Assessments of girls' genital findings and the likelihood of sexual abuse: Agreement among physicians self-rated as skilled

Archives of Pediatrics and Adolescent Medicine

Volumn 151, Issue 9, 1997, Pages 883-891

  Paradise, Jan E ^a   Finkel, Martin A ^b   Beiser, Alexa S ^b   Berenson, Abbey B ^b   Greenberg, Donna B ^b   Winter, Michael R ^b  

^a BOSTON MEDICAL CENTER   (United States)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; COMPETENCE; DIAGNOSTIC ACCURACY; GYNECOLOGICAL EXAMINATION; HUMAN; PHYSICAL EXAMINATION; PRIORITY JOURNAL; SEXUAL ABUSE; CHILD; CHILD SEXUAL ABUSE; CLINICAL COMPETENCE; FEMALE; GYNECOLOGY; OBSERVER VARIATION; PATHOLOGY; PEDIATRICS; PRACTICE GUIDELINE; PRESCHOOL CHILD; QUESTIONNAIRE; STANDARD; VAGINA; VULVA;

CHILD; CHILD ABUSE, SEXUAL; CHILD, PRESCHOOL; CLINICAL COMPETENCE; FEMALE; GYNECOLOGY; HUMANS; OBSERVER VARIATION; PEDIATRICS; PHYSICAL EXAMINATION; PRACTICE GUIDELINES; QUESTIONNAIRES; VAGINA; VULVA;

EID: 0030612589     PISSN: 10724710     EISSN: None     Source Type: Journal    
DOI: 10.1001/archpedi.1997.02170460021004     Document Type: Article

References (25)

1. Lung CT, Daro D. Current Trends in Child Abuse Reporting and Fatalities: The Results of the 1995 Annual Fifty State Survey. Chicago, III: The National Committee to Prevent Child Abuse; 1996:9.
2. Chadwick DL, Berkowitz CD, Kerns D, et al. Color Atlas of Child Sexual Abuse. Chicago, III: Year Book Medical Publishers Inc; 1989.
3. Emans SJ, Woods ER, Flagg NT, Freeman A. Genital findings in sexually abused, symptomatic, and asymptomatic girls. Pediatrics. 1987;79:778-785.
4. Adams JA, Ahmad M, Phillips P. Anogenital findings and hymenal diameter in children referred for sexual abuse examination. Adolesc Pediatr Gynecol. 1988;1:123-127.
5. Bays J, Chewning M, Keltner L, Sewell R, Steinberg M, Thomas P. Changes in hymenal anatomy during examination of prepubertal girls for possible sexual abuse. Adolesc Pediatr Gynecol. 1990;3:42-46.
6. Lloyd DW. The corroboration of sexual victimization of children. In Bullcley J, ed. Child Sexual Abuse and the Law. 5th ed. Washington, DC: American Bar Association National Legal Resource Center for Child Advocacy and Protection; 1985: 103-124.
7. Whitcomb D. When the Victim Is a Child. 2nd ed. Washington, DC: National Institute of Justice, Office of Justice Programs; 1992.
8. Brayden RM, Altemeier WA, Yeager T, Muram D. Interpretations of colposcopic photographs: evidence for competence in assessing sexual abuse? Child Abuse Negl. 1991;15:69-76.
9. Adams JA, Wells R. Normal versus abnormal genital findings in children: how well do examiners agree? Child Abuse Negl. 1993;17:663-675.
10. APSAC Task Force on Medical Evaluation of Suspected Child Abuse. Descriptive Terminology in Child Sexual Abuse Medical Evaluations. Chicago, III: American Professional Society on the Abuse of Children; 1995.
11. SAS Institute Inc. The SAS System for Windows, Release 6.08. Cary, NC: SAS Institute Inc; 1992.
12. American Academy of Pediatrics. Guidelines for the evaluation of sexual abuse of children. Pediatrics. 1991;87:254-260.
13. White ST, Ingram DL. Vaginal introital diameter in the evaluation of sexual abuse. Child Abuse Negl. 1989;13:217-224.
14. Adams JA, Harper K, Wells R. How do pediatricians interpret genital findings in children? results of a survey. Adolesc Pediatr Gynecol. 1993;6:203-208.
15. Badger LW. Reporting of child abuse: influence of characteristics of physician, practice, and community. South Med J. 1989;82:281-286.
16. Slome LR, Mitchell TF, Charlebois E, Benevedes JM, Abrams DI. Physician-assisted suicide and patients with human immunodeficiency virus disease. N Engl J Med. 1997;336:417-421.
17. Chacko MR, Mishaw CO, Kozinetz CA, Bermudez A. Examination of the hymen in prepubertal children with suspected sexual abuse: interobserver agreement. Adolesc Pediatr Gynecol. 1991;4:187-193.
18. Adams JA, Harper K, Knudson S, Revilla J. Examination findings in legally confirmed child sexual abuse: it's normal to be normal. Pediatrics. 1994;94:310-317.
19. McCann J, Wells R, Simon M, Voris J. Genital findings in prepubertal girls selected for nonabuse: a descriptive study. Pediatrics. 1990;86:428-439.
20. Kirwan JR, Chaput de Saintonge DM, Joyce CR, et al. Clinical judgment in rheumatoid arthritis: I, rheumatologists' opinions and the development of 'paper patients.' Ann Rheum Dis. 1983;10:901-905.
21. Homer CJ, Quintana JM, Baskin M, Goldmann DA. Can we believe physicians' responses to clinical vignettes? Arch Pediatr Adolesc Med. 1994;148:35. Abstract.
22. Jones TV, Gerrity MS, Earp J. Written case simulations: do they predict physicians' behavior? J Clin Epidemiol. 1990;43:805-815.
23. Slaughter L, Brown CRV. Colposcopy to establish physical findings in rape victims. Am J Obstet Gynecol. 1992;166:83-86.
24. Finkel MA. Anogenital trauma in sexually abused children. Pediatrics. 1989;84: 317-322.
25. DeJong AR, Rose M. Legal proof of child sexual abuse in the absence of physical evidence. Pediatrics. 1991;88:506-511.