Diagnostic accuracy of colposcopic photographs in child sexual abuse evaluations

D. Muram, Kristopher Arheart, S. G. Jennings

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Study Objective: To evaluate the utility of colposcopic photographs in child sexual abuse evaluations and to assess whether such photographs can be reliably used for peer review, second opinion, and court testimony. Methods: A prospective review of colposcopic photographs at the Pediatric and Adolescent Gynecology Clinic in Louisville, Kentucky. Participants were 189 girls who were referred for evaluation for possible sexual abuse. Interventions used included gynecologic evaluation, colposcopic photographs, and review of photographs. The main outcome measure was the degree of agreement between the examining physician and the reviewers. Results: The reviewers' accuracy for the entire set of 189 cases is uniformly high (93%-95%). Accuracy rates are significantly lower for pubertal girls (83%-90%) and for girls with signs of abuse (58%-88%). Conclusions: The diagnostic accuracy of the colposcopic photographs is sufficiently high to warrant continued use of medical photography for documentation and peer review. One should anticipate some disagreements between the examining physician and the reviewers, and contradictory opinions are more likely to occur with girls exhibiting physical signs of abuse and with pubertal girls.

Original languageEnglish
Pages (from-to)58-61
Number of pages4
JournalJournal of Pediatric and Adolescent Gynecology
Volume12
Issue number2
DOIs
StatePublished - May 1 1999
Externally publishedYes

Fingerprint

Sexual Child Abuse
Peer Review
Physicians
Photography
Sex Offenses
Gynecology
Documentation
Referral and Consultation
Outcome Assessment (Health Care)
Pediatrics

Keywords

  • Child sexual abuse
  • Colposcopy
  • Forensic evidence
  • Sexual abuse, physical findings

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Pediatrics, Perinatology, and Child Health

Cite this

Diagnostic accuracy of colposcopic photographs in child sexual abuse evaluations. / Muram, D.; Arheart, Kristopher; Jennings, S. G.

In: Journal of Pediatric and Adolescent Gynecology, Vol. 12, No. 2, 01.05.1999, p. 58-61.

Research output: Contribution to journalArticle

Muram, D. ; Arheart, Kristopher ; Jennings, S. G. / Diagnostic accuracy of colposcopic photographs in child sexual abuse evaluations. In: Journal of Pediatric and Adolescent Gynecology. 1999 ; Vol. 12, No. 2. pp. 58-61.
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