SanteMusiqueV1, Main, Exploration, bibRecord, 000737

Racial and Ethnic Disparities and Bias in the Evaluation and Reporting of Abusive Head Trauma.

Identifieur interne : 000737 ( Main/Exploration ); précédent : 000736; suivant : 000738

Racial and Ethnic Disparities and Bias in the Evaluation and Reporting of Abusive Head Trauma.

Auteurs : Kent P. Hymel [États-Unis] ; Antoinette L. Laskey [États-Unis] ; Kathryn R. Crowell [États-Unis] ; Ming Wang [États-Unis] ; Veronica Armijo-Garcia [États-Unis] ; Terra N. Frazier [États-Unis] ; Kelly S. Tieves [États-Unis] ; Robin Foster [États-Unis] ; Kerri Weeks [États-Unis]

Source :

The Journal of pediatrics [ 1097-6833 ] ; 2018.

RBID : pubmed:29606408

Descripteurs français

KwdFr :
- Biais (épidémiologie) (MeSH), Disparités d'accès aux soins (ethnologie), Déclaration obligatoire (MeSH), Enfant (MeSH), Enfant d'âge préscolaire (MeSH), Ethnies (statistiques et données numériques), Hospitalisation (MeSH), Humains (MeSH), Maltraitance des enfants (diagnostic), Maltraitance des enfants (ethnologie), Maltraitance des enfants (thérapie), Minorités (statistiques et données numériques), Nourrisson (MeSH), Nouveau-né (MeSH), Population d'origine européenne (statistiques et données numériques), Soins de réanimation (MeSH), Traumatismes cranioencéphaliques (diagnostic), Traumatismes cranioencéphaliques (ethnologie), Traumatismes cranioencéphaliques (thérapie), États-Unis (MeSH).
MESH :
- diagnostic : Maltraitance des enfants, Traumatismes cranioencéphaliques.
- ethnologie : Disparités d'accès aux soins, Maltraitance des enfants, Traumatismes cranioencéphaliques.
- statistiques et données numériques : Ethnies, Minorités, Population d'origine européenne.
- thérapie : Maltraitance des enfants, Traumatismes cranioencéphaliques.
- Biais (épidémiologie), Déclaration obligatoire, Enfant, Enfant d'âge préscolaire, Hospitalisation, Humains, Nourrisson, Nouveau-né, Soins de réanimation, États-Unis.
Wicri :
- geographic : États-Unis.

English descriptors

KwdEn :
- Bias (MeSH), Child (MeSH), Child Abuse (diagnosis), Child Abuse (ethnology), Child Abuse (therapy), Child, Preschool (MeSH), Craniocerebral Trauma (diagnosis), Craniocerebral Trauma (ethnology), Craniocerebral Trauma (therapy), Critical Care (MeSH), Ethnic Groups (statistics & numerical data), European Continental Ancestry Group (statistics & numerical data), Healthcare Disparities (ethnology), Hospitalization (MeSH), Humans (MeSH), Infant (MeSH), Infant, Newborn (MeSH), Mandatory Reporting (MeSH), Minority Groups (statistics & numerical data), United States (MeSH).
MESH :
- geographic : United States.
- diagnosis : Child Abuse, Craniocerebral Trauma.
- ethnology : Child Abuse, Craniocerebral Trauma, Healthcare Disparities.
- statistics & numerical data : Ethnic Groups, European Continental Ancestry Group, Minority Groups.
- therapy : Child Abuse, Craniocerebral Trauma.
- Bias, Child, Child, Preschool, Critical Care, Hospitalization, Humans, Infant, Infant, Newborn, Mandatory Reporting.

Abstract

OBJECTIVE

To characterize racial and ethnic disparities in the evaluation and reporting of suspected abusive head trauma (AHT) across the 18 participating sites of the Pediatric Brain Injury Research Network (PediBIRN). We hypothesized that such disparities would be confirmed at multiple sites and occur more frequently in patients with a lower risk for AHT.

