Study: Black kids are given less pain medication than white kids in ER (or your daily dose of more proof that racism isn’t over)

by Guest Tue Sep 15, 2015 12:16 pm

study released Monday shows that Black children are given less painkillers than white children when being treated for acute appendicitis, an extremely painful inflammation of the appendix. While several studies have looked at the racial disparity in pain management among adults, this study focuses on the phenomenon among children. And it turns out that both Black children and Black adults can look forward to racial bias and racist treatment when seeking medical attention.

The article published online by JAMA Pediatrics on Monday presents a study which used data from the National Hospital Ambulatory Medical Care Survey from 2003 to 2010 to look at the use of opioid analgesia (which includes medications like Percocet ) and nonopioid analgesia (which includes over the counter household medicine like Tylenol). Of an estimated almost 1 million children evaluated in Emergency Departments (EDs) who were diagnosed with appendicitis, 56.8 percent of patients received some for of analgesia and 41.3 percent received opioid analgesia. Among the patients with moderate pain, Black children were less likely to receive any analgesia than white children. Among the patients with severe pain, Black children were less likely to receive opioids(12.2 percent) than white children (33.9 percent.)

According to the study,

Our findings suggest that there are racial disparities in opioid administration to children with appendicitis, even after adjustment for potential confounders. More research is needed to understand why such disparities exist. This could help inform the design of interventions to address and eliminate these disparities and to improve pain management for all youths.
… although clinicians may recognize pain equally across racial groups, they may be reacting to the pain differently by treating black patients with nonopioid analgesia, such as ibuprofen and acetaminophen, while treating white patients with opioid analgesia for similar pain.”

Eric W. Fleegler, M.D., M.P.H., and Neil L. Schechter, M.D., of Boston Children’s Hospital and Harvard Medical School, Boston, asked in an editorial about the study,

How do we explain the persistence of these disparities in treatment? … If there is no physiological explanation for differing treatment of the same phenomena, we are left with the notion that subtle biases, implicit and explicit, conscious and unconscious, influence the clinician’s judgment. … It is clear that despite broad recognition that controlling pain is a cornerstone of compassionate care, significant disparities remain in our approach to pain management among different populations. Strategies and available knowledge exist to remedy this unfortunate situation; we can and should do better.

Sadly, they write, the results of the study are hardly surprising: “Unfortunately, however, these findings fit a longstanding pattern. There is a substantial body of evidence documenting health care disparities during the past three decades, including disparities in pain management.” Surely, the possibility of side effects, complications and addictions are stronger with opioids than non-opioids. But that is irrelevant for this study. The issue is why more is done to relieve the pain of white children than to relieve the pain of Black children. Possible reasons include anything from the racist belief, on an unconscious or conscious level, that Black people are stronger, have higher pain tolerance, are physiologically more addiction-prone, or even deserve to feel pain or have less of a right to pain relief than white children. This story is disturbing and newsworthy in itself, but it’s also a great thing to show your friends or family members who like to pretend that racism is over or that we live in a post-racial world. Though most of the people who say that don’t really respond well to facts or reality. So, choose your battles.

http://www.rawstory.com/2015/09/study-black-kids-are-given-less-pain-medication-than-white-kids-in-er-or-your-daily-dose-of-more-proof-that-racism-isnt-over/

Wow this cannot be right if we are led to believe the irrational claims spouted by some of the far right on here. So yet countless more evidence of the discrmination faced daily by Blacks in the US.

Nothing to see here, move along just yet more overwhelming evidence of discrmination.

by captain Tue Sep 15, 2015 1:30 pm

Then they are going to be much safer with their health and alert brains, unlike the people that are swallowing this junk. The rubbish added to these unneeded pain killers has harmed millions of people, we could do with avoiding them as much as possible.

by Guest Tue Sep 15, 2015 2:46 pm

obviously you have never sufrered the intense pain of appendicitis Jane....

by eddie Tue Sep 15, 2015 6:40 pm

Is it possible that black people have a higher pain threshold? Has that been tested or studied?

I mean, we all know men are big babies whilst women have a very high pain threshold Razz

by Guest Tue Sep 15, 2015 6:46 pm

eddie wrote:Is it possible that black people have a higher pain threshold? Has that been tested or studied?

