University of Missouri School of Medicine MU Health School of Medicine
News Divider

MU Study Finds Surgeons Could Underestimate Domestic Violence-Related Injuries


Survey finds orthopaedic trauma patients injuries can be misidentified

According to the World Health Organization, approximately 30 percent of women in North and South America experience intimate partner violence during their lifetimes. In North America, domestic violence also is the most common cause of non-fatal injuries among women, often resulting in broken bones.

Della Rocca
Della Rocca

However, research from the University of Missouri has found 74 percent of orthopaedic trauma surgeons, who treat many victims of domestic violence, substantially underestimate the prevalence of domestic violence injuries among their patients, and only 23 percent had training to recognize such injuries.

"In our study, we found that most orthopaedic surgeons believe identifying injuries caused by domestic violence is an important aspect of providing medical care, and they also believe that receiving education to recognize signs of intimate partner violence could help them to stop violence in some cases," said Gregory Della Rocca, MD, PhD, an associate professor of orthopaedic surgery at the MU School of Medicine and co-director of orthopaedic trauma services at MU Health Care. "In the United States, most orthopaedic surgeons receive training in techniques for recognizing signs of child abuse, but training to recognize abuse of adults is far less common. Only 23 percent of the surgeons we surveyed had received any training on recognizing and responding to intimate partner violence."

The study was based on a survey of 153 orthopaedic trauma surgeons, mostly in North America. The respondents were asked questions about the importance and ability for medical professionals to recognize and respond to signs of intimate partner violence, their beliefs about the causes of domestic violence, and estimates about the prevalence of domestic-violence injuries among their patients.

An international study of the prevalence of intimate partner violence among orthopaedic trauma clinics recently published in The Lancet found that 40 percent of North American patients reported having experienced violence. However, Della Rocca said his survey showed most orthopaedic surgeons significantly underestimated how often they see domestic violence injuries, with 74 percent of orthopaedic surgeons estimating only 5 percent or less of their patients were victims of intimate partner violence. Della Rocca also was part of the steering and writing committees and the investigation team of 80 investigators for the study published in The Lancet.

"Based on our research about the high prevalence of intimate partner violence among orthopaedic trauma patients and the misconceptions about how common it actually is, I encourage orthopaedic surgeons to seek out education on the topic and learn about community resources where they can refer patients for help," Della Rocca said. "Since the publication of these studies, my orthopaedic trauma surgeon colleagues at the University of Missouri and I have started screening all our patients — male and female — for intimate partner violence, and we are creating an educational program for training our orthopaedic surgery residents."

When Della Rocca and his colleagues find cases of intimate partner violence, they collaborate with University of Missouri Health Care's social workers to provide patients information on community resources, such as counseling, women's shelters and legal protection.

The study "Orthopaedic Surgeons' Knowledge and Misconceptions in the Identification of Intimate Partner Violence Against Women" was published in the journal Clinical Orthopaedics and Related Research in April 2013. The study "Prevalence of Abuse and Intimate Partner Violence Surgical Evaluation (PRAISE) in Orthopaedic Fracture Clinics: A Multinational Study" was published in The Lancet in September 2013. MU faculty members Brett Crist, MD, and David Volgas, MD, associate professors of orthopaedic surgery, also were co-investigators in The Lancet study.

Click here to download a high-resolution portrait of Della Rocca.

Click here to view a video of Della Rocca discussing his research.



News and Events

Erika Ringdahl Family Medicine Residency Program
Leader Receives National Award

Ringdahl recognized by American Academy
of Family Physicians for advancing specialty

Zezong Gu, PhD Garlic Found to Protect Brain Against Disease, Aging
Another nod to garlic's reputation as a 'superfood'

Ashley Bartels Research Leads to New Test for Trauma Patients
Resident physician wins first place for clinical science paper

Match Day MU Medical Students in High Demand for Residency Programs
Ninety-nine percent of the class received a residency program match

MU Family Medicine MU Family Medicine Ranked Among Nation’s Best by U.S. News
Top 10 ranking mark of excellence for MU Family Medicine program

Greg Flaker, MD Safer Drug Combination Found For Patients With Atrial Fibrillation.
Newer blood thinner a better option for some patients

Greg Worsowicz, MD Worsowicz Named President-Elect of Medical Society
Organization represents physical medicine and rehab physicians

AAAS MU School of Medicine Launches LCME Re-accreditation Process
Reception kicks off process of accessing medical education program

AAAS Four Scientists Named AAAS
Fellows for Medical Research

Achievements may advance diagnosis
and treatment for patients

Annual Dialysis Conference MU Hosts World’s Largest Dialysis Conference for 35th Year
Event has brought in nearly 65,000 attendees representing 60 countries




Media Relations
University of Missouri Health System
One Hospital Drive, DC028.00
Columbia, MO 65212
24/7 on-call pager: (573) 876-0708

Mary Jenkins
jenkinsmg@health.missouri.edu
(573) 882-7299

Jeff Hoelscher
hoelscherj@health.missouri.edu
(573) 884-1608

Derek Thompson
thompsonder@health.missouri.edu
(573) 882-3323


Web Communications
University of Missouri Health System
One Hospital Drive, MA204G, DC018.00
Columbia, MO 65212
(573) 884-0298

Rich Gleba
glebar@health.missouri.edu
(573) 884-0298

Laura Gerding, APR
gerdingla@health.missouri.edu
(573) 882-9193

Velvet Hasner
hasnerv@health.missouri.edu
(573) 884-1115

Mike Muin
muinm@health.missouri.edu
(573) 884-7541



Printer Friendly
Follow us on Twitter!   Facebook   YouTube Videos   Instagram   Pinterest  
Website created and maintained by the Office of Communications. Contact the MU School of Medicine.
Revised: January 03, 2014 - Copyright © 2014 - Curators of the University of Missouri. All rights reserved. DMCA and other copyright information. An equal opportunity/access/affirmative action/pro-disabled and veteran employer.