SynthesisChild abuse & neglect2018
Skeletal surveys in young, injured children: A systematic review.
Synthesis in Child abuse & neglect, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
24 citing papers in PubMed, 53 citations in OpenAlex.
- Letter to the Editor: Rib fracture diagnosis in suspected abuse-clinical and methodological considerations.European radiology · 2026Article
- Improving clinician knowledge, comfort, and adherence to standard of care for suspected child abuse.BMC pediatrics · 2026Article
- Characteristics of head injuries in children at King Abdullah Specialized Children's Hospital, Jeddah: a cross-sectional study.Frontiers in pediatrics · 2026Article
- Skeletal surveys for suspected infant abuse: patient-specific radiation dose estimation using a hybrid computational phantom.Pediatric radiology · 2025Article
- Variation in Use of Neuroimaging in the Care of Infants Undergoing Subspecialty Evaluations for Abuse: A Multicenter Study.Academic pediatrics · 2025Article
- Promoting Health Equity for Children With Special Health Care Needs and Child Welfare Involvement.Hospital pediatrics · 2025Article
- An exploratory study of addressing bias for child abuse teams: the role of narrative medicine.Frontiers in pediatrics · 2025Article
- Reports of Maltreatment in a Children's Hospital: Evaluation of the Epidemiological Profile and Its Relationship with the Outcome in Fractures.Revista brasileira de ortopedia · 2024Article
- Racial and ethnic inequities in the quality of paediatric care in the USA: a review of quantitative evidence.The Lancet. Child & adolescent health · 2024Review
- Child physical abuse screening in a pediatric ED; Does TRAIN(ing) Help?BMC pediatrics · 2023Article
- Typical median effective radiation doses using an anthropomorphic bone fracture phantom for initial radiographic skeletal surveys in the investigation of suspected physical abuse.Pediatric radiology · 2023Article
- Sibling screening in suspected abusive head trauma: a proposed guideline.Pediatric radiology · 2021Review
- Ethical challenges in child abuse: what is the harm of a misdiagnosis?Pediatric radiology · 2021Review
- Clinical evaluation and management of children with suspected physical abuse.Pediatric radiology · 2021Review
- Prevalence and distribution of occult fractures on skeletal surveys in children with suspected non-accidental trauma imaged or reviewed in a tertiary Dutch hospital.Pediatric surgery international · 2020Article
- Clinician Diagnoses of Failure to Thrive Before and After Switch to World Health Organization Growth Curves.Academic pediatrics · 2020Article
- Identifying Populations at Risk for Child Abuse: A Nationwide Analysis.Journal of pediatric surgery · 2020Article
- Skeletal surveys lack efficacy in obtunded polytrauma patients.OTA international : the open access journal of orthopaedic trauma · 2019Article
- Medical diagnoses among infants at entry in out-of-home care: A Swedish population-register study.Health science reports · 2019Article
- National Risk Factors for Child Maltreatment after Trauma: Failure to Prevent.The American surgeon · 2019Article
Corrections and comments
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
Abstract
Skeletal surveys (SSs) have been identified as a key component of the evaluation for suspected abuse in young children, but variability in SS utilization has been reported. Thus, we aimed to describe the utilization patterns, yield, and risks of obtaining SS in young children through a systematic literature review. We searched PubMed/MEDLINE and CINAHL databases for articles published between 1990 and 2016 on SS. We calculated study-specific percentages of SS utilization and detection of occult fractures and examined the likelihoods that patient characteristics predict SS utilization and detection of occult fractures. Data from 32 articles represents 64,983 children <60months old. SS utilization was high (85%-100%) in studies of infants evaluated by a child protection team for suspected abuse and/or diagnosed with abuse except in one study of primarily non-pediatric hospitals. Greater variability in SS utilization was observed across studies that included all infants with specific injuries, such as femur fractures (0%-77%), significant head injury (51%-82%), and skull fractures (41%-86%). Minority children and children without private insurance were evaluated with SS more often than white children and children with private insurance despite lack of evidence to support this practice. Among children undergoing SS, occult fractures were frequently detected among infants with significant head injury (23%-34%) and long bone fractures (30%) but were less common in infants with skull fractures (1%-6%). These findings underscore the need for interventions to decrease disparities in SS utilization and standardize SS utilization in infants at high risk of having occult fractures.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.