I mean, we all know men are big babies whilst women have a very high pain threshold

lol I do not think it is that at all Eddie as again what bilogical evidence is there that they would have a higher pain threshold. Again this was what was precribed in similar pain thresholds.

by eddie Tue Sep 15, 2015 6:51 pm

Well this needs to be investigated then! It's disgusting if it's true.

Men are still big babies though lol!

by Guest Tue Sep 15, 2015 6:55 pm

I agree men can be big babies lol

You only have to see how they are when they have man flu and its the season for it.

lol!

by eddie Tue Sep 15, 2015 7:03 pm

Cuchulain wrote:I agree men can be big babies lol

You only have to see how they are when they have man flu and its the season for it.

Don't remind me didge. I have two here at home, a grown man and a teen. Rolling Eyes

by Raggamuffin Tue Sep 15, 2015 7:06 pm

One should really read the article from the actual journal.

http://archpedi.jamanetwork.com/article.aspx?articleid=2441797

by Guest Tue Sep 15, 2015 7:10 pm

Already did before I posted this as there is a link on the first post to the actual study

by Guest Tue Sep 15, 2015 7:12 pm

The study concludes:

CONCLUSIONS

Our findings suggest that there are racial disparities in opioid administration to children with appendicitis, even after adjustment for potential confounders. More research is needed to understand why such disparities exist. This could help inform the design of interventions to address and eliminate these disparities and to improve pain management for all youths.

by Raggamuffin Tue Sep 15, 2015 7:24 pm

I can't see a link to it.

by Guest Tue Sep 15, 2015 7:31 pm

According to the study,

The part highlighted in blue, leads you to this link:

http://medicalxpress.com/news/2015-09-racial-disparities-pain-children-appendicitis.html

Which then leads you to the study

by Raggamuffin Tue Sep 15, 2015 8:24 pm

Sounds more like race baiting to me. Too many of the population studied were white to draw any conclusions, and there were too many variables.

There are other more interesting studies to be done.

by Guest Tue Sep 15, 2015 8:25 pm

Sounds like?
Wow how scientific, not.

by Raggamuffin Tue Sep 15, 2015 8:26 pm

Meh. Waste of time.

by Raggamuffin Tue Sep 15, 2015 8:26 pm

If people want opioids for their kids, just ask.

by veya_victaous Tue Sep 15, 2015 11:22 pm

I would love to see the social economic breakdown of these studies..
I just sometimes wonder how much is because they are black and how much is because they are poor
confused

.

by Fuzzy Zack Tue Sep 15, 2015 11:56 pm

There's also something called the Magical Negro Syndrome, which some white (and non-blacks) suffer from.

http://www.slate.com/articles/health_and_science/science/2014/11/whites_see_blacks_as_superhuman_strength_speed_pain_tolerance_and_the_magical.html

by Fuzzy Zack Wed Sep 16, 2015 12:00 am

Or instead of jumping on the racist bandwagon (ooh look, there's racism everywhere!), maybe we can look at some science.

http://www.aafp.org/afp/2006/1015/p1347.html

Maybe some doctors have the best of intentions, based on actual knowledge. Maybe.

by veya_victaous Wed Sep 16, 2015 2:54 am

Expect that was based on a 2003 study that has been shown to be inaccurate. new ones from 2014 says it is still an issue.. It Also Points out that some doctors had huge disparity between races while others had almost none. which implies it is individual doctors exercising a racial prejudice (there was one that was the other way giving way often to blacks) and it may be subconscious like the "Magical Negro Syndrome" that is creating this disparity.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4427206/

Finally, the retrospective review of medical records allows only a limited understanding of clinical decision-making. Factors that are not always captured in patients’ charts may have had a bearing on the decision to administer analgesia; these include nonverbal communication, verbal communication (asking to receive or not receive opiates), socioeconomic status, and education level. Other factors that may have impacted reception of opiates include mode of arrival, duration of pain, intoxication, and pain score.

interestingly the variance it is Much higher in the USA than the UK or Australia. and much high for back pain but it says No difference for migraines Suspect

seems there are probably multifaceted causes and limited metrics by which to determine the root cause(s).

