{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T01:27:23Z","timestamp":1791854843824,"version":"4.3.4"},"reference-count":49,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,4,10]],"date-time":"2025-04-10T00:00:00Z","timestamp":1744243200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000780","name":"European Commission","doi-asserted-by":"publisher","award":["101096768"],"award-info":[{"award-number":["101096768"]}],"id":[{"id":"10.13039\/501100000780","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000780","name":"European Commission","doi-asserted-by":"publisher","award":["CERV-2022-DAPHNE"],"award-info":[{"award-number":["CERV-2022-DAPHNE"]}],"id":[{"id":"10.13039\/501100000780","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Child Abuse & Neglect"],"published-print":{"date-parts":[[2025,6]]},"DOI":"10.1016\/j.chiabu.2025.107446","type":"journal-article","created":{"date-parts":[[2025,4,16]],"date-time":"2025-04-16T16:18:17Z","timestamp":1744820297000},"page":"107446","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"special_numbering":"C","title":["Challenges to reliable ICD-10 coding of child maltreatment: A qualitative interview study of healthcare professionals in German and Swedish hospitals"],"prefix":"10.1016","volume":"164","author":[{"given":"Teresa","family":"Walter","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Korhonen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel","family":"Otterman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Godfried","family":"van Agthoven","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Jud","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"4","key":"10.1016\/j.chiabu.2025.107446_bb0005","article-title":"Identifying the challenges of child abuse detection among emergency, pediatrics, and family medicine practitioners in Saudi Arabia","volume":"15","author":"AlShalhoub","year":"2023","journal-title":"Cureus"},{"issue":"4","key":"10.1016\/j.chiabu.2025.107446_bb1000","doi-asserted-by":"crossref","first-page":"1273","DOI":"10.1111\/1475-6773.12343","article-title":"Statewide hospital discharge data: collection, use, limitations, and improvements","volume":"50","author":"Andrews","year":"2015","journal-title":"Health Services Research"},{"issue":"3","key":"10.1016\/j.chiabu.2025.107446_bb0010","article-title":"Challenges of reporting child abuse by healthcare professionals: A narrative review","volume":"4","author":"Azizi","year":"2017","journal-title":"Journal of Nursing and Midwifery Sciences"},{"issue":"3","key":"10.1016\/j.chiabu.2025.107446_bb0015","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1097\/00007611-198903000-00002","article-title":"Reporting of child abuse: Influence of characteristics of physician, practice, and community","volume":"82","author":"Badger","year":"1989","journal-title":"Southern Medical Journal"},{"key":"10.1016\/j.chiabu.2025.107446_bb0020","series-title":"Online- Training \u201cBarnskydd inom h\u00e4lso- och sjukv\u00e5rden: kunskapsbas och dokumentation\u201d","article-title":"Strukturerna f\u00f6r skydd av barn inom h\u00e4lso-och sjukv\u00e5rdssystemet","author":"Barnafrid","year":"2024"},{"issue":"23","key":"10.1016\/j.chiabu.2025.107446_bb0025","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph192315568","article-title":"Survey on reporting of child abuse by pediatricians: Intrapersonal inconsistencies influence reporting behavior more than legislation","volume":"19","author":"Berthold","year":"2022","journal-title":"International Journal of Environmental Research and Public Health"},{"issue":"2","key":"10.1016\/j.chiabu.2025.107446_bb0030","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qualitative Research in Psychology"},{"key":"10.1016\/j.chiabu.2025.107446_bb0035","series-title":"The ecology of human development: Experiments by nature and design","author":"Bronfenbrenner","year":"1979"},{"key":"10.1016\/j.chiabu.2025.107446_bb0040","author":"Bundesgesundheitsministerium"},{"issue":"1","key":"10.1016\/j.chiabu.2025.107446_bb0045","doi-asserted-by":"crossref","DOI":"10.1002\/car.2862","article-title":"Factors influencing clinicians\u2019, health visitors\u2019 and social workers\u2019 professional judgements, decision-making and multidisciplinary collaboration when safeguarding children with burn injuries: A qualitative