ArticlePediatrics2020
Racial and Ethnic Differences in Emergency Department Pain Management of Children With Fractures.
Article in Pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers.
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Who cites it
53 citing papers in PubMed, 149 citations in OpenAlex.
- Disparities in the use of anxiolysis or sedation for facial laceration repair in the pediatric emergency department.The American journal of emergency medicine · 2026Article
- The Use of Biased Language in the Care of Seriously Ill Children: A Pilot Study.The American journal of hospice & palliative care · 2026Article
- Disparities associated with race and ethnicity in pain management: a scoping review.International journal of clinical pharmacy · 2026Article
- Implementing an Education Intervention for Prescription Opioid Pain Medication at Pediatric Trauma Centers.Substance use & misuse · 2026Article
- Article
- Nerve Blocks for Hip Fractures in the Emergency Department: An Opportunity for Growth.The western journal of emergency medicine · 2025Article
- Systems-based care of the injured child: Technical report.The journal of trauma and acute care surgery · 2025Article
- Medical provider perspectives on children with incarcerated parents: A mixed-methods study.Dialogues in health · 2025Article
- "He was not listening to hear me": Parent experiences with communication, inclusion, and marginalization in the pediatric emergency department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2025Article
- Evaluating the Implementation of a "COVID-19 Test" Chief Concern in the Emergency Department.The western journal of emergency medicine · 2025Article
- Examining racial, ethnic, and gender representation of applicants and matriculants to emergency medicine residency programs from 2005 to 2021.AEM education and training · 2025Article
- Sedation and analgesia doses do not differ across demographic factors in pediatric cardiac surgery patients.Frontiers in pediatrics · 2025Article
- Racialized disparities in pain and pain care among Belgian youth.Frontiers in psychiatry · 2025Article
- Mitigation of Racial and Ethnic Differences in Chlamydia and Gonorrhea Testing.Pediatrics open science · 2025Article
- Racial Bias in Pediatric Pain Perception.The journal of pain · 2024Article
- Collecting Sociodemographic Data in Pediatric Emergency Research: A Working Group Consensus.Pediatrics · 2024Article
- Fracture pain in children in the emergency department: the impact of a new pain management procedure.BMC emergency medicine · 2024Article
- Opioids in Hospitalized Infants-Managing Pain and Sedation While Avoiding Overuse.JAMA network open · 2024Article
- Racial bias in perceptions of children's pain.Journal of experimental psychology. Applied · 2024Article
- Pain Care Disparities and the Use of Virtual Care Among Racial-Ethnic Minority Groups During COVID-19.Journal of general internal medicine · 2024Article
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Authors and funding
12 authors at 9 institutions in 1 country.
Funding
Abstract
objectivesTo test the hypotheses that minority children with long-bone fractures are less likely to (1) receive analgesics, (2) receive opioid analgesics, and (3) achieve pain reduction.
methodsWe performed a 3-year retrospective cross-sectional study of children <18 years old with long-bone fractures using the Pediatric Emergency Care Applied Research Network Registry (7 emergency departments). We performed bivariable and multivariable logistic regression to measure the association between patient race and ethnicity and (1) any analgesic, (2) opioid analgesic, (3) ≥2-point pain score reduction, and (4) optimal pain reduction (ie, to mild or no pain).
resultsIn 21 069 visits with moderate-to-severe pain, 86.1% received an analgesic and 45.4% received opioids. Of 8533 patients with reassessment of pain, 89.2% experienced ≥2-point reduction in pain score and 62.2% experienced optimal pain reduction. In multivariable analyses, minority children, compared with non-Hispanic (NH) white children, were more likely to receive any analgesics (NH African American: adjusted odds ratio [aOR] 1.72 [95% confidence interval 1.51-1.95]; Hispanic: 1.32 [1.16-1.51]) and achieve ≥2-point reduction in pain (NH African American: 1.42 [1.14-1.76]; Hispanic: 1.38 [1.04-1.83]) but were less likely to receive opioids (NH African American: aOR 0.86 [0.77-0.95]; Hispanic: aOR 0.86 [0.76-0.96]) or achieve optimal pain reduction (NH African American: aOR 0.78 [0.67-0.90]; Hispanic: aOR 0.80 [0.67-0.95]).
conclusionsThere are differences in process and outcome measures by race and ethnicity in the emergency department management of pain among children with long-bone fractures. Although minority children are more likely to receive analgesics and achieve ≥2-point reduction in pain, they are less likely to receive opioids and achieve optimal pain reduction.
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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.