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Radiologists' Training, Experience, and Attitudes About Elder Abuse Detection.

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Diagnostic radiologists often miss elder abuse cases due to lack of training. They desire more education and can identify specific radiographic patterns indicative of abuse.

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Area of Science:

  • Geriatric Medicine
  • Radiology
  • Forensic Medicine

Background:

  • Elder abuse is underrecognized, necessitating high suspicion from healthcare providers.
  • Diagnostic radiologists are well-positioned to detect elder abuse due to frequent radiographic imaging of geriatric injury patients.

Purpose of the Study:

  • To assess diagnostic radiologists' knowledge, attitudes, training, and experience in detecting elder abuse.
  • To identify potential radiographic indicators of elder abuse.

Main Methods:

  • Conducted 19 semistructured interviews with diagnostic radiologists at an urban academic medical center.
  • Coded and analyzed interview data to identify recurring themes.

Main Results:

  • Only two radiologists reported any formal or informal elder abuse detection training.
  • All interviewed radiologists believed they had missed elder abuse cases.
  • Radiologists identified potential radiographic findings suggestive of abuse, including high-energy fractures, injuries in multiple healing stages, and inconsistencies with reported mechanisms.

Conclusions:

  • Radiologists are uniquely positioned to identify elder abuse.
  • A significant lack of training exists, yet radiologists desire more knowledge.
  • Radiologists can identify suggestive radiographic patterns, highlighting the need for further research and practice integration.