by Guest Wed Sep 16, 2015 6:07 am

Fuzzy Zack wrote:There's also something called the Magical Negro Syndrome, which some white (and non-blacks) suffer from.

http://www.slate.com/articles/health_and_science/science/2014/11/whites_see_blacks_as_superhuman_strength_speed_pain_tolerance_and_the_magical.html

You really are an idiot.
So showing that whites think blacks are superhuman based off some athelites shows how badly sterotypes and perceptions are by some white people which is part of the issue.
Your bases is a poll of white people perception.
Its the IQ situation all over again where a few individuals are the best in a sport, yet countless other whites are as good if not better than other black sportsman.
You have lost all credability of any intelligence you once had, I certainly place your stupidity on a par with smelly ha ha ha ha

by veya_victaous Wed Sep 16, 2015 6:55 am

@didge
actually that syndrome has been used to describe why police see black men as a threat and shoot them when they approach them.
one of the killings (cant remember which) it was seem as a major factor as the police office literally used the words 'like the hulk' saying the victim that had been shot from a distance was 'charging him through a hail of gunfire'

it is evidence of subconscious racism.

I'm actually not sure if Zack was supporting or disagreeing with the OP.

by Guest Wed Sep 16, 2015 7:00 am

veya_victaous wrote:@didge
actually that syndrome has been used to describe why police see black men as a threat and shoot them when they approach them.
one of the killings (cant remember which) it was seem as a major factor as the police office literally used the words 'like the hulk' saying the victim that had been shot from a distance was 'charging him through a hail of gunfire'

it is evidence of subconscious racism.

I'm actually not sure if Zack was supporting or disagreeing with the OP.

I agree on the point of sterotyping which is my point but his next post shows he was disagreeing Veya very much so.
My view is people pick up on the most absurd views and one is within sports, which like I say is very much like when people view IQ.

by Fuzzy Zack Wed Sep 16, 2015 10:16 am

Cuchulain wrote:
Fuzzy Zack wrote:There's also something called the Magical Negro Syndrome, which some white (and non-blacks) suffer from.

http://www.slate.com/articles/health_and_science/science/2014/11/whites_see_blacks_as_superhuman_strength_speed_pain_tolerance_and_the_magical.html

You really are an idiot.
So showing that whites think blacks are superhuman based off some athelites shows how badly sterotypes and perceptions are by some white people which is part of the issue.
Your bases is a poll of white people perception.
Its the IQ situation all over again where a few individuals are the best in a sport, yet countless other whites are as good if not better than other black sportsman.
You have lost all credability of any intelligence you once had, I certainly place your stupidity on a par with smelly ha ha ha ha

Holy shit dude! Lol!

Why did you just lose your temper, again?

I'm not showing anything. If you bothered reading the article, this is what others have researched and observed in some white people in America.

You really are a giant twat for over reacting.

To be honest, I worded that reply so those who are a bit slow would get hysterical. I thought you were more intelligent than that, than to fall for this trick.

by Fuzzy Zack Wed Sep 16, 2015 10:18 am

veya_victaous wrote:Expect that was based on a 2003 study that has been shown to be inaccurate. new ones from 2014 says it is still an issue.. It Also Points out that some doctors had huge disparity between races while others had almost none. which implies it is individual doctors exercising a racial prejudice (there was one that was the other way giving way often to blacks) and it may be subconscious like the "Magical Negro Syndrome" that is creating this disparity.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4427206/
Finally, the retrospective review of medical records allows only a limited understanding of clinical decision-making. Factors that are not always captured in patients’ charts may have had a bearing on the decision to administer analgesia; these include nonverbal communication, verbal communication (asking to receive or not receive opiates), socioeconomic status, and education level. Other factors that may have impacted reception of opiates include mode of arrival, duration of pain, intoxication, and pain score.

interestingly the variance it is Much higher in the USA than the UK or Australia. and much high for back pain but it says No difference for migraines

seems there are probably multifaceted causes and limited metrics by which to determine the root cause(s).

I'm glad at least you managed to do some research

by Fuzzy Zack Wed Sep 16, 2015 10:19 am

Fuzzy Zack wrote:Or instead of jumping on the racist bandwagon (ooh look, there's racism everywhere!), maybe we can look at some science.

http://www.aafp.org/afp/2006/1015/p1347.html

Maybe some doctors have the best of intentions, based on actual knowledge. Maybe.

