{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,9]],"date-time":"2026-08-09T03:47:55Z","timestamp":1786247275120,"version":"build-2736575974"},"reference-count":29,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2021,7,14]],"date-time":"2021-07-14T00:00:00Z","timestamp":1626220800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Child maltreatment is not unusual in our society but little is known about the medical management of cases in the Nordic countries. This study investigated physician knowledge and practice in cases of suspected physical and sexual abuse and neglect.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Using a patient vignette questionnaire, we assessed paediatrician knowledge and clinical decision\u2010making on paediatric wards at 17\u00a0hospitals in Norway. Experts and non\u2010experts in child maltreatment responded to the survey which described six potential cases of physical and sexual abuse and neglect.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 156 paediatricians, 67% of whom were female and with a mean age of 40, responded. There was a high level of unanimity in recognition of abuse, but wide variation and little consensus in clinical decision\u2010making and adherence to national guidelines, with Fleiss kappa ranging from \u22120.002 to 0.468. In cases involving physical abuse concerns in infants and toddlers, less than half of all paediatricians reported they would order a full radiologic skeletal survey and head MRI\/CT imaging, and less than 30% would plan follow\u2010up consultations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study shows little agreement in the paediatric management of child maltreatment cases. These findings suggest the need for a national plan ensuring appropriate paediatric care for maltreated children.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.16017","type":"journal-article","created":{"date-parts":[[2021,7,2]],"date-time":"2021-07-02T19:05:08Z","timestamp":1625252708000},"page":"2865-2872","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Amongst Norwegian paediatricians there is little agreement in management of cases of suspected child maltreatment"],"prefix":"10.1111","volume":"110","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2348-0065","authenticated-orcid":false,"given":"Mary Jo","family":"Vollmer\u2010Sandholm","sequence":"first","affiliation":[{"name":"Department of Forensic Sciences Oslo University Hospital  Oslo Norway"},{"name":"Institute of Clinical Medicine University of Oslo  Oslo Norway"},{"name":"Department of Paediatrics Oslo University Hospital  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arne Kristian","family":"Myhre","sequence":"additional","affiliation":[{"name":"Department of Paediatrics St. Olavs University Hospital  Trondheim Norway"},{"name":"Department of Clinical and Molecular Medicine Faculty of Medicine and Health Sciences Norwegian University of Science and Technology (NTNU  Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4837-9614","authenticated-orcid":false,"given":"Gabriel","family":"Otterman","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health Uppsala University  Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stian","family":"Lydersen","sequence":"additional","affiliation":[{"name":"Department of Mental Health Faculty of Medicine and Health Sciences Regional Centre for Child and Youth Mental Health and Child Welfare Norwegian University of Science and Technology (NTNU  Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7238-0327","authenticated-orcid":false,"given":"Arne","family":"Stray\u2010Pedersen","sequence":"additional","affiliation":[{"name":"Department of Forensic Sciences Oslo University Hospital  Oslo Norway"},{"name":"Institute of Clinical Medicine University of Oslo  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,7,14]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"The deepest well","author":"Harris NB","year":"2018"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-018-1037-7"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(17)30118-4"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2009.06.021"},{"key":"e_1_2_10_6_1","unstructured":"WWHO.Child Maltreatment: World Health Organization;2020updated 8 June 2020.https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/child\u2010maltreatment"},{"key":"e_1_2_10_7_1","unstructured":"HafstadGS AugustiEM. 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