Social Intuition and Social Information in Physical Child Abuse Evaluation and Diagnosis

Pediatrics
Heather T KeenanKristine A Campbell

Abstract

Poor and minority children with injuries concerning for abuse are evaluated and diagnosed for abuse differentially. We hypothesized that 2 steps in the decision-making process would influence evaluation and diagnosis: social intuition from meeting the family and objective social information associated with child abuse risk. Between 2009 and 2013, 32 child abuse pediatricians (CAPs) submitted 730 child abuse consultations including original medical evaluations and diagnoses. CAPs evaluated and diagnosed each other's cases. Comparisons of evaluations and diagnoses were made by levels of social understanding available to the CAP: meeting the family (social intuition and information), reading the case (social information), and reading the case without social information. Evaluations were compared with a consensus gold standard by using logistic regression modeling adjusting for child and CAP characteristics. Diagnostic categories were compared by level of social understanding and diagnostic certainty by using contingency tables. CAPs without access to social intuition were approximately twice as likely to perform gold standard evaluations for neurotrauma and long bone fracture compared with CAPs who met families. Diagnostic agreeme...Continue Reading

References

Feb 24, 1999·JAMA : the Journal of the American Medical Association·C JennyT C Hay
Sep 28, 2002·JAMA : the Journal of the American Medical Association·Wendy G LaneCindy W Christian
Jan 20, 2005·Annals of Internal Medicine·Donald A Redelmeier
Jun 16, 2009·Journal of Pediatric Surgery·Erika L RangelRichard A Falcone
Jan 21, 2011·Academic Medicine : Journal of the Association of American Medical Colleges·John W ElyPat Croskerry
Jan 10, 2012·The Journal of Pediatrics·Antoinette L LaskeyStephen M Downs
May 25, 2012·Medical Decision Making : an International Journal of the Society for Medical Decision Making·Olga KostopoulouAbdel Douiri
Aug 10, 2012·Healthcare Quarterly·Pat Croskerry
Sep 28, 2012·BMJ : British Medical Journal·Ann Van den BruelDavid Mant
Feb 13, 2013·Child Abuse & Neglect·Suzanne P StarlingAnne McDonald
Jun 28, 2013·The New England Journal of Medicine·Pat Croskerry
Sep 3, 2013·BMJ Quality & Safety·Pat CroskerrySílvia Mamede
Nov 28, 2013·Academic Medicine : Journal of the Association of American Medical Colleges·Rodrigo B Cavalcanti, Matthew Sibbald
Jun 24, 2015·Pediatrics·Kristine A CampbellHeather T Keenan
Dec 1, 2015·Child Abuse & Neglect·Barbara H ChaiyachatiJohn M Leventhal

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Citations

May 18, 2018·Current Opinion in Pediatrics·Fiona DanaherAlice W Newton
Aug 30, 2019·Health Science Reports·Ulf HögbergIngemar Thiblin
Nov 8, 2020·Child Abuse & Neglect·Andrea G AsnesJohn M Leventhal
Jan 14, 2020·The Journal of Pediatrics·Kent P HymelUNKNOWN Pediatric Brain Injury Research Network (PediBIRN) Investigators
Feb 13, 2021·Acta Paediatrica·Staffan Janson

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