Racial and ethnic disparities in diagnostic imaging for child physical abuse

Racial bias may affect occult injury testing decisions for children with concern for abuse. To determine the association of race on occult injury testing decisions at children's hospitals. In this retrospective study, we measured disparities in: (1) the proportion of visits for which indicated diagnostic imaging studies for child abuse were obtained; (2) the proportion of positive tests. The Pediatric Health Information System (PHIS) administrative database encompassing 49 tertiary children's hospitals during 2017–2019. We built three cohorts based on guidelines for diagnostic testing for child abuse: infants with traumatic brain injury (TBI; n = 1952), children