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Clinical care of ch...
Clinical care of childhood sexual abuse: a systematic review and critical appraisal of guidelines from European countries
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- Otterman, Gabriel (author)
- Linköpings universitet,Avdelningen för barnafrid,Medicinska fakulteten
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- Nurmatov, Ulugbek B. (author)
- Division of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK
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- Akhlaq, Ather (author)
- Institute of Business Management, Karachi, Pakistan
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- Korhonen, Laura, Professor, 1974- (author)
- Linköpings universitet,Medicinska fakulteten,Avdelningen för barnafrid,Region Östergötland, Barn- och ungdomspsykiatriska kliniken Linköping
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- Kemp, Alison M. (author)
- Division of Population Medicine, School of Medicine, Cardiff University, Cardiff, UK
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- Naughton, Aideen (author)
- National Safeguarding Service, Public Health Wales, Cardiff, UK
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- Chalumeau, Martin (author)
- Child Protection Unit - Department of General Pediatrics and Pediatric Infectious Diseases, Necker-Enfants malades Hospital, France
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- Jud, Andreas (author)
- Clinic for Child and Adolescent Psychiatry, Ulm University Clinics, Ulm, Germany
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- Vollmer Sandholm, Mary Jo (author)
- Department of Forensic Sciences, Oslo University, Oslo, Norway
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- Mora-Theuer, Eva (author)
- Department of Pediatrics and Adolescent Medicine, Medical University of Vienna, Vienna, Austria
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- Moultrie, Sarah (author)
- Pediatric Trauma Services, Benioff Children's Hospitals- Oakland, Oakland, CA, USA
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- Lamela, Diogo (author)
- Digital Human-Environment Interaction Lab (HEI-Lab), Lusófona University, Porto, Portugal
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- Tagiyeva-Milne, Nara (author)
- Department of Education, Liverpool School of Tropical Medicine, Liverpool, UK
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- Nelson, Joanne (author)
- Child and Adolescent Sexual Assault Treatment Service, Barnahus West, Saolta University Health Care Group, Galway, Ireland
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- Greenbaum, Jordan (author)
- International Centre for Missing and Exploited Children, Alexandria, VA, USA
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(creator_code:org_t)
- Elsevier, 2024
- 2024
- English.
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In: The Lancet Regional Health. - : Elsevier. - 2666-7762. ; 39
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
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- BackgroundThe clinical management of Child sexual abuse (CSA) demands specialised skills from healthcare professionals due to its sensitivity, legal implications, and serious physical health and mental health effects. Standardised, comprehensive clinical practice guidelines (CPGs) may be pivotal. In this systematic review, we examined existing CSA national CPGs (NCPGs) from European countries to assess their quality and reporting.MethodsWe systematically searched six international databases and multiple grey literature sources, reporting by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standards. Eligible guidelines were CSA guidance from national health agencies or societies in 34 COST Action 19106 Network Countries (CANC), published between January 2012 and November 2022. Two independent researchers searched, screened, reviewed, and extracted data. NCPGs were compared for completeness with reference WHO 2017 and 2019 guidelines. We used the Appraisal of Guidelines for Research and Evaluation (AGREE II) to appraise quality and reporting. PROSPERO: CRD42022320747.FindingsOf 2919 records identified by database searches, none met inclusion criteria. Of 4714 records identified by other methods, 24 NCPGs from 17 (50%) of CANC countries were included. In 17 (50%) of eligible countries, no NCPGs were found. Content varied significantly within and between countries. NCPGs lacked many components in state-of-the art clinical practice compared to WHO reference standards, particularly in safety and risk assessment, interactions with caregivers, and mental health interventions. Appraisal by AGREE II revealed shortcomings in NCPG development, regarding scientific rigour, stakeholder involvement, implementation and evaluation.InterpretationA notable number of European countries lack an NCPG; existing NCPGs often fall short. The healthcare response to CSA in Europe requires a coordinated approach to develop and implement high-quality CPGs. We advocate for a multidisciplinary team to develop a pan-European CSA guideline to ensure quality care for survivors.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Keyword
- Child maltreatment; Child sexual abuse; Clinical guidelines; Systematic review
Publication and Content Type
- ref (subject category)
- art (subject category)
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Otterman, Gabrie ...
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Nurmatov, Ulugbe ...
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Akhlaq, Ather
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Korhonen, Laura, ...
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Kemp, Alison M.
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Naughton, Aideen
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Chalumeau, Marti ...
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Jud, Andreas
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Vollmer Sandholm ...
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Mora-Theuer, Eva
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Moultrie, Sarah
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Lamela, Diogo
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Tagiyeva-Milne, ...
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Nelson, Joanne
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Greenbaum, Jorda ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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The Lancet Regio ...
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Linköping University