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Which fractures are seen in physical child abuse?: A systematic review.(Child Protection)

Archives of Disease in Childhood

| April 01, 2004 | Maguire, S.; Kemp, A.; Mann, M.; Harrison, S.; Dunstan, F.; Sibert, J.R. | COPYRIGHT 2003 British Medical Association. (Hide copyright information)Copyright

Background: Clinicians have to decide whether a fracture has arisen from child abuse or not. This systematic review aims to inform this decision.

Methods: An all language literature search of original articles, references, textbooks, and conference abstracts 1970-2003 using ASSIA, Caredata, Medline, Child Data, CINAHL, Embase, PsychINFO, Social Science Citation Index, and TRIP databases. Inclusion criteria was distribution of non-accidental fractures in children <17 years. We excluded review articles and expert opinion. Two independent reviews (+/- third review), standardised criteria for study definition, data extraction, and critical appraisal were used.

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