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Multicentre study of physical abuse and limb fractures in young children in the East Anglia Region, UK
  1. Piers D Mitchell1,
  2. Richard Brown2,
  3. Tengyao Wang3,
  4. Rajen D Shah3,
  5. Richard J Samworth3,
  6. Sue Deakin4,
  7. Phillip Edge5,
  8. Ivan Hudson6,
  9. Rachel Hutchinson7,
  10. Kuldeep Stohr8,
  11. Mark Latimer1,
  12. Rajan Natarajan9,
  13. Sultan Qasim5,
  14. Andreas Rehm8,
  15. Anish Sanghrajka7,
  16. Elizabeth Tissingh6,
  17. Georgina M Wright4
  1. 1 Department of Orthopaedics, Peterborough City Hospital, Peterborough, UK
  2. 2 Department of Paediatrics, Peterborough City Hospital, Peterborough, UK
  3. 3 Statistical Laboratory, University of Cambridge, Cambridge, UK
  4. 4 Department of Orthopaedics, West Suffolk Hospital, Suffolk, UK
  5. 5 Department of Orthopaedics, Bedford Hospital NHS Trust, Bedford, UK
  6. 6 Department of Orthopaedics, Ipswich Hospital, Ipswich, UK
  7. 7 Department of Orthopaedics, Norfolk and Norwich Hospital, Norwich, UK
  8. 8 Department of Orthopaedics, Addenbrooke’s Hospital, Cambridge, UK
  9. 9 Department of Orthopaedics, Northampton General Hospital, Northampton, UK
  1. Correspondence to Dr Piers D Mitchell, Peterborough City Hospital, Peterborough, UK; piers.mitchell{at}nhs.net

Footnotes

  • Contributors PDM instigated the study, designed the study, obtained HRA approval, recruited the hospitals to join the study, collated the data and wrote the paper. RB contributed to the study design and towards writing the paper. TW, RDS and RJS performed the statistical analysis. All other authors collected data from their hospitals and commented on the paper.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Not required.

  • Ethics approval NHS Health Research Authority (IRAS project ID 251113, REC reference 19/HRA/0292).

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data sharing statement In order to ensure patient anonymity, the journal editors have requested that we do not include our raw data in this publication, even in an anonymised form.

  • Correction notice This paper has been corrected since it was published Online First. In the second section of the results (Decision of a CPCC that fractures were due to physical abuse), in the sentence ‘The likelihood that a fracture in children aged 0-364 days would lead to a CPCC decision of physical abuse was 0.83/1000 of the total at-risk population’, the fraction should read ‘0.21/1000’. Similarly, in the sentence ‘The likelihood of such a CPCC decision of physical abuse in cases of fracture of the femur or humerus (excluding supracondylar) in children under the age of 3 years was much lower at 0.12/1000 and 0.10/1000 respectively’, the fractions should read ‘0.03/1000 and 0.025/1000 respectively’.

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Footnotes

  • Contributors PDM instigated the study, designed the study, obtained HRA approval, recruited the hospitals to join the study, collated the data and wrote the paper. RB contributed to the study design and towards writing the paper. TW, RDS and RJS performed the statistical analysis. All other authors collected data from their hospitals and commented on the paper.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Not required.

  • Ethics approval NHS Health Research Authority (IRAS project ID 251113, REC reference 19/HRA/0292).

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data sharing statement In order to ensure patient anonymity, the journal editors have requested that we do not include our raw data in this publication, even in an anonymised form.

  • Correction notice This paper has been corrected since it was published Online First. In the second section of the results (Decision of a CPCC that fractures were due to physical abuse), in the sentence ‘The likelihood that a fracture in children aged 0-364 days would lead to a CPCC decision of physical abuse was 0.83/1000 of the total at-risk population’, the fraction should read ‘0.21/1000’. Similarly, in the sentence ‘The likelihood of such a CPCC decision of physical abuse in cases of fracture of the femur or humerus (excluding supracondylar) in children under the age of 3 years was much lower at 0.12/1000 and 0.10/1000 respectively’, the fractions should read ‘0.03/1000 and 0.025/1000 respectively’.

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