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Cited by 45Eating Disorders and BehaviorsChild Nutrition and Feeding IssuesAutism Spectrum Disorder Research

A novel approach for autism spectrum condition patients with eating disorders: Analysis of treatment cost-savings

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Tchanturia, Kate, Dandil, Yasemin, Li, Zhuo, Smith, Katherine, Leslie, Monica, Byford, Sarah·2021·European Eating Disorders Review
DOI 10.1002/erv.2760
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Abstract

OBJECTIVE: In the current economic context, it is critical to ensure that eating disorder (ED) treatments are both effective and cost-effective. We describe the impact of a novel clinical pathway developed to better meet the needs of autistic patients with EDs on the length and cost of hospital admissions. METHOD: The pathway was based on the Institute for Healthcare's Model of Improvement methodology, using an iterative Plan, Do, Study, Act format to introduce change and to co-produce the work with people with lived experience and with healthcare professionals. We explored the change in length and cost of admissions before and after the pathway was introduced. RESULTS: Preliminary results suggest that the treatment innovations associated with this pathway have led to reduced lengths of admission for patients with the comorbidity, which were not seen for patients without the comorbidity. Estimated cost-savings were approximately £22,837 per patient and approximately £275,000 per year for the service as a whole. CONCLUSION: Going forward, our aim is to continue to evaluate the effectiveness and cost-effectiveness of investment in the pathway to determine whether the pathway improves the quality of care for patients with a comorbid ED and autism and is good value for money.

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  • Full-text screening was independently reviewed in duplicate in accordance with Cochrane guidance.

    “The full text of eligible articles was then screened by members of the review team (T.P., A.G., A.K., T.S., D.S., K.R.K.S., S.L., R.C., J.G., H.B., U.F.) and independently reviewed in duplicate (T.P., S.L.), in accordance with Cochrane guidance.22”

    From Approaches to improving mental healthcare for autistic people: Systematic review (2024) · cites this paper as [22]

    The Methods section describes training for an eating-disorder clinical team and a comparison of hospital-admission records before and after a new pathway. Searches for duplicate full-text screening, review-team procedures, and Cochrane guidance found no passage addressing the attributed claim. Page numbers were not available in our copy. (LLM, conf=0.76)

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Authors
Tchanturia, K., Dandil, Y., Li, Z., Smith, K., Leslie, M., & Byford, S.
Affiliations
  • Ilia State University (GE)
  • King's College London (GB)
Corresponding author
Tchanturia, Kate
ORCID
Venue
European Eating Disorders Review
Publisher
Wiley
Published
2020-07-10
Volume
29
Issue
3
Pages
514-518
ISSN
  • 1072-4133 (ISSN-L)
  • 1099-0968
DOI
10.1002/erv.2760
OpenAlex
W3041848458
Cited by
45
References
7
Citations by year
2026: 8 · 2025: 11 · 2024: 11 · 2023: 3 · 2022: 5 · 2021: 5 · 2020: 2
FWCI
1.49
Type
journal article
Language
en
Open access
Licence
Locations
  • European Eating Disorders Review (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • ChesterRep (University of Chester) (submittedVersion, cc-by-nc-nd)
Funders
  • Health Foundation (1115447)
  • Maudsley Charity
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
Keywords
autism spectrum disorder, eating disorders, eating disorder comorbidity, care pathways, hospitalization, length of hospital stay, treatment cost savings, cost-effectiveness, Model for Improvement, co-production, lived experience
MeSH terms
Feeding and Eating Disorders, Autistic Disorder, Cost-Benefit Analysis, Humans, Comorbidity, Health Care Costs

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