@article{ref1,
title="Insufficient evidence for the use of a physical examination to detect maltreatment in children without prior suspicion: A systematic review",
journal="Systematic reviews",
year="2013",
author="van Konijnenburg, Eva M. and Teeuw, Arianne H. and Sieswerda-Hoogendoorn, Tessa and Leenders, Arnold G. and van der Lee, Johanna H.",
volume="2",
number="1",
pages="109-109",
abstract="BACKGROUND: Although it is often performed in clinical practice, the diagnostic value of a screening physical examination to detect maltreatment in children without prior suspicion has not been reviewed. This article aims to evaluate the diagnostic value of a complete physical examination as a screening instrument to detect maltreatment in children without prior suspicion.   METHODS: We systematically searched the databases of MEDLINE, EMBASE, PsychINFO, CINAHL, and ERIC, using a sensitive search strategy. Studies that i) presented medical findings of a complete physical examination for screening purposes in children 0-18 years, ii) specifically recorded the presence or absence of signs of child maltreatment, and iii) recorded child maltreatment confirmed by a reference standard, were included. Two reviewers independently performed study selection, data extraction, and quality appraisal using the QUADAS-2 tool.   RESULTS: The search yielded 4,499 titles, of which three studies met the eligibility criteria. The prevalence of confirmed signs of maltreatment during screening physical examination varied between 0.8% and 13.5%. The designs of the studies were inadequate to assess the diagnostic accuracy of a screening physical examination for child maltreatment.   CONCLUSIONS: Because of the lack of informative studies, we could not draw conclusions about the diagnostic value of a screening physical examination in children without prior suspicion of child maltreatment.<p /> <p>Language: en</p>",
language="en",
issn="2046-4053",
doi="10.1186/2046-4053-2-109",
url="http://dx.doi.org/10.1186/2046-4053-2-109"
}