study","volume":"33","author":"Cowley","year":"2024","journal-title":"Child Abuse Review"},{"key":"10.1016\/j.chiabu.2025.107446_bb0050","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1016\/j.chiabu.2018.06.009","article-title":"Factors influencing child protection professionals\u2019 decision-making and multidisciplinary collaboration in suspected abusive head trauma cases: A qualitative study","volume":"82","author":"Cowley","year":"2018","journal-title":"Child Abuse & Neglect"},{"issue":"10","key":"10.1016\/j.chiabu.2025.107446_bb0055","doi-asserted-by":"crossref","first-page":"1442","DOI":"10.1161\/CIRCULATIONAHA.107.742775","article-title":"Qualitative and mixed methods provide unique contributions to outcomes research","volume":"119","author":"Curry","year":"2009","journal-title":"Circulation"},{"key":"10.1016\/j.chiabu.2025.107446_bb0060","author":"Deutsche Gesellschaft f\u00fcr Kinderschutz in der Medizin (DGKiM)"},{"issue":"9","key":"10.1016\/j.chiabu.2025.107446_bb0065","doi-asserted-by":"crossref","first-page":"939","DOI":"10.1016\/j.chiabu.2004.03.013","article-title":"Telling their stories: Primary care practitioners\u2019 experience evaluating and reporting injuries caused by child abuse","volume":"28","author":"Flaherty","year":"2004","journal-title":"Child Abuse & Neglect"},{"issue":"5","key":"10.1016\/j.chiabu.2025.107446_bb0070","doi-asserted-by":"crossref","first-page":"349","DOI":"10.3928\/0090-4481-20050501-08","article-title":"Barriers to physician identification and reporting of child abuse","volume":"34","author":"Flaherty","year":"2005","journal-title":"Pediatric Annals"},{"issue":"3","key":"10.1016\/j.chiabu.2025.107446_bb0075","doi-asserted-by":"crossref","first-page":"611","DOI":"10.1542\/peds.2007-2311","article-title":"From suspicion of physical child abuse to reporting: Primary care clinician decision-making","volume":"122","author":"Flaherty","year":"2008","journal-title":"Pediatrics"},{"key":"10.1016\/j.chiabu.2025.107446_bb0080","doi-asserted-by":"crossref","DOI":"10.1016\/j.chiabu.2020.104650","article-title":"Child maltreatment data: A summary of progress, prospects and challenges","volume":"119","author":"Fluke","year":"2021","journal-title":"Child Abuse & Neglect"},{"key":"10.1016\/j.chiabu.2025.107446_bb0085","doi-asserted-by":"crossref","first-page":"i71","DOI":"10.1136\/injuryprev-2019-043513","article-title":"Accuracy of ICD-10-CM coding for physical child abuse in paediatric level I trauma centre","volume":"27","author":"Garza","year":"2021","journal-title":"Injury Prevention"},{"issue":"1","key":"10.1016\/j.chiabu.2025.107446_bb0090","doi-asserted-by":"crossref","first-page":"156","DOI":"10.1542\/peds.2011-0363","article-title":"Child abuse pediatrics: New specialty, renewed mission","volume":"128","author":"Giardino","year":"2011","journal-title":"Pediatrics"},{"key":"10.1016\/j.chiabu.2025.107446_bb0095","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1367\/A04-094R.1","article-title":"Factors affecting pediatricians\u2019 reporting of suspected child caltreatment","volume":"5","author":"Gunn","year":"2005","journal-title":"Ambulatory Pediatrics"},{"issue":"1","key":"10.1016\/j.chiabu.2025.107446_bb0100","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1753-2000-6-35","article-title":"A prevalence-based approach to societal costs occurring in consequence of child abuse and neglect","volume":"6","author":"Habetha","year":"2012","journal-title":"Child and Adolescent Psychiatry and Mental Health"},{"key":"10.1016\/j.chiabu.2025.107446_bb0105","first-page":"3","article-title":"Global prevalence of past year violence against children: A systematic review and minimun estimates","volume":"37","author":"Hillis","year":"2016","journal-title":"Pediatrics"},{"issue":"3","key":"10.1016\/j.chiabu.2025.107446_bb0110","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1136\/injuryprev-2019-043579","article-title":"Child maltreatment surveillance following the ICD-10-CM transition, 2016\u20132018","volume":"27","author":"Hunter","year":"2021","journal-title":"Injury Prevention"},{"issue":"2","key":"10.1016\/j.chiabu.2025.107446_bb0115","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1542\/peds.2007-2312","article-title":"Clinicians\u2019 description of factors influencing their reporting of suspected child abuse: Report of the Child Abuse Reporting Experience Study Research