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Title:
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Medico-legal assessment of personal damage in older people: report from a multidisciplinary consensus conference.
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Authors:
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Ingravallo F; Ageing Research Centre, Department of Medical and Surgical Sciences (DIMEC), University of Bologna, Via Irnerio 49, 40126, Bologna, Italy. .
Cerquetti I; Department of Legal Medicine, ASUR Marche AV4, Fermo, Italy.
Vignatelli L; IRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy.
Albertini S; Senior Italia, Bologna, Italy.
Bolcato M; National Board of Young Medico-legal Experts, Legal Medicine, University of Padua, Padua, Italy.
Camerlingo M; Bologna, Italy.
Corbi G; Department of Medicine and Health Sciences 'V. Tiberio' and Italian Society of Gerontology and Geriatrics, University of Molise, Campobasso, Italy.
De Leo D; College of Italian Professors of Legal Medicine, Department of Diagnostics and Public Health, Unit of Forensic Medicine, University of Verona, Verona, Italy.
De Nicolò A; Turin, Italy.
De Stefano F; Italian Society of Legal and Insurance Medicine (SIMLA), Department of Science of Health (DISSAL), University of Genoa, Genoa, Italy.
Dell'Erba A; Federation of the Italian Associations of Medico-Legal Experts (FAMLI), Department of Interdisciplinary Medicine (DIM), Section of Legal and Forensic Medicine, University of Bari, Bari, Italy.
Di Giulio P; Department of Public Health and Paediatrics, University of Turin, Turin, Italy.
Domenici R; Pisa, Italy.
Fedeli P; Italian Research Group on Personal Injury (GISDAP), University of Camerino, Camerino, Italy.
Feola A; National Board of Young Medico-legal Experts, Department of Experimental Medicine, University of Campania 'Luigi Vanvitelli', Naples, Italy.
Ferrara N; Department of Translational Medical Sciences and Italian Society of Gerontology and Geriatrics, Federico II University of Naples, Naples, Italy.
Forti P; Ageing Research Centre, Department of Medical and Surgical Sciences (DIMEC), University of Bologna, Via Irnerio 49, 40126, Bologna, Italy.
Frigiolini F; Department of Science of Health (DISSAL), University of Genoa, Genoa, Italy.
Gianniti P; Supreme Court of Cassation, Rome, Italy.
Gili E; National Association of Insurance Companies (ANIA), Rome, Italy.
Iannone P; National Center for Clinical Excellence, Quality and Safety of Care (CNEC), Rome, Italy.
Lovato A; The Surveillance and Cooperation Body on Civil Justice, Bologna, Italy.
Lunