Intimate partner violence and Musculoskeletal injury: bridging the knowledge gap in Orthopaedic fracture clinics

Sprague, Sheila; Madden, Kim; Dosanjh, Sonia; Godin, Katelyn; Goslings, J. Carel; Schemitsch, Emil H.; Bhandari, Mohit

doi:10.1186/1471-2474-14-23

Cited by 23 publications

(24 citation statements)

References 46 publications

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“…In addition to the previously mentioned acute symptoms, bone fractures and musculoskeletal problems, including dislocation, are a serious risk. Unfortunately, many of the medical professionals who treat these acute injuries and conditions either have misperceptions about IPV, not enough education to identify the signs of IPV, or feel uncomfortable confronting patients about IPV because they do not know how to approach the situation (Sprague, Madden, Dosanjh, Godin, Goslings, Schemitsch, & Bhandari, 2013). A thorough analysis of symptoms correlated with IPV will enable healthcare providers to determine how best to screen for and intervene in the event of suspected IPV.…”

Section: Discussionmentioning

confidence: 99%

Mining Electronic Health Records Data: Domestic Violence and Adverse Health Effects

et al. 2016

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Intimate partner violence (IPV) often culminates in acute physical injury, sexual assault, and mental health issues. It is crucial to understand the healthcare habits of victims to develop interventions that can drastically improve a victim's quality of life and prevent future abuse. The objective of this study is to mine de-identified and aggregated Electronic Health Record data to identify women's health issues that are potentially associated with IPV. In this study we compared health issues of female domestic abuse victims to female non-domestic abuse victims. The Domestic abuse population contained 5870 patients, while the Non-Domestic Abuse population contained 14,315,140 patients. Explorys provides National Big Data from the entire USA. Statistical analysis identified 2429 terms as significantly more prevalent among victims of domestic abuse, compared to the general population. These terms were classified into broad categories, including acute injury, chronic conditions, substance abuse, mental health, disorders, gynecological and pregnancy related problems.

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Section: Discussionmentioning

confidence: 99%

Mining Electronic Health Records Data: Domestic Violence and Adverse Health Effects

et al. 2016

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“…We also found that the categories showing the most individual frequency (chronic and acute conditions) shared strong connections with physiological systems that have been shown to be impaired at a higher rate among IPV victims, including gynecological and pregnancy related issues, as well as gastrointestinal, cardiovascular, and neurological symptoms. 17-19 It is not surprising that ‘chronic’ and ‘acute conditions’ had the most significant frequency of coding, since most ailments that require medical attention are either established diseases or emergency issues. ‘Acute conditions’ shows many strong connections, because most acute conditions would be coded with whatever body system(s) they were related to.…”

Section: Discussionmentioning

confidence: 99%

Network Map of Adverse Health Effects Among Victims of Intimate Partner Violence

et al. 2016

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Intimate partner violence (IPV) is a serious problem with devastating health consequences. Screening procedures may overlook relationships between IPV and negative health effects. To identify IPV-associated women's health issues, we mined national, aggregated de-identified electronic health record data and compared female health issues of domestic abuse (DA) versus non-DA records, identifying terms significantly more frequent for the DA group. After coding these terms into 28 broad categories, we developed a network map to determine strength of relationships between categories in the context of DA, finding that acute conditions are strongly connected to cardiovascular, gastrointestinal, gynecological, and neurological conditions among victims.

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“…12 Among orthopedic surgeons, a knowledge gap pertaining to IPV has been identified. [13][14][15][16] Many orthopedic surgeons believe IPV is rare among their female patients, estimating a prevalence of less than 1%.…”

Section: Discussionmentioning

confidence: 99%

“I’ve never asked one question.” Understanding the barriers among orthopedic surgery residents to screening female patients for intimate partner violence

et al. 2014

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Background: Intimate partner violence (IPV) is a global public health problem. Ortho pedic surgery residents may identify IPV among injured patients treated in fracture clin ics. Yet, these residents face a number of barriers to recognizing and discussing IPV with patients. We sought to explore orthopedic surgery residents' knowledge of IPV and their preparedness to screen patients for IPV in academic fracture clinic settings with a view to developing targeted IPV education and training. Methods:We conducted focus groups with junior and intermediate residents. Discus sions explored residents' knowledge of and experiences with IPV screening and pre paredness for screening and responding to IPV among orthopedic patients. Data were analyzed iteratively using an inductive approach. Results:Residents were aware of the issue of abuse generally, but had received no spe cific information or training on IPV in orthopedics. Residents did not see orthopedics faculty screen patients for IPV or advocate for screening. They did not view IPV screen ing or intervention as part of the orthopedic surgeon's role. Residents' clinical experi ences emphasized time management and surgical intervention by effectively "getting through clinic" and "dealing with the surgical problem." Communication with patients about other health issues was minimal or nonexistent. Conclusion:Orthopedic surgery residents are entering a career path where IPV is well documented. They encounter cultural and structural barriers preventing the incorpora tion of IPV screening into their clinical and educational experiences. Hospitals and aca demic programs must collaborate in efforts to build capacity for sustainable IPV screen ing programs among these trainees.Contexte : La violence conjugale (VC) est un problème de santé publique à l'échelle mondiale. Les résidents en chirurgie orthopédique seraient bien placés pour identifier des victimes de VC parmi les patients qu'ils voient dans les cliniques de fractures, mais ils font face à de nombreux obstacles qui les empêchent de les reconnaître et d'entamer un dialogue avec ces victimes. Nous avons voulu vérifier les connaissances des résidents au sujet de la VC et leur degré de préparation à dépister les cas de VC chez leurs patients dans le contexte des cliniques de fractures des hôpitaux universi taires dans le but de con cevoir une formation théorique et pratique concernant la VC.

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Intimate partner violence and Musculoskeletal injury: bridging the knowledge gap in Orthopaedic fracture clinics

Cited by 23 publications

References 46 publications

Mining Electronic Health Records Data: Domestic Violence and Adverse Health Effects

Mining Electronic Health Records Data: Domestic Violence and Adverse Health Effects

Network Map of Adverse Health Effects Among Victims of Intimate Partner Violence

“I’ve never asked one question.” Understanding the barriers among orthopedic surgery residents to screening female patients for intimate partner violence

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