STUDY DESIGN

Aggregate and site-specific analysis of the cross-sectional PediBIRN dataset, comparing AHT evaluation and reporting frequencies in subpopulations of white/non-Hispanic and minority race/ethnicity patients with lower vs higher risk for AHT.

RESULTS

In the PediBIRN study sample of 500 young, acutely head-injured patients hospitalized for intensive care, minority race/ethnicity patients (n = 229) were more frequently evaluated (P < .001; aOR, 2.2) and reported (P = .001; aOR, 1.9) for suspected AHT than white/non-Hispanic patients (n = 271). These disparities occurred almost exclusively in lower risk patients, including those ultimately categorized as non-AHT (P = .001 [aOR, 2.4] and P = .003 [aOR, 2.1]) or with an estimated AHT probability of ≤25% (P <.001 [aOR, 4.1] and P <.001 [aOR, 2.8]). Similar site-specific analyses revealed that these results reflected more extreme disparities at only 2 of 18 sites, and were not explained by local confounders.

CONCLUSION

Significant race/ethnicity-based disparities in AHT evaluation and reporting were observed at only 2 of 18 sites and occurred almost exclusively in lower risk patients. In the absence of local confounders, these disparities likely represent the impact of local physicians' implicit bias.

DOI: 10.1016/j.jpeds.2018.01.048
PubMed: 29606408
PubMed Central: PMC7243470

Affiliations:

États-Unis
Kansas, Missouri (État), Pennsylvanie, Texas, Utah, Virginie

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 000798
to stream Main, to step Curation: 000798

