2010
DOI: 10.1542/peds.2010-0031
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Disparities in the Evaluation and Diagnosis of Abuse Among Infants With Traumatic Brain Injury

Abstract: National data suggest continued biases in the evaluation for abusive head trauma. The conflicting observations of fewer skeletal surveys among white infants and higher rates of diagnosis among those screened elicit concern for overevaluation in some infants (black or publicly insured/uninsured) or underevaluation in others (white or privately insured).

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Cited by 197 publications
(148 citation statements)
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“…Panelists determined that SS was appropriate for 85% (63), uncertain for 15% (11), and inappropriate for none of the 74 revised scenarios rated in Round 2 ( Table 2). For all 11 scenarios deemed uncertain, panelists agreed that there was uncertainty about the appropriateness of SS.…”
Section: Resultsmentioning
confidence: 99%
See 2 more Smart Citations
“…Panelists determined that SS was appropriate for 85% (63), uncertain for 15% (11), and inappropriate for none of the 74 revised scenarios rated in Round 2 ( Table 2). For all 11 scenarios deemed uncertain, panelists agreed that there was uncertainty about the appropriateness of SS.…”
Section: Resultsmentioning
confidence: 99%
“…21 Nonetheless, universal evaluation in these populations is not the norm, which may contribute to missed opportunities to diagnose AHT. 7,11 Studies have shown that age-and injury-specific clinical guidelines regarding SS use have the potential to eliminate disparities in evaluation and improve abuse detection. 7,23 There are several limitations to our study.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…[36][37][38][39][40][41][42][43] Research has also revealed that racial and socioeconomic status (SES)-based biases influence decision-making regarding child abuse evaluations and diagnoses. 17,31,35,44,45 A single institution study of unwitnessed TBI in infants showed that implementation of a guideline for universal occult fracture evaluation in this population can eliminate racial and SES-based disparities and might increase the detection of abuse. 35 Thus, the development and implementation of guidelines for occult fracture evaluation in young, injured children has the potential to not only address disparities in care but also to increase early detection of abusive injuries and protect children from further harm.…”
Section: Discussionmentioning
confidence: 99%
“…This supplemental review identified 18 relevant articles from which data were abstracted and summarized for the expert panel. [10][11][12][13][23][24][25][26][27][28][29][30][31][32][33][34][35][36] …”
Section: Literature Reviewmentioning
confidence: 99%