ArticlePediatrics2015
Critical Elements in the Medical Evaluation of Suspected Child Physical Abuse.
Article in Pediatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A Systematic Review and Meta-Analysis of the Management and Outcomes of Isolated Skull Fractures in Children.Annals of emergency medicine · 2018Pooled it
- Consensus pregnancy-related criteria for suicide and unintentional overdoses using a Delphi process.Archives of women's mental health · 2024Article
- A standardized definition of near-fatal child maltreatment: Results of a multidisciplinary Delphi process.Child abuse & neglect · 2021Article
- Social history: A qualitative analysis of child abuse pediatricians' consultation notes.Child abuse & neglect · 2018Article
- Creating Consensus Educational Goals for Pediatric Sepsis via Multicenter Modified Delphi.AEM education and training · 2018Article
- Social Intuition and Social Information in Physical Child Abuse Evaluation and Diagnosis.Pediatrics · 2017Article
- Comparative analysis of stakeholder experiences with an online approach to prioritizing patient-centered research topics.Journal of the American Medical Informatics Association : JAMIA · 2017Article
- [Accident or maltreatment? Radiographic X‑ray patterns in non‑accidental trauma : The concept of sentinel injuries].Der Radiologe · 2016Review
- The etiology and significance of fractures in infants and young children: a critical multidisciplinary review.Pediatric radiology · 2016Review
Corrections and comments
- Erratum issued
Authors and funding
3 authors.
Funding
Abstract
backgroundPrevious research has described variability in medical evaluation of suspected abuse. The objective of this study was to identify, through expert consensus, required and highly recommended elements of a child abuse pediatrics (CAP) evaluation for 3 common presentations of suspected physical abuse in children aged 0 to 60 months.
methodsTwenty-eight CAPs recruited from 2 national organizations formed the expert panel for this modified Delphi Process. An initial survey was developed for each presentation based on demographics, history of present illness, past medical, family and social history, laboratory, radiology, and consultation elements present in at least 10% of CAP consultations collected for a larger study. CAPs ranked each element on a 9-point scale then reviewed and discussed summary results through a project blog over 3 rounds. Required and highly recommended elements were defined as elements ranked as 9 and 8, respectively, by ≥75% of experts after the final round.
resultsFrom 96 elements in the initial surveys, experts identified 30 Required elements and 37 Highly Recommended elements for CAP evaluation of intracranial hemorrhage, 21 Required and 33 Highly Recommended elements for CAP evaluation of long bone fracture, and 18 Required and 16 Highly Recommended elements for CAP evaluation of isolated skull fracture.
conclusionsThis guideline reflects expert consensus and provides a starting point for development of child abuse assessment protocols for quality improvement or research. Additional research is required to determine whether this guideline can reduce variability and/or improve reliability in the evaluation and diagnosis of child physical abuse.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.