Le document en format XML

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<country xml:lang="fr">États-Unis</country>
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<country xml:lang="fr">États-Unis</country>
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<author><name sortKey="Armijo Garcia, Veronica" sort="Armijo Garcia, Veronica" uniqKey="Armijo Garcia V" first="Veronica" last="Armijo-Garcia">Veronica Armijo-Garcia</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Pediatrics, University of Texas Health Sciences Center San Antonio, San Antonio, TX.</nlm:affiliation>
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</placeName>
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<author><name sortKey="Frazier, Terra N" sort="Frazier, Terra N" uniqKey="Frazier T" first="Terra N" last="Frazier">Terra N. Frazier</name>
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<country xml:lang="fr">États-Unis</country>
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<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Virginie</region>
</placeName>
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<author><name sortKey="Weeks, Kerri" sort="Weeks, Kerri" uniqKey="Weeks K" first="Kerri" last="Weeks">Kerri Weeks</name>
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<series><title level="j">The Journal of pediatrics</title>
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<imprint><date when="2018" type="published">2018</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Bias (MeSH)</term>
<term>Child (MeSH)</term>
<term>Child Abuse (diagnosis)</term>
<term>Child Abuse (ethnology)</term>
<term>Child Abuse (therapy)</term>
<term>Child, Preschool (MeSH)</term>
<term>Craniocerebral Trauma (diagnosis)</term>
<term>Craniocerebral Trauma (ethnology)</term>
<term>Craniocerebral Trauma (therapy)</term>
<term>Critical Care (MeSH)</term>
<term>Ethnic Groups (statistics & numerical data)</term>
<term>European Continental Ancestry Group (statistics & numerical data)</term>
<term>Healthcare Disparities (ethnology)</term>
<term>Hospitalization (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Infant (MeSH)</term>
<term>Infant, Newborn (MeSH)</term>
<term>Mandatory Reporting (MeSH)</term>
<term>Minority Groups (statistics & numerical data)</term>
<term>United States (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Biais (épidémiologie) (MeSH)</term>
<term>Disparités d'accès aux soins (ethnologie)</term>
<term>Déclaration obligatoire (MeSH)</term>
<term>Enfant (MeSH)</term>
<term>Enfant d'âge préscolaire (MeSH)</term>
<term>Ethnies (statistiques et données numériques)</term>
<term>Hospitalisation (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Maltraitance des enfants (diagnostic)</term>
<term>Maltraitance des enfants (ethnologie)</term>
<term>Maltraitance des enfants (thérapie)</term>
<term>Minorités (statistiques et données numériques)</term>
<term>Nourrisson (MeSH)</term>
<term>Nouveau-né (MeSH)</term>
<term>Population d'origine européenne (statistiques et données numériques)</term>
<term>Soins de réanimation (MeSH)</term>
<term>Traumatismes cranioencéphaliques (diagnostic)</term>
<term>Traumatismes cranioencéphaliques (ethnologie)</term>
<term>Traumatismes cranioencéphaliques (thérapie)</term>
<term>États-Unis (MeSH)</term>
</keywords>
<keywords scheme="MESH" type="geographic" xml:lang="en"><term>United States</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Child Abuse</term>
<term>Craniocerebral Trauma</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Maltraitance des enfants</term>
<term>Traumatismes cranioencéphaliques</term>
</keywords>
<keywords scheme="MESH" qualifier="ethnologie" xml:lang="fr"><term>Disparités d'accès aux soins</term>
<term>Maltraitance des enfants</term>
<term>Traumatismes cranioencéphaliques</term>
</keywords>
<keywords scheme="MESH" qualifier="ethnology" xml:lang="en"><term>Child Abuse</term>
<term>Craniocerebral Trauma</term>
<term>Healthcare Disparities</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Ethnic Groups</term>
<term>European Continental Ancestry Group</term>
<term>Minority Groups</term>
</keywords>
<keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Ethnies</term>
<term>Minorités</term>
<term>Population d'origine européenne</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Child Abuse</term>
<term>Craniocerebral Trauma</term>
</keywords>
<keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Maltraitance des enfants</term>
<term>Traumatismes cranioencéphaliques</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Bias</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Critical Care</term>
<term>Hospitalization</term>
<term>Humans</term>
<term>Infant</term>
<term>Infant, Newborn</term>