This is an important point and may have nothing to do with racism.

by Fuzzy Zack Wed Sep 16, 2015 10:20 am

veya_victaous wrote:@didge
actually that syndrome has been used to describe why police see black men as a threat and shoot them when they approach them.
one of the killings (cant remember which) it was seem as a major factor as the police office literally used the words 'like the hulk' saying the victim that had been shot from a distance was 'charging him through a hail of gunfire'

it is evidence of subconscious racism.

I'm actually not sure if Zack was supporting or disagreeing with the OP.

Didge is really not as intelligent as he thinks.

by Guest Wed Sep 16, 2015 10:21 am

Fuzzy Zack wrote:
Cuchulain wrote:

You really are an idiot.
So showing that whites think blacks are superhuman based off some athelites shows how badly sterotypes and perceptions are by some white people which is part of the issue.
Your bases is a poll of white people perception.
Its the IQ situation all over again where a few individuals are the best in a sport, yet countless other whites are as good if not better than other black sportsman.
You have lost all credability of any intelligence you once had, I certainly place your stupidity on a par with smelly ha ha ha ha

Holy shit dude! Lol!

Why did you just lose your temper, again?
You do not even understand emotions and use claiming someone has, ha ha ha
Seriously grow up, its pathetic how many times you use emotive reasoning in your answers, its your bog standard counter dummy

I'm not showing anything. If you bothered reading the article, this is what others have researched and observed in some white people in America.
I did read both of them, one was dated, the other shows the poor sterotypes of which I have been saying

You really are a giant twat for over reacting.
More usage of female anatomy, you really are so frustated clearly by your constant use, seriously spank one out for the sake of the forum, as you are getting so embarressing

To be honest, I worded that reply so those who are a bit slow would get hysterical. I thought you were more intelligent than that, than to fall for this trick.

Yet another emotive response not actually backing any of your point but where you are not completely hysterical Mowgli. You are not intelligent and the sad part is most of us have to dumb down what we are saying in order for you to understand and then you still struggle.
Move along twiggy, but be careful of the cracks in the pavement.

by Guest Wed Sep 16, 2015 10:22 am

Fuzzy Zack wrote:
veya_victaous wrote:@didge
actually that syndrome has been used to describe why police see black men as a threat and shoot them when they approach them.
one of the killings (cant remember which) it was seem as a major factor as the police office literally used the words 'like the hulk' saying the victim that had been shot from a distance was 'charging him through a hail of gunfire'

it is evidence of subconscious racism.

I'm actually not sure if Zack was supporting or disagreeing with the OP.

Didge is really not as intelligent as he thinks.

Ha ha ha ha ha

Looking for moral support the first sign of defeatism.

I can run rings around you all day little boy ha ha ha ha

Bless

Laughing

by Fuzzy Zack Wed Sep 16, 2015 10:22 am

Cuchulain wrote:
veya_victaous wrote:@didge
actually that syndrome has been used to describe why police see black men as a threat and shoot them when they approach them.
one of the killings (cant remember which) it was seem as a major factor as the police office literally used the words 'like the hulk' saying the victim that had been shot from a distance was 'charging him through a hail of gunfire'

it is evidence of subconscious racism.

I'm actually not sure if Zack was supporting or disagreeing with the OP.

I agree on the point of sterotyping which is my point but his next post shows he was disagreeing Veya very much so.
My view is people pick up on the most absurd views and one is within sports, which like I say is very much like when people view IQ.

See my posts above and wind your neck in.

I think I know why you're so angry - it's because even Smelly thinks you are more Smelly than him?

by Guest Wed Sep 16, 2015 10:24 am

Fuzzy Zack wrote:
Cuchulain wrote:

I agree on the point of sterotyping which is my point but his next post shows he was disagreeing Veya very much so.
My view is people pick up on the most absurd views and one is within sports, which like I say is very much like when people view IQ.

See my posts above and wind your neck in.

I think I know why you're so angry - it's because even Smelly thinks you are more Smelly than him?

