Evidence map›Paper›PMID 38519996›Full record

ArticleSystematic reviews2024

Social determinants of health and disparities in pediatric trauma care: protocol for a systematic review and meta-analysis.

Janyce Eunice Gnanvi, Natalie Yanchar, Gabrielle Freire, Emilie Beaulieu, Pier-Alexandre Tardif, Mélanie Bérubé, Alison Macpherson, Ian Pike, Roger Zemek, Isabelle J Gagnon and 5 more

Open access · goldAbstract read
In one paragraph

Article in Systematic reviews, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
4.1field-weighted citation impact, top 7% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Observational
  2. Article
  3. 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

15 authors at 9 institutions in 2 countries.

Janyce Eunice GnanviPopulation Health and Optimal Health Practices Unit, Trauma-Emergency-Critical Care Medicine, Centre de Recherche du CHU de Québec-Université Laval (Hôpital de l'Enfant-Jésus), Université Laval, Montreal, QC, Canada. jagna1@ulaval.ca.ORCID 0000-0003-2557-2796
Natalie YancharDepartment of Surgery, University of Calgary, Calgary, AB, Canada.
Gabrielle FreireDivision of Emergency Medicine, Department of Pediatrics, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Emilie BeaulieuDepartment of Pediatrics, Faculté de Médecine, Centre Hospitalier Universitaire de Québec, Université Laval, Quebec City, QC, Canada.
Pier-Alexandre TardifPopulation Health and Optimal Health Practices Unit, Trauma-Emergency-Critical Care Medicine, Centre de Recherche du CHU de Québec-Université Laval (Hôpital de l'Enfant-Jésus), Université Laval, Montreal, QC, Canada.
Mélanie BérubéPopulation Health and Optimal Health Practices Unit, Trauma-Emergency-Critical Care Medicine, Centre de Recherche du CHU de Québec-Université Laval (Hôpital de l'Enfant-Jésus), Université Laval, Montreal, QC, Canada.
Alison MacphersonFaculty of Health, York University, Toronto, ON, Canada.
Ian PikeDepartment of Pediatrics, BC Injury Research and Prevention Unit, The University of British Columbia, Vancouver, BC, Canada.
Roger ZemekDepartment of Pediatrics, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.
Isabelle J GagnonDivision of Pediatric Emergency Medicine, McGill University Health Centre, Montreal Children's Hospital, Montreal, QC, Canada.
Sasha CarsenDivision of Orthopaedic Surgery, Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.
Belinda GabbeSchool of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
Soualio GnanouPopulation Health and Optimal Health Practices Unit, Trauma-Emergency-Critical Care Medicine, Centre de Recherche du CHU de Québec-Université Laval (Hôpital de l'Enfant-Jésus), Université Laval, Montreal, QC, Canada.
Cécile DuvalPopulation Health and Optimal Health Practices Unit, Trauma-Emergency-Critical Care Medicine, Centre de Recherche du CHU de Québec-Université Laval (Hôpital de l'Enfant-Jésus), Université Laval, Montreal, QC, Canada.
Lynne MoorePopulation Health and Optimal Health Practices Unit, Trauma-Emergency-Critical Care Medicine, Centre de Recherche du CHU de Québec-Université Laval (Hôpital de l'Enfant-Jésus), Université Laval, Montreal, QC, Canada.
Université du Québec à Montréal · CAChildren's Hospital of Eastern Ontario · CACentre hospitalier universitaire de Québec · CAMonash University · AUMontreal Children's Hospital · CAUniversity of British Columbia · CAUniversity of Calgary · CAUniversity of Toronto · CAYork University · CA

Funding

CIHR 461381
6 · The paper itself

Abstract

backgroundSocial determinants of health (SDH), including "the conditions in which individuals are born, grow, work, live and age" affect child health and well-being. Several studies have synthesized evidence about the influence of SDH on childhood injury risks and outcomes. However, there is no systematic evidence about the impact of SDH on accessing care and quality of care once a child has suffered an injury. We aim to evaluate the extent to which access to care and quality of care after injury are affected by children and adolescents' SDH.

methodsUsing Cochrane methodology, we will conduct a systematic review including observational and experimental studies evaluating the association between social/material elements contributing to health disparities, using the PROGRESS-Plus framework: place of residence, race/ethnicity/culture/language, occupation, gender/sex, religion, education, socioeconomic status, and social capital and care received by children and adolescents (≤ 19 years of age) after injury. We will consult published literature using PubMed, EMBASE, CINAHL, PsycINFO, Web of Science, and Academic Search Premier and grey literature using Google Scholar from their inception to a maximum of 6 months prior to submission for publication. Two reviewers will independently perform study selection, data extraction, and risk of bias assessment for included studies. The risk of bias will be assessed using the ROBINS-E and ROB-2 tools respectively for observational and experimental study designs. We will analyze data to perform narrative syntheses, and if enough studies are identified, we will conduct a meta-analysis using random effects models. DISCUSSION: This systematic review will provide a synthesis of evidence on the association between SDH and pediatric trauma care (access to care and quality of care) that clinicians and policymakers can use to better tailor care systems and promote equitable access and quality of care for all children. We will share our findings through clinical rounds, conferences, and publication in a peer-reviewed journal. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42023408467.

Indexed as

Healthcare DisparitiesSocial Determinants of HealthSystematic Reviews as TopicWounds and InjuriesAdolescentChildHealth Services AccessibilityHumansMeta-Analysis as TopicPediatricsDisparitiesInequitiesInjury careMeta-analysisPediatricsPROGRESS-plusSocial determinants of healthSystematic reviewTrauma care

Identifiers

PMID38519996
PMCPMC10958897
OpenAlexW4393086199

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.