Canadian practice guidelines for the treatment of children and adolescents with eating disorders

Table 49 Non-selective menus during inpatient treatment versus selective menus for children and adolescents with anorexia nervosa

Certainty assessment							Impact	Certainty	Importance
№ of studies	Study design	Risk of bias	Inconsistency	Indirectness	Imprecision	Other considerations	Impact	Certainty	Importance
Rate of Weight Gain (assessed with: Weekly weight gain in kg/week), EDE Scores
1	Case Control	serious ^a,b	not serious	not serious	serious ^c	all plausible residual confounding would reduce the demonstrated effect	One study including 22 patients who received non-selective menus compared to 18 patients who received selective menus. LOS varied between groups (although non-significant) with non-select patients remaining in hospital a mean of 60.3 (+/− 22.8) days vs 74.2 (+/−28.7) days in selective menus group. Non-selective menu group gained a mean of 0.95 kg/wk (+/−0.35) and those in selective menu group gained a mean of 0.72 kg/wk (+/− 0.24) (p = 0.02).	⨁◯◯◯ VERY LOW	CRITICAL
1	Case Control	serious ^a,b	not serious	not serious	serious ^c	all plausible residual confounding would reduce the demonstrated effect	No significant differences were found on any of the EDE items related to eating concern. Overall change in EDE eating concern scores were low ranging from −0.6 to 1.1.	⨁◯◯◯ VERY LOW	IMPORTANT

Explanations
^aUnclear whether groups differed at baseline as these details were not reported
^bCohort study design (pre/post introduction of non-selective menus), unclear if other aspects of care may have also varied between groups
^cConfidence intervals relatively wide and overlap with actual difference in effect
Bibliography:
Case Control - Leacy 2012 [241]

ISSN: 2050-2974