Lol more emotive bullshit, this seems to be your only ability to debate.

You really are an embarressment on the level of Mentor now A.K.A Davros.

Run along little boy when you gain some maturity and intelligence, then come and see me for a discussion, at the moment I am just laughing in your face.

Razz

by Fuzzy Zack Wed Sep 16, 2015 10:31 am

Sex, race, and increasing age are all factors shown to influence the development of adverse effects.4 Reductions in renal function associated with aging may lead to accumulation of opioids and their metabolites.5 To reduce the risk of developing adverse effects, downward dose adjustments or prolonging the opioid interval should be anticipated for persons older than 70 years.1,5 Nausea and vomiting are less likely to occur in men than in women and are less likely in whites than in blacks.4,6 The EAPC working group identified four general approaches to consider when encountering adverse effects caused by opioids: dose reduction of systemic opioid, symptomatic management of the adverse effect, opioid rotation, and switching the route of systemic administration.3

http://www.aafp.org/afp/2006/1015/p1347.html

Some of you are easily lead. How about checking all facts.

by Guest Wed Sep 16, 2015 10:34 am

Fuzzy Zack wrote:Sex, race, and increasing age are all factors shown to influence the development of adverse effects.4 Reductions in renal function associated with aging may lead to accumulation of opioids and their metabolites.5 To reduce the risk of developing adverse effects, downward dose adjustments or prolonging the opioid interval should be anticipated for persons older than 70 years.1,5 Nausea and vomiting are less likely to occur in men than in women and are less likely in whites than in blacks.4,6 The EAPC working group identified four general approaches to consider when encountering adverse effects caused by opioids: dose reduction of systemic opioid, symptomatic management of the adverse effect, opioid rotation, and switching the route of systemic administration.3

http://www.aafp.org/afp/2006/1015/p1347.html

Some of you are easily lead. How about checking all facts.

lol I suggest you reads Veya reply to you which showed how this study was flawed and has since been proven wrong.

Did you miss his reply dummy?

Ha ha ha ha ha

by Fuzzy Zack Wed Sep 16, 2015 10:39 am

Cuchulain wrote:
Fuzzy Zack wrote:Sex, race, and increasing age are all factors shown to influence the development of adverse effects.4 Reductions in renal function associated with aging may lead to accumulation of opioids and their metabolites.5 To reduce the risk of developing adverse effects, downward dose adjustments or prolonging the opioid interval should be anticipated for persons older than 70 years.1,5 Nausea and vomiting are less likely to occur in men than in women and are less likely in whites than in blacks.4,6 The EAPC working group identified four general approaches to consider when encountering adverse effects caused by opioids: dose reduction of systemic opioid, symptomatic management of the adverse effect, opioid rotation, and switching the route of systemic administration.3

http://www.aafp.org/afp/2006/1015/p1347.html

Some of you are easily lead. How about checking all facts.

lol I suggest you reads Veya reply to you which showed how this study was flawed and has since been proven wrong.

Did you miss his reply dummy?

Ha ha ha ha ha

Yes, I did miss it.

Are you still in a foul mood?

by Guest Wed Sep 16, 2015 10:42 am

Fuzzy Zack wrote:
Cuchulain wrote:

lol I suggest you reads Veya reply to you which showed how this study was flawed and has since been proven wrong.

Did you miss his reply dummy?

Ha ha ha ha ha

Yes, I did miss it.

Are you still in a foul mood?

I'm in a fab mood and even more so when you make a tit of yourself

Now best you go away and sulk

by Fuzzy Zack Wed Sep 16, 2015 10:45 am

Cuchulain wrote:
Fuzzy Zack wrote:

Yes, I did miss it.

Are you still in a foul mood?

I'm in a fab mood and even more so when you make a tit of yourself

Now best you go away and sulk

That's the second post you've politely asked me to leave.

That speaks volumes.

HA HA!

by Guest Wed Sep 16, 2015 10:47 am

Fuzzy Zack wrote:
Cuchulain wrote:

I'm in a fab mood and even more so when you make a tit of yourself

Now best you go away and sulk

That's the second post you've politely asked me to leave.

That speaks volumes.

HA HA!

