
authors.forename: Mary
authors.initials: M
authors.lastname: Romano
authors.affiliation: Section of Adolescent Medicine, Department of General Pediatrics, Cleveland Clinic Children's Hospital, Cleveland, Ohio.
authors.forename: Ellen S
authors.initials: ES
authors.lastname: Rome
authors.affiliation: Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts.
authors.forename: Kelly A
authors.initials: KA
authors.lastname: Robinson
authors.affiliation: Division of Adolescent Medicine, Steven and Alexandra Cohen Children's Medical Center, North Shore-Long Island Jewish Health System, New Hyde Park, New York; Department of Pediatrics, Hofstra North Shore-Long Island Jewish School of Medicine, Hempstead, New York.
authors.forename: Martin
authors.initials: M
authors.lastname: Fisher
authors.affiliation: Division of Adolescent Medicine, Steven and Alexandra Cohen Children's Medical Center, North Shore-Long Island Jewish Health System, New Hyde Park, New York.
authors.forename: Joan B
authors.initials: JB
authors.lastname: Malizio
authors.affiliation: Department of Pediatrics, University of Michigan Medical School, Ann Arbor, Michigan; Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, Michigan; Department of Psychiatry, University of Michigan Medical School, Ann Arbor, Michigan.
authors.forename: David S
authors.initials: DS
authors.lastname: Rosen
authors.affiliation: Department of Pediatrics, Baylor College of Medicine, Texas Children's Hospital, Houston, Texas.
authors.forename: Albert C
authors.initials: AC
authors.lastname: Hergenroeder
authors.affiliation: Department of Pediatrics, University of California, San Francisco, California.
authors.forename: Sara M
authors.initials: SM
authors.lastname: Buckelew
authors.affiliation: Division of Adolescent Medicine, Children's Hospital of Wisconsin, Milwaukee, Wisconsin.
authors.forename: M Susan
authors.initials: MS
authors.lastname: Jay
authors.affiliation: Group Health Permanente, Group Health Cooperative, Seattle, Washington.
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Lindenbaum
authors.affiliation: Indiana University School of Medicine, Indianapolis, Indiana.
authors.forename: Vaughn I
authors.initials: VI
authors.lastname: Rickert
authors.affiliation: Division of Adolescent Medicine, University of California San Francisco, San Francisco, California.
authors.forename: Andrea
authors.initials: A
authors.lastname: Garber
authors.affiliation: Division of Adolescent Medicine, Stanford University School of Medicine, Stanford, California.
authors.forename: Neville H
authors.initials: NH
authors.lastname: Golden
authors.affiliation: Division of Adolescent/Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts.
authors.forename: Elizabeth R
authors.initials: ER
authors.lastname: Woods
mesh_terms: D000293:Adolescent; D000295:Adolescent Medicine / Q000379:methods*; D000328:Adult; D000367:Age Factors; D015992:Body Mass Index; D001835:Body Weight; D002648:Child; D003299:Cooperative Behavior; D039721:Diagnostic and Statistical Manual of Mental Disorders; D001068:Feeding and Eating Disorders / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D015397:Program Evaluation / Q000379:methods* / Q000706:statistics & numerical data; D058996:Quality Improvement; D012189:Retrospective Studies; D012737:Sex Factors; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult
keywords: ARFID; Adolescents; Anorexia nervosa; Atypical anorexia nervosa; DSM-5; Quality improvement; Restrictive eating disorder; Weight recuperation