疑似儿童身体虐待的成像调查的国际指南 (IGISPA):修改后的德尔菲共识研究的协议
Jai Sidpra1, Alison M Kemp2, Amal Saleh Nour3
1Developmental Biology and Cancer Section, University College London Great Ormond Street Institute of Child Health, London, UK jai.sidpra@gosh.nhs.uk.
BMJ open
|September 25, 2025
概括
这项研究制定了在怀疑儿童身体虐待的情况下进行放射性成像的国际指导方针. 目标是改善诊断并减少对虐待儿童评估的护理变异性.
科学领域:
- 儿科放射学 儿科放射学
- 儿童虐待成像 儿童虐待成像
- 基于证据的指导方针
背景情况:
- 目前对疑似儿童身体虐待的成像指南往往不清楚和不一致.
- 这种变化可能会导致临床异质性,非结构化的决策和错误诊断.
- 需要标准化,基于证据的建议.
研究的目的:
- 制定并报告基于证据,共识衍生的国际指导方针,用于放射性调查疑似儿童身体虐待.
- 确定科学不确定性的领域,以指导未来的研究.
- 为索引和接触儿童提供明确的建议.
主要方法:
- 形成了一个由127名专家组成的共识小组,来自14个子专业,六大洲和32个组织.
- 专家被划分为分组,专注于指示,骨,内脏,神经成像和死后成像,具有交叉主题.
- 共识陈述是通过证据整合,系统审查和修改的e-Delphi流程开发的,共识达成的达成≥80%.
主要成果:
- 专家小组制定了初步的共识声明.
- 代修订和匿名投票在修改后的e-Delphi过程中被用来实现共识.
- 最终陈述将经过同行评审,并公布开放访问.
结论:
- 国际准则的制定旨在在怀疑儿童遭受身体虐待时标准化放射学调查.
- 这一举措旨在减少诊断错误并改善患者的护理.
- 该过程确定了研究优先事项,以推进该领域的发展.
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