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Related Experiment Video

Updated: Oct 21, 2025

Scanning Skeletal Remains for Bone Mineral Density in Forensic Contexts
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The PERFORM-P (Principles of Evidence-based Reporting in FORensic Medicine-Pathology version).

P D I Meilia1, Herkutanto2, D S Atmadja2

  • 1Care and Public Health Research Institute (CAPHRI), Maastricht University Medical Center+, Maastricht, The Netherlands.

Forensic Science International
|September 2, 2021
PubMed
Summary

Forensic pathology reports lack international standards. The new Principles of Evidence-based Reporting in Forensic Medicine-Pathology (PERFORM-P) provides 61 recommendations for consistent, high-quality forensic reports globally.

Keywords:
Delphi studyEvidence-based practiceForensic medicineForensic pathologyReporting guides

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Area of Science:

  • Forensic Pathology
  • Medical Reporting
  • Evidence-Based Practice

Background:

  • Forensic pathology reports are crucial for legal decision-making.
  • Current reports lack internationally accepted standards, leading to variable quality.
  • This variability threatens the reliability of legal outcomes.

Purpose of the Study:

  • To develop internationally accepted recommendations for forensic pathology reporting.
  • To promote evidence-based practice (EBP) in forensic pathology.
  • To create adaptable guidelines for diverse medico-legal systems.

Main Methods:

  • An international consensus study was conducted.
  • A Delphi process involving global forensic pathologists refined reporting items.
  • The PERFORM-P prototype and manual were developed through iterative surveys.

Main Results:

  • The Principles of Evidence-based Reporting in Forensic Medicine-Pathology (PERFORM-P) was developed with 106 experts from 41 countries.
  • PERFORM-P includes 61 essential items for forensic pathology reports.
  • An accompanying Explanation and Elaboration (E&E) document supports the recommendations.

Conclusions:

  • Internationally accepted recommendations can enhance forensic pathology reports.
  • PERFORM-P offers a standardized framework for report content.
  • The guidelines are adaptable and accepted across various jurisdictions and medico-legal systems.