International guidelines for the imaging investigation of suspected child physical abuse (IGISPA): a protocol for a modified Delphi consensus study
| Title: | International guidelines for the imaging investigation of suspected child physical abuse (IGISPA): a protocol for a modified Delphi consensus study |
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| Authors: | Alison M Kemp; Andrea Rossi; Patrick Kelly; Sonja Bastin; Joyce Chan; Gabrielle Colleran; Kristian Aquilina; Elena Pizzo; Ulugbek Nurmatov; Michael Paddock; Amaka C Offiah; Owen Arthurs; Alison Kemp; Deborah Zeitlin; Gil Binenbaum; Laura Knight; Russell Metcalfe; Gregor Kasprian; Tatiana Fazecas; Rajeev Seth; Adamos Hadjipanayis; Jai Sidpra; Kshitij Mankad; Annmarie Jeanes; Joanna Garstang; Rick van Rijn; Ji Hye Kim; Daniel Lindberg; Flora Blangis; Catherine Adamsbaum; Lil-Sofie Ording Müller; Claire Robinson; Brendan Kelly; Natasha Shur; Judith Fronczek; Aylin Tekes; Sabah Servaes; Arianne H Teeuw; Steve Moulton; Sabah-e-Noor Servaes; Karen Rosendahl; Harriet Joy; Winnie Chu; Amit Haboosheh; Maria Raissaki; Giles D Morrison; Heather Chesters; Stavros Stivaros; Katherine Halliday; Adam J Oates; Neil Stoodley; Debarata Bhattacharya; Manisha Jana; Mark Born; Gabriel Otterman; Anmol Bhatia; Cindy W Christian; Jessica Cooper; Yuri A Zarate; Harry Bliss; Ann De Guchtenaere; Tanyia Pillay; Valentina Lind; Amal Saleh Nour; David M Mirsky; Hannah Holmes; Elaine Y Kan; Emilia Wawrzkowicz; Leandro T Lucato; Ola Kvist; Owen John Arthurs; Aashim Bhatia; Adaobi Bisi-Onyemaechi; Amanda Small; Anna Wai Fun Cheng; Ashmitha K Rajkumar; Azadeh Hojreh; C V Kanimozhi; Chandrika Rao; Chioma L Odimegwu; Claudia Lazerte; Daniel Beutler; Elaine Yee Ling Kan; Felipe Mendez Koch; Genevieve Po Gee Fung; Geoffrey D Debelle; Goran Djuricic; Helle Precht; Herwig Brandtner; Ignasi Barber; Ivana Pogledic; Jamieson Carter; Joachin C Onyemesili; Juliet Soper; Katherine E Barton; Katherine Henry; Leticia Pereira de Brito Sampaio; Marguerite Care; Maria VirginiaTrujilo Ariza; Megan B Marine; Michael Fadell; Michelle Nagtegaal; Mike Yat Wah Kwan; Minal V Kekatpure; Monica Galeano; Nneka I Iloañusi; Padma Rao; Ruth Cytter Kuint; Sam Stafrace; Sandya Khadse; Sharon Tsui Hang Fung; Stephen Kralik; Susan Palasis; Suzanne Laughlin; Tagrid Ruiz; Tahani Ahmad; Timothy Cain; V Michelle Silvera; Fox Marttinen; Jannie Bøge Steinmeier Larsen; Edel Doyle; Katie Adcock; Myriam Jackson; Nadine Duffin; Amaka Offiah; Arabinda Choudhary; Christopher S Greeley; Dianna Bardo; Hans-Joachim Mentzel; Hima Pendharkar; Jennifer R Marin; Jim Anderst; Kushaljit Sodhi; Maggie Zhong; Maria Argyropoulou; Noor ul Owase Jeelani; Priscilla Joshi; Vincent Palusci |
| Source: | BMJ Open, Vol 15, Iss 9 (2025) |
| Publisher Information: | BMJ Publishing Group, 2025. |
| Publication Year: | 2025 |
| Collection: | LCC:Medicine |
| Subject Terms: | Medicine |
| Description: | Introduction Radiological imaging is a central facet of the multidisciplinary evaluation of suspected child physical abuse. Current guidelines for the imaging of suspected child physical abuse are often unclear, incomplete and highly variable regarding recommendations on critical questions, thereby risking clinical heterogeneity, unstructured decision-making and missed diagnoses. We, therefore, aim to develop and report an evidence-based and consensus-derived international guideline for the radiological investigation of index and contact children in the context of suspected physical abuse and to ascertain areas of scientific uncertainty to inform future research priorities.Methods and analysis The international guidelines for the imaging investigation of suspected child physical abuse (IGISPA) consensus group includes formal representation from 127 recognised experts across 14 subspecialties, six continents and 32 national and/or international organisations. Participants will be divided into five longitudinal subgroups (indications for imaging, skeletal imaging, visceral imaging, neuroimaging and postmortem imaging) with three cross-cutting themes (radiography, genetics and adaptations for low- and lower-middle-income countries). Each subgroup will develop preliminary consensus statements via integration of current evidence-based guidelines, systematic literature review and the clinical expertise of a multinational group of experts. Statements will then undergo anonymised voting in a modified e-Delphi process and iterative revision until consensus (≥80% agreement) is achieved. Final statements will undergo both internal and external peer review prior to endorsement.Ethics and dissemination As an anonymous survey of consenting healthcare professionals, this study did not require ethical approval. Experts provided written informed consent to participate prior to commencement of the modified Delphi process. The IGISPA consensus statement and any subsequent guidance will be published open access in peer-reviewed medical journals. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 2044-6055 |
| Relation: | https://bmjopen.bmj.com/content/15/9/e101693.full; https://doaj.org/toc/2044-6055 |
| DOI: | 10.1136/bmjopen-2025-101693 |
| Access URL: | https://doaj.org/article/9fd03d3f71df4e17890caaa46a15cc22 |
| Accession Number: | edsdoj.9fd03d3f71df4e17890caaa46a15cc22 |
| Database: | Directory of Open Access Journals |