<term>Mandatory Reporting</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Biais (épidémiologie)</term>
<term>Déclaration obligatoire</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Hospitalisation</term>
<term>Humains</term>
<term>Nourrisson</term>
<term>Nouveau-né</term>
<term>Soins de réanimation</term>
<term>États-Unis</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>États-Unis</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>To characterize racial and ethnic disparities in the evaluation and reporting of suspected abusive head trauma (AHT) across the 18 participating sites of the Pediatric Brain Injury Research Network (PediBIRN). We hypothesized that such disparities would be confirmed at multiple sites and occur more frequently in patients with a lower risk for AHT.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>STUDY DESIGN</b>
</p>
<p>Aggregate and site-specific analysis of the cross-sectional PediBIRN dataset, comparing AHT evaluation and reporting frequencies in subpopulations of white/non-Hispanic and minority race/ethnicity patients with lower vs higher risk for AHT.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>In the PediBIRN study sample of 500 young, acutely head-injured patients hospitalized for intensive care, minority race/ethnicity patients (n = 229) were more frequently evaluated (P < .001; aOR, 2.2) and reported (P = .001; aOR, 1.9) for suspected AHT than white/non-Hispanic patients (n = 271). These disparities occurred almost exclusively in lower risk patients, including those ultimately categorized as non-AHT (P = .001 [aOR, 2.4] and P = .003 [aOR, 2.1]) or with an estimated AHT probability of ≤25% (P <.001 [aOR, 4.1] and P <.001 [aOR, 2.8]). Similar site-specific analyses revealed that these results reflected more extreme disparities at only 2 of 18 sites, and were not explained by local confounders.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>Significant race/ethnicity-based disparities in AHT evaluation and reporting were observed at only 2 of 18 sites and occurred almost exclusively in lower risk patients. In the absence of local confounders, these disparities likely represent the impact of local physicians' implicit bias.</p>
</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">29606408</PMID>
<DateCompleted><Year>2019</Year>
<Month>02</Month>
<Day>25</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>05</Month>
<Day>23</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1097-6833</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>198</Volume>
<PubDate><Year>2018</Year>
<Month>07</Month>
</PubDate>
</JournalIssue>
<Title>The Journal of pediatrics</Title>
<ISOAbbreviation>J Pediatr</ISOAbbreviation>
</Journal>
<ArticleTitle>Racial and Ethnic Disparities and Bias in the Evaluation and Reporting of Abusive Head Trauma.</ArticleTitle>
<Pagination><MedlinePgn>137-143.e1</MedlinePgn>
</Pagination>
<ELocationID EIdType="pii" ValidYN="Y">S0022-3476(18)30124-0</ELocationID>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jpeds.2018.01.048</ELocationID>
<Abstract><AbstractText Label="OBJECTIVE">To characterize racial and ethnic disparities in the evaluation and reporting of suspected abusive head trauma (AHT) across the 18 participating sites of the Pediatric Brain Injury Research Network (PediBIRN). We hypothesized that such disparities would be confirmed at multiple sites and occur more frequently in patients with a lower risk for AHT.</AbstractText>
<AbstractText Label="STUDY DESIGN">Aggregate and site-specific analysis of the cross-sectional PediBIRN dataset, comparing AHT evaluation and reporting frequencies in subpopulations of white/non-Hispanic and minority race/ethnicity patients with lower vs higher risk for AHT.</AbstractText>
<AbstractText Label="RESULTS">In the PediBIRN study sample of 500 young, acutely head-injured patients hospitalized for intensive care, minority race/ethnicity patients (n = 229) were more frequently evaluated (P < .001; aOR, 2.2) and reported (P = .001; aOR, 1.9) for suspected AHT than white/non-Hispanic patients (n = 271). These disparities occurred almost exclusively in lower risk patients, including those ultimately categorized as non-AHT (P = .001 [aOR, 2.4] and P = .003 [aOR, 2.1]) or with an estimated AHT probability of ≤25% (P <.001 [aOR, 4.1] and P <.001 [aOR, 2.8]). Similar site-specific analyses revealed that these results reflected more extreme disparities at only 2 of 18 sites, and were not explained by local confounders.</AbstractText>
<AbstractText Label="CONCLUSION">Significant race/ethnicity-based disparities in AHT evaluation and reporting were observed at only 2 of 18 sites and occurred almost exclusively in lower risk patients. In the absence of local confounders, these disparities likely represent the impact of local physicians' implicit bias.</AbstractText>
