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Data availability
Data sharing is not applicable to this article as no new data were created or analyzed in this commentary. The data supporting the findings of the original study on which this commentary is based are available within the article and its supplementary materials at https://doi.org/10.1038/s41372-021-01230-3.
References
Vesoulis Z, Tims A, Lodhi H, Lalos N, Whitehead H. Racial discrepancy in pulse oximeter accuracy in preterm infants. J Perinatol. 2022;42:79–85.
Tin W, Lal M. Principles of pulse oximetry and its clinical application in neonatal medicine. Semin Fetal Neonatal Med. 2015;20:192–7.
Carlo WA, Finer NN, Walsh MC, Rich W, Gantz MG, Laptook AR, et al. Target ranges of oxygen saturation in extremely preterm infants. N. Engl J Med. 2010;362:1959–69.
Stenson BJ, Tarnow-Mordi WO, Darlow BA, Simes J, Juszczak E, Askie L, et al. Oxygen saturation and outcomes in preterm infants. N. Engl J Med. 2013;368:2094–104.
Anderson JG, Rogers EE, Baer RJ, Oltman SP, Paynter R, Partridge JC, et al. Racial and Ethnic Disparities in Preterm Infant Mortality and Severe Morbidity: A Population-Based Study. Neonatology 2018;113:44–54.
Karvonen KL, Baer RJ, Rogers EE, Steurer MA, Ryckman KK, Feuer SK, et al. Racial and ethnic disparities in outcomes through 1 year of life in infants born prematurely: a population based study in California. J Perinatol. 2021;41:220–31.
Sjoding MW, Dickson RP, Iwashyna TJ, Gay SE, Valley TS. Racial bias in pulse oximetry measurement. N. Engl J Med. 2020;383:2477–8.
Wong AI, Charpignon M, Kim H, Josef C, de Hond AAH, Fojas JJ, et al. Analysis of discrepancies between pulse oximetry and arterial oxygen saturation measurements by race and ethnicity and association with organ dysfunction and mortality. JAMA Netw Open. 2021;4:e2131674.
Valbuena VSM, Barbaro RP, Claar D, Valley TS, Dickson RP, Gay SE, et al. Racial bias in pulse oximetry measurement among patients about to undergo extracorporeal membrane oxygenation in 2019-2020: A retrospective cohort study. Chest. 2021.
Olusanya BO, Imosemi DO, Emokpae AA. Differences between transcutaneous and serum bilirubin measurements in black African neonates. Pediatrics. 2016;138.
Foglia EE, Whyte RK, Chaudhary A, Mott A, Chen J, Propert KJ, et al. The Effect of Skin Pigmentation on the Accuracy of Pulse Oximetry in Infants with Hypoxemia. J Pediatr. 2017;182:375–7.e2.
Patel P, Houck A, Fuentes D. Examining Variations in Surfactant Administration (ENVISION): A Neonatology Insights Pilot Project. Children (Basel). 2021;8.
Center for Devices and Radiological Health. Pulse Oximeters - Premarket Notification Submissions [510(k)s] Guidance for Industry and Food and Drug Administration Staff. U.S. Department of Health and Human Services; 2013.
Giavarina D. Understanding Bland Altman analysis. Biochem Med (Zagreb). 2015;25:141–51.
Bland JM, Altman DG. Agreement between methods of measurement with multiple observations per individual. J Biopharm Stat. 2007;17:571–82.
Gerke O. Reporting standards for a Bland-Altman agreement analysis: A review of methodological reviews. Diagnostics (Basel). 2020;10.
Bland JM, Altman DG. Measuring agreement in method comparison studies. Stat Methods Med Res. 1999;8:135–60.
Acknowledgements
The Journal Club is a collaboration between the American Academy of Pediatrics – Section of Neonatal-Perinatal Medicine and the International Society for Evidence-based neonatology (EBNEO.org).
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Literature search, article selection, evidence-based lesson selection, formal analysis, and writing (original draft, review, and editing) by CLG. Statistical consultation of the discussion and the evidence-based lesson and critical manuscript review by NLW. Supervision, article selection assistance, and writing (review and editing) by EVS.
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Groomes, C.L., Watson, N.L. & Schulz, E.V. Increased risk of pulse oximeter bias in Black versus White preterm infants. J Perinatol 43, 546–549 (2023). https://doi.org/10.1038/s41372-022-01515-1
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DOI: https://doi.org/10.1038/s41372-022-01515-1