Pediatric Feeding Disorder: A Nationwide Prevalence Study
Pediatric Feeding Disorder: A Nationwide Prevalence Study
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DOI：
10.1016/j.jpeds.2020.07.047
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发表时间：
2021-01-01
影响因子：
5.1
通讯作者：
Goday, Praveen S.
中科院分区：
文献类型：
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作者：
Kovacic, Karlo;Rein, Lisa E.;Goday, Praveen S.
研究设计我们对亚利桑那州（2009-2017年）和威斯康星州（2005-2014年）的Medicaid数据库（公共保险数据库）和Truven Health Analytics MarketScan商业索赔和遭遇数据库（2009-2015年）（一个全国性的私人保险数据库）进行了回顾性队列研究。使用国际疾病分类（ICD）-9和ICD-10诊断代码以及ICD和现行程序术语-4程序代码从住院和门诊索赔中确定诊断和程序。PFD的儿童被确定存在1个或多个PFD的诊断和没有任何饮食失调的诊断在一个日历年。结果我们确定了126 002和367 256名儿童5岁或以下的PFD与公共和私人保险，分别。在5年期间（2009-2014年），亚利桑那州和威斯康星州公共保险儿童的PFD患病率分别为32.91（95%CI，32.61-33.20）和34.73（95%CI，34.37-35.09）/1000儿童年。同样，私营保险公司的PFD患病率为21.07（95% CI，21.00-21.14）儿童/1000儿童年。患病率趋势显示，在两个保险组群中，儿童的患病率呈显著线性增加。2014年，在威斯康星州、亚利桑那州的公共保险队列和私人保险队列中，5岁以下儿童中PFD的年患病率分别为1/23、1/24和1/37。结论美国喂养障碍的患病率与饮食失调和自闭症等常见疾病相媲美。
Objective To assess the prevalence of pediatric feeding disorder (PFD) in US children.Study design We conducted a retrospective cohort study of Medicaid Databases from Arizona (2009-2017) and Wisconsin (2005-2014) (public insurance databases) and The Truven Health Analytics MarketScan Commercial Claims and Encounters Database (2009-2015) (a nationwide private insurance database). Diagnoses and procedures were identified from inpatient and outpatient claims using the International Classification of Diseases (ICD)-9 and ICD-10 diagnostic codes and ICD and Current Procedural Terminology-4 procedure codes. Children with PFD were identified by presence of 1 or more PFD diagnosis and absence of any eating disorder diagnoses within a calendar year.Results We identified 126 002 and 367 256 children 5 years of age or younger with PFD with public and private insurance, respectively. Over a 5-year period (2009-2014) the prevalences of PFD in children with public insurance in Arizona and Wisconsin were 32.91 (95% CI, 32.61-33.20) and 34.73 (95% CI, 34.37-35.09) children per 1000 child-years, respectively. Similarly, the prevalence of PFD in private insurance carriers was 21.07 (95% CI, 21.00-21.14) children per 1000 child-years. The prevalence trends showed a significant linear increase in children within both insurance cohorts. In 2014, the annual prevalence of PFD was 1 in 23, 1 in 24, and 1 in 37 in children under 5 years in the publicly insured cohorts in Wisconsin, Arizona, and the privately insured cohort, respectively.Conclusions The prevalence of feeding disorders in the US rivals that of commonly diagnosed conditions such as eating disorders and autism.