Group","volume":"122","author":"Jones","year":"2008","journal-title":"Pediatrics"},{"key":"10.1016\/j.chiabu.2025.107446_bb0120","series-title":"Online- Kurs \u201cKindermisshandlung erkennen und dokumentieren in der Medizin\u201d","article-title":"Bedeutung, Validit\u00e4t und Reliabilit\u00e4t der Kodierung von Kindesmisshandlung im Gesundheitswesen","author":"Jud","year":"2024"},{"key":"10.1016\/j.chiabu.2025.107446_bb0125","author":"Jud"},{"key":"10.1016\/j.chiabu.2025.107446_bb0130","first-page":"47","article-title":"The definitions are legion: Academic views and practice perspectives on violence against children","volume":"25","author":"Jud","year":"2019","journal-title":"Sociological Studies of Children and Youth"},{"issue":"6","key":"10.1016\/j.chiabu.2025.107446_bb2000","doi-asserted-by":"crossref","first-page":"1232","DOI":"10.1542\/peds.2007-0883","article-title":"Evaluation of suspected child physical abuse","volume":"119","author":"Kellogg","year":"2007","journal-title":"Pediatrics"},{"issue":"8","key":"10.1016\/j.chiabu.2025.107446_bb0135","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1093\/milmed\/165.8.607","article-title":"The impact of physician training on child maltreatment reporting: A multi-specialty study","volume":"165","author":"Lawrence","year":"2000","journal-title":"Military Medicine"},{"issue":"9","key":"10.1016\/j.chiabu.2025.107446_bb3000","doi-asserted-by":"crossref","first-page":"674","DOI":"10.1097\/PEC.0000000000003146","article-title":"The barriers to recognizing and reporting child physical abuse by emergency physicians and associated factors","volume":"40","author":"Lee","year":"2024","journal-title":"Pediatric Emergency Care"},{"issue":"1","key":"10.1016\/j.chiabu.2025.107446_bb0140","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1186\/1471-2431-12-167","article-title":"Facilitators and barriers to screening for child abuse in the emergency department","volume":"12","author":"Louwers","year":"2012","journal-title":"BMC Pediatrics"},{"issue":"13","key":"10.1016\/j.chiabu.2025.107446_bb0145","doi-asserted-by":"crossref","first-page":"1753","DOI":"10.1177\/1049732315617444","article-title":"Sample size in qualitative interview studies: Guided by information power","volume":"26","author":"Malterud","year":"2016","journal-title":"Qualitative Health Research"},{"key":"10.1016\/j.chiabu.2025.107446_bb0150","series-title":"Doing qualitative research","first-page":"89","article-title":"Depth interviewing","author":"Miller","year":"1999"},{"issue":"2","key":"10.1016\/j.chiabu.2025.107446_bb0155","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/j.afjem.2018.01.005","article-title":"A cross-sectional survey of child abuse management knowledge among emergency medicine personnel in Cape Town, South Africa","volume":"8","author":"Mullan","year":"2018","journal-title":"African Journal of Emergency Medicine"},{"issue":"5","key":"10.1016\/j.chiabu.2025.107446_bb0160","doi-asserted-by":"crossref","first-page":"1620","DOI":"10.1111\/j.1475-6773.2005.00444.x","article-title":"Measuring diagnoses: ICD code accuracy","volume":"40","author":"O\u2019Malley","year":"2005","journal-title":"Health Services Research"},{"issue":"3","key":"10.1016\/j.chiabu.2025.107446_bb0165","first-page":"93","article-title":"Barriers that inhibit nurses reporting suspected cases of child abuse and neglect","volume":"26","author":"Plitz","year":"2009","journal-title":"Australian Journal of Advanced Nursing"},{"key":"10.1016\/j.chiabu.2025.107446_bb0170","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1186\/s13104-015-1607-9","article-title":"Risk factors for child abuse: Levels of knowledge and difficulties in family medicine. A mixed method study","volume":"8","author":"Regnaut","year":"2015","journal-title":"BMC Research Notes"},{"issue":"Supplement 1","key":"10.1016\/j.chiabu.2025.107446_bb0175","doi-asserted-by":"crossref","first-page":"A87","DOI":"10.1136\/adc.2011.212563.203","article-title":"Playing with fire: Missed opportunities in the referral and follow-up to pre-school burns","volume":"96","author":"Saunders","year":"2011","journal-title":"Archives of Disease in Childhood"},{"issue":"10","key":"10.1016\/j.chiabu.2025.107446_bb0180","doi-asserted-by":"crossref","first-page":"1241","DOI":"10.1007\/s00103-020-03217-5","article-title":"Child abuse-reduction in the estimated number