Because you are acting like a emotional wally, I only wish to save you further embarressment for how you are acting.
But please if you wish to look stupid, be my guest

Laughing

by Fuzzy Zack Wed Sep 16, 2015 2:11 pm

Cuchulain wrote:
Fuzzy Zack wrote:

That's the second post you've politely asked me to leave.

That speaks volumes.

HA HA!

Because you are acting like a emotional wally, I only wish to save you further embarressment for how you are acting.
But please if you wish to look stupid, be my guest

I'm not some intellectual snob with my head stuck up my arse because I prefer the smell of my own farts than fresh air. Laughing

by Guest Wed Sep 16, 2015 3:41 pm

Fuzzy Zack wrote:
Cuchulain wrote:

Because you are acting like a emotional wally, I only wish to save you further embarressment for how you are acting.
But please if you wish to look stupid, be my guest

I'm not some intellectual snob with my head stuck up my arse because I prefer the smell of my own farts than fresh air.

No you are a little stick boy who must find it very difficult to navigate the pavement.

Laughing

by Guest Wed Sep 16, 2015 3:41 pm

Also the Quran is not a historical record by the way.
Its a way of life.

by veya_victaous Wed Sep 16, 2015 11:10 pm

Fuzzy Zack wrote:
veya_victaous wrote:Expect that was based on a 2003 study that has been shown to be inaccurate. new ones from 2014 says it is still an issue.. It Also Points out that some doctors had huge disparity between races while others had almost none. which implies it is individual doctors exercising a racial prejudice (there was one that was the other way giving way often to blacks) and it may be subconscious like the "Magical Negro Syndrome" that is creating this disparity.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4427206/
Finally, the retrospective review of medical records allows only a limited understanding of clinical decision-making. Factors that are not always captured in patients’ charts may have had a bearing on the decision to administer analgesia; these include nonverbal communication, verbal communication (asking to receive or not receive opiates), socioeconomic status, and education level. Other factors that may have impacted reception of opiates include mode of arrival, duration of pain, intoxication, and pain score.

interestingly the variance it is Much higher in the USA than the UK or Australia. and much high for back pain but it says No difference for migraines

seems there are probably multifaceted causes and limited metrics by which to determine the root cause(s).

I'm glad at least you managed to do some research

the point of a good debate in my opinion

make the participants think Wink

by Guest Wed Sep 16, 2015 11:57 pm

veya_victaous wrote:
Fuzzy Zack wrote:

I'm glad at least you managed to do some research

the point of a good debate in my opinion

make the participants think

problem is that particular skill is NOT a strong point amongst the lefties... Rolling Eyes

by veya_victaous Thu Sep 17, 2015 12:29 am

victorismyhero wrote:
veya_victaous wrote:
Fuzzy Zack wrote:

I'm glad at least you managed to do some research

the point of a good debate in my opinion

make the participants think

problem is that particular skill is NOT a strong point amongst the lefties...

according to Tommy that includes you

and according to you I'm upside down (meaning left is right) Suspect

by Fuzzy Zack Thu Sep 17, 2015 1:36 am

Cuchulain wrote:Also the Quran is not a historical record by the way.
Its a way of life.

Lol!

Your ignorance is astounding as your arrogance.

The Quran refers to events in the past and what was then the present.

Seriously Didge, it is posts like this that reveal a lot about you. And it's not good. ;-)

by Guest Thu Sep 17, 2015 5:14 am

Fuzzy Zack wrote:
Cuchulain wrote:Also the Quran is not a historical record by the way.
Its a way of life.

Lol!

Your ignorance is astounding as your arrogance.

The Quran refers to events in the past and what was then the present.

Seriously Didge, it is posts like this that reveal a lot about you. And it's not good. ;-)

Does the Quran refer to events in the past?
What corroborating evidence do you have to these events?
Zero by any chance?
Its not a historical record, not only that what was commanded then as a final message stands for all time.
Its meant to be a command by a deity, its cannot be changed. You and other Muslims just make things up as you go along, which proves religions are just made up bullshit at the end of the day, but its up to you how to follow a religion, though as seen your version does nullifies the Quran being a last message or more so, no claim to being a perfect book
But thanks for your little hissy fit as per usual, where your reply is always more about me than the points made lol

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