<CopyrightInformation>Copyright © 2018 Elsevier Inc. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hymel</LastName>
<ForeName>Kent P</ForeName>
<Initials>KP</Initials>
<AffiliationInfo><Affiliation>Department of Pediatrics, Penn State College of Medicine, Penn State Health Children's Hospital, Hershey, PA. Electronic address: kphymel@gmail.com.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Laskey</LastName>
<ForeName>Antoinette L</ForeName>
<Initials>AL</Initials>
<AffiliationInfo><Affiliation>Department of Pediatrics, University of Utah School of Medicine, Primary Children's Medical Center, Salt Lake City, UT.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Crowell</LastName>
<ForeName>Kathryn R</ForeName>
<Initials>KR</Initials>
<AffiliationInfo><Affiliation>Department of Pediatrics, Penn State College of Medicine, Penn State Health Children's Hospital, Hershey, PA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Wang</LastName>
<ForeName>Ming</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Department of Public Health Sciences, Penn State College of Medicine, Hershey, PA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Armijo-Garcia</LastName>
<ForeName>Veronica</ForeName>
<Initials>V</Initials>
<AffiliationInfo><Affiliation>Department of Pediatrics, University of Texas Health Sciences Center San Antonio, San Antonio, TX.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Frazier</LastName>
<ForeName>Terra N</ForeName>
<Initials>TN</Initials>
<AffiliationInfo><Affiliation>Department of Pediatrics, Children's Mercy Hospital, Kansas City, MO.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Tieves</LastName>
<ForeName>Kelly S</ForeName>
<Initials>KS</Initials>
<AffiliationInfo><Affiliation>Department of Pediatrics, Children's Mercy Hospital, Kansas City, MO.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Foster</LastName>
<ForeName>Robin</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Department of Pediatrics, Children's Hospital of Richmond at Virginia Commonwealth University Health System, Richmond, VA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Weeks</LastName>
<ForeName>Kerri</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>Department of Pediatrics, University of Kansas School of Medicine, Wichita, KS.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><CollectiveName>Pediatric Brain Injury Research Network (PediBIRN) Investigators</CollectiveName>
</Author>
</AuthorList>
<Language>eng</Language>
<GrantList CompleteYN="Y"><Grant><GrantID>KL2 TR002015</GrantID>
<Acronym>TR</Acronym>
<Agency>NCATS NIH HHS</Agency>
<Country>United States</Country>
</Grant>
<Grant><GrantID>P50 HD089922</GrantID>
<Acronym>HD</Acronym>
<Agency>NICHD NIH HHS</Agency>
<Country>United States</Country>
</Grant>
<Grant><GrantID>UL1 TR002014</GrantID>
<Acronym>TR</Acronym>
<Agency>NCATS NIH HHS</Agency>
<Country>United States</Country>
</Grant>
</GrantList>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D052061">Research Support, N.I.H., Extramural</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2018</Year>
<Month>03</Month>
<Day>29</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>J Pediatr</MedlineTA>
<NlmUniqueID>0375410</NlmUniqueID>
<ISSNLinking>0022-3476</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>AIM</CitationSubset>
<CitationSubset>IM</CitationSubset>
<CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>J Pediatr. 2018 Jul;198:13-15</RefSource>
<PMID Version="1">29551314</PMID>
</CommentsCorrections>
</CommentsCorrectionsList>
<MeshHeadingList><MeshHeading><DescriptorName UI="D015982" MajorTopicYN="N">Bias</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002649" MajorTopicYN="N">Child Abuse</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000208" MajorTopicYN="Y">ethnology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006259" MajorTopicYN="N">Craniocerebral Trauma</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName>
<QualifierName UI="Q000208" MajorTopicYN="Y">ethnology</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003422" MajorTopicYN="N">Critical Care</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005006" MajorTopicYN="N">Ethnic Groups</DescriptorName>
<QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D044465" MajorTopicYN="N">European Continental Ancestry Group</DescriptorName>
<QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D054625" MajorTopicYN="N">Healthcare Disparities</DescriptorName>
