Evidence map›Paper›PMID 35024859›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2022

Developing machine learning-based models to help identify child abuse and neglect: key ethical challenges and recommended solutions.

Aviv Y Landau, Susi Ferrarello, Ashley Blanchard, Kenrick Cato, Nia Atkins, Stephanie Salazar, Desmond U Patton, Maxim Topaz

Open access · greenAbstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 34 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Addressing Consequential Public Health Problems Through Informatics and Data Science.Journal of the American Medical Informatics Association : JAMIA · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Aviv Y LandauColumbia University Data Science Institute, Columbia University School of Nursing, Columbia University, New York, New York, USA.ORCID 0000-0003-3715-7709
Susi FerrarelloDepartment of Philosophy & Religious Studies, California State University, Hayward, California, USA.
Ashley BlanchardNew York Presbyterian Morgan Stanley Children's Hospital, Columbia University Irving Medical Center, New York, New York, USA.
Kenrick CatoDepartment of Emergency Medicine, Columbia University School of Nursing, Columbia University, New York, New York, USA.
Nia AtkinsColumbia College, New York, New York, USA.
Stephanie SalazarColumbia School of Social Work, Columbia University, New York, New York, USA.
Desmond U PattonColumbia School of Social Work, Columbia University, New York, New York, USA.
Maxim TopazColumbia University Data Science Institute, Columbia School of Social Work, Columbia University, New York, New York, USA.
Columbia University · USCalifornia State University System · USMorgan Stanley Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Child abuse and neglect are public health issues impacting communities throughout the United States. The broad adoption of electronic health records (EHR) in health care supports the development of machine learning-based models to help identify child abuse and neglect. Employing EHR data for child abuse and neglect detection raises several critical ethical considerations. This article applied a phenomenological approach to discuss and provide recommendations for key ethical issues related to machine learning-based risk models development and evaluation: (1) biases in the data; (2) clinical documentation system design issues; (3) lack of centralized evidence base for child abuse and neglect; (4) lack of "gold standard "in assessment and diagnosis of child abuse and neglect; (5) challenges in evaluation of risk prediction performance; (6) challenges in testing predictive models in practice; and (7) challenges in presentation of machine learning-based prediction to clinicians and patients. We provide recommended solutions to each of the 7 ethical challenges and identify several areas for further policy and research.

Indexed as

Child AbuseChildElectronic Health RecordsHumansMachine LearningPublic HealthUnited Stateschild abuse and neglectelectronic health recordsmachine learning–based risk modelspediatric emergency departmentsphenomenological ethics

Identifiers

PMID35024859
PMCPMC8800514
OpenAlexW4206288545

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.