of unreported cases by restructuring a clinical child protection program","volume":"63","author":"Schmidt","year":"2020","journal-title":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz"},{"key":"10.1016\/j.chiabu.2025.107446_bb0185","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1016\/j.chiabu.2009.08.005","article-title":"The utility and challenges of using ICD codes in child maltreatment research: A review of existing literature","volume":"33","author":"Scott","year":"2009","journal-title":"Child Abuse & Neglect"},{"issue":"6","key":"10.1016\/j.chiabu.2025.107446_bb0190","doi-asserted-by":"crossref","first-page":"921","DOI":"10.1111\/1742-6723.14256","article-title":"Barriers to identification and reporting of child abuse and neglect experienced by medical officers and nursing staff in emergency departments of the Nepean Blue Mountains Local Health District","volume":"35","author":"Soh","year":"2023","journal-title":"Emergency Medicine Australasia"},{"key":"10.1016\/j.chiabu.2025.107446_bb0195","series-title":"Violence is never okay! Summary of a national survey on violence against children","author":"Thulin","year":"2024"},{"issue":"4","key":"10.1016\/j.chiabu.2025.107446_bb0200","doi-asserted-by":"crossref","first-page":"447","DOI":"10.1016\/j.annemergmed.2015.06.020","article-title":"Barriers and facilitators to detecting child abuse and neglect in general emergency departments","volume":"66","author":"Tiyyagura","year":"2015","journal-title":"Annals of Emergeny Medicine"},{"key":"10.1016\/j.chiabu.2025.107446_bb4000","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","article-title":"Consolidated criteria for reporting qualitative research (coreq): a 32-item checklist for interviews and focus groups","volume":"19","author":"Tong","year":"2007","journal-title":"International Journal for Quality in Health Care"},{"key":"10.1016\/j.chiabu.2025.107446_bb0205","doi-asserted-by":"crossref","DOI":"10.1007\/s00103-024-04002-4","article-title":"Kodierung von Kindesmisshandlung und -vernachl\u00e4ssigung in Kliniken in Deutschland: \u00dcbersicht und Einordnung der Datenlage im Hellfeld","author":"Walter","year":"2025","journal-title":"Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz"},{"key":"10.1016\/j.chiabu.2025.107446_bb0210","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1186\/s13034-017-0185-0","article-title":"Child maltreatment in Germany: Prevalence rates in the general population","volume":"11","author":"Witt","year":"2017","journal-title":"Child and Adolescent Psychiatry and Mental Health"},{"issue":"11","key":"10.1016\/j.chiabu.2025.107446_bb0215","doi-asserted-by":"crossref","first-page":"813","DOI":"10.1055\/s-0038-1628561","article-title":"Das Ausma\u00df von Kindesmissbrauch, -misshandlung und -vernachl\u00e4ssigung in Deutschland: Eine \u00dcbersicht","volume":"32","author":"Witt","year":"2013","journal-title":"Nervenheilkunde"},{"key":"10.1016\/j.chiabu.2025.107446_bb0220","author":"World Health Organization"},{"key":"10.1016\/j.chiabu.2025.107446_bb0225","series-title":"European observatory on health systems and policies","article-title":"Sweden: Health system review","author":"World Health Organization (WHO)","year":"2023"}],"container-title":["Child Abuse & Neglect"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0145213425002017?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0145213425002017?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T18:45:47Z","timestamp":1777488347000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0145213425002017"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6]]},"references-count":49,"alternative-id":["S0145213425002017"],"URL":"https:\/\/doi.org\/10.1016\/j.chiabu.2025.107446","relation":{},"ISSN":["0145-2134"],"issn-type":[{"value":"0145-2134","type":"print"}],"subject":[],"published":{"date-parts":[[2025,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Challenges to reliable ICD-10 coding of child maltreatment: A qualitative interview study of healthcare professionals in German and Swedish hospitals","name":"articletitle","label":"Article Title"},{"value":"Child Abuse & Neglect","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.chiabu.2025.107446","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Authors. Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}],"article-number":"107446"}}