<QualifierName UI="Q000208" MajorTopicYN="Y">ethnology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006760" MajorTopicYN="N">Hospitalization</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007223" MajorTopicYN="N">Infant</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D007231" MajorTopicYN="N">Infant, Newborn</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D019221" MajorTopicYN="Y">Mandatory Reporting</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008913" MajorTopicYN="N">Minority Groups</DescriptorName>
<QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D014481" MajorTopicYN="N" Type="Geographic">United States</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">abusive head trauma</Keyword>
<Keyword MajorTopicYN="Y">bias</Keyword>
<Keyword MajorTopicYN="Y">child abuse</Keyword>
<Keyword MajorTopicYN="Y">practice disparities</Keyword>
</KeywordList>
<InvestigatorList><Investigator ValidYN="Y"><LastName>Hymel</LastName>
<ForeName>Kent P</ForeName>
<Initials>KP</Initials>
<AffiliationInfo><Affiliation>Penn State Health Children's Hospital and College of Medicine, Hershey, PA.</Affiliation>
</AffiliationInfo>
</Investigator>
<Investigator ValidYN="Y"><LastName>Dias</LastName>
<ForeName>Mark S</ForeName>
<Initials>MS</Initials>
<AffiliationInfo><Affiliation>Penn State Health Children's Hospital and College of Medicine, Hershey, PA.</Affiliation>
</AffiliationInfo>
</Investigator>
<Investigator ValidYN="Y"><LastName>Halstead</LastName>
<ForeName>E Scott</ForeName>
<Initials>ES</Initials>
<AffiliationInfo><Affiliation>Penn State Health Children's Hospital and College of Medicine, Hershey, PA.</Affiliation>
</AffiliationInfo>
</Investigator>
<Investigator ValidYN="Y"><LastName>Wang</LastName>
<ForeName>Ming</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Penn State Health Children's Hospital and College of Medicine, Hershey, PA.</Affiliation>
</AffiliationInfo>
</Investigator>
<Investigator ValidYN="Y"><LastName>Chinchilli</LastName>
<ForeName>Vernon M</ForeName>
<Initials>VM</Initials>
<AffiliationInfo><Affiliation>Penn State Health Children's Hospital and College of Medicine, Hershey, PA.</Affiliation>
</AffiliationInfo>
</Investigator>
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<ForeName>Bruce</ForeName>
<Initials>B</Initials>
<AffiliationInfo><Affiliation>Primary Children's Medical Center, Salt Lake City, UT.</Affiliation>
</AffiliationInfo>
</Investigator>
<Investigator ValidYN="Y"><LastName>Foster</LastName>
<ForeName>Robin</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>The Children's Hospital of Richmond.</Affiliation>
</AffiliationInfo>
</Investigator>
<Investigator ValidYN="Y"><LastName>Willson</LastName>
<ForeName>Douglas R</ForeName>
<Initials>DR</Initials>
<AffiliationInfo><Affiliation>The Children's Hospital of Richmond.</Affiliation>
</AffiliationInfo>
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<Investigator ValidYN="Y"><LastName>Marinello</LastName>
<ForeName>Mark</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>The Children's Hospital of Richmond.</Affiliation>
</AffiliationInfo>
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<Investigator ValidYN="Y"><LastName>Armijo-Garcia</LastName>
<ForeName>Veronica</ForeName>
<Initials>V</Initials>
<AffiliationInfo><Affiliation>University of Texas Health Sciences Center at San Antonio, San Antonio, TX.</Affiliation>
</AffiliationInfo>
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<ForeName>Sandeep K</ForeName>
<Initials>SK</Initials>
<AffiliationInfo><Affiliation>University of Texas Health Sciences Center at San Antonio, San Antonio, TX.</Affiliation>
</AffiliationInfo>
</Investigator>
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<ForeName>Natalie</ForeName>
<Initials>N</Initials>
<AffiliationInfo><Affiliation>University of Texas Health Sciences Center at San Antonio, San Antonio, TX.</Affiliation>
</AffiliationInfo>
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<ForeName>Deborah A</ForeName>
<Initials>DA</Initials>
<AffiliationInfo><Affiliation>Dartmouth-Hitchcock Medical Center, Lebanon, NH.</Affiliation>
</AffiliationInfo>
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<Investigator ValidYN="Y"><LastName>Suresh</LastName>
<ForeName>Gautham</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>Dartmouth-Hitchcock Medical Center, Lebanon, NH.</Affiliation>
</AffiliationInfo>
</Investigator>
<Investigator ValidYN="Y"><LastName>Homa</LastName>
<ForeName>Karen</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>Dartmouth-Hitchcock Medical Center, Lebanon, NH.</Affiliation>
</AffiliationInfo>
</Investigator>
<Investigator ValidYN="Y"><LastName>Graf</LastName>
<ForeName>Jeanine M</ForeName>
<Initials>JM</Initials>
<AffiliationInfo><Affiliation>Texas Children's Hospital, Houston, TX.</Affiliation>
</AffiliationInfo>
</Investigator>
<Investigator ValidYN="Y"><LastName>Isaac</LastName>
<ForeName>Reena</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Texas Children's Hospital, Houston, TX.</Affiliation>
</AffiliationInfo>
</Investigator>
<Investigator ValidYN="Y"><LastName>Musick</LastName>
<ForeName>Matthew</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Texas Children's Hospital, Houston, TX.</Affiliation>
</AffiliationInfo>
</Investigator>
<Investigator ValidYN="Y"><LastName>Frazier</LastName>
<ForeName>Terra N</ForeName>
<Initials>TN</Initials>
<AffiliationInfo><Affiliation>Children's Mercy Hospital, Kansas City, MO.</Affiliation>
</AffiliationInfo>
</Investigator>
<Investigator ValidYN="Y"><LastName>Tieves</LastName>
<ForeName>Kelly S</ForeName>
<Initials>KS</Initials>
<AffiliationInfo><Affiliation>Children's Mercy Hospital, Kansas City, MO.</Affiliation>
</AffiliationInfo>
</Investigator>
<Investigator ValidYN="Y"><LastName>Carroll</LastName>
<ForeName>Christopher L</ForeName>
<Initials>CL</Initials>
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</AffiliationInfo>
</Investigator>
<Investigator ValidYN="Y"><LastName>Truemper</LastName>
<ForeName>Edward</ForeName>
<Initials>E</Initials>
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</AffiliationInfo>
</Investigator>
<Investigator ValidYN="Y"><LastName>Haney</LastName>
<ForeName>Suzanne B</ForeName>
<Initials>SB</Initials>
<AffiliationInfo><Affiliation>Children's Hospital of Omaha, Omaha, NE.</Affiliation>
</AffiliationInfo>
</Investigator>
<Investigator ValidYN="Y"><LastName>Meyer</LastName>
<ForeName>Kerri</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>Wesley Medical Center, Wichita, KS.</Affiliation>
</AffiliationInfo>
</Investigator>
<Investigator ValidYN="Y"><LastName>Smith</LastName>
<ForeName>Lindall E</ForeName>
<Initials>LE</Initials>
<AffiliationInfo><Affiliation>Wesley Medical Center, Wichita, KS.</Affiliation>
</AffiliationInfo>
</Investigator>
<Investigator ValidYN="Y"><LastName>Higgerson</LastName>
<ForeName>Renee A</ForeName>
<Initials>RA</Initials>
<AffiliationInfo><Affiliation>Dell Children's Medical Center of Central Texas, Austin, TX.</Affiliation>
</AffiliationInfo>
</Investigator>
<Investigator ValidYN="Y"><LastName>Edwards</LastName>
<ForeName>George A</ForeName>
<Initials>GA</Initials>
<AffiliationInfo><Affiliation>Dell Children's Medical Center of Central Texas, Austin, TX.</Affiliation>
</AffiliationInfo>
</Investigator>
<Investigator ValidYN="Y"><LastName>Harper</LastName>
<ForeName>Nancy S</ForeName>
<Initials>NS</Initials>
<AffiliationInfo><Affiliation>Driscoll Children's Hospital, Corpus Christi, TX.</Affiliation>
</AffiliationInfo>
</Investigator>
<Investigator ValidYN="Y"><LastName>Serrao</LastName>
<ForeName>Karl L</ForeName>
<Initials>KL</Initials>
<AffiliationInfo><Affiliation>Driscoll Children's Hospital, Corpus Christi, TX.</Affiliation>
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</Investigator>
<Investigator ValidYN="Y"><LastName>Sirotnak</LastName>
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<Initials>A</Initials>
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<Initials>J</Initials>
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<Initials>A</Initials>
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<Initials>SC</Initials>
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<Initials>C</Initials>
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<Initials>D</Initials>
<AffiliationInfo><Affiliation>Helen DeVos Children's Hospital, Grand Rapids, MI.</Affiliation>
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HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000737 | SxmlIndent | more

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{{Explor lien
   |wiki=    Sante
   |area=    SanteMusiqueV1
   |flux=    Main
   |étape=   Exploration
   |type=    RBID
   |clé=     pubmed:29606408
   |texte=   Racial and Ethnic Disparities and Bias in the Evaluation and Reporting of Abusive Head Trauma.
}}

Pour générer des pages wiki

HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i   -Sk "pubmed:29606408" \
       | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd   \
       | NlmPubMed2Wicri -a SanteMusiqueV1

This area was generated with Dilib version V0.6.38.
Data generation: Mon Mar 8 15:23:44 2021. Site generation: Mon Mar 8 15:23:58 2021

	Serveur d'exploration Santé et pratique musicale
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Serveur d'exploration Santé et pratique musicale

Racial and Ethnic Disparities and Bias in the Evaluation and Reporting of Abusive Head Trauma.

Racial and Ethnic Disparities and Bias in the Evaluation and Reporting of Abusive Head Trauma.

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Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki