The German Evidence-Based Child Protection Guideline - Imaging in Suspected Child Abuse. / Die deutsche S3-Kinderschutzleitlinie ­ Bildgebung bei Verdacht auf Kindesmisshandlung.

ABSTRACT

AIM: Development of a fully evidence-based guideline including all aspects of child abuse. METHODS: In a case-based procedure, 144 primary PICO questions were generated from 476 presented cases of child abuse. Literature research was performed in 5 databases (Pubmed, CINHAL, Embase, PsycInfo, Eric) and in the Cochrane Library. The literature was evaluated according to SIGN and AGREE II. RESULTS: 137 recommendations were developed. Those related to imaging procedures are presented and discussed in this article. CONCLUSION: The first fully evidence-based German guideline concerning all aspects of child abuse has been established. For imaging, several relevant new approaches have been proposed. KEY POINTS · The average radiation exposure is significantly reduced for the whole group of examined children.. · The pelvic view and lateral spine are no longer basic views of the skeletal survey but are only performed additionally in the case of a positive survey.. · Oblique views and a follow-up survey are performed in the case of a negative skeletal survey and ongoing suspicion of child abuse.. CITATION FORMAT · Born M, Schwier F, Stoever B et al. The German Evidence-Based Child Protection Guideline - Imaging in Suspected Child Abuse. Fortschr Röntgenstr 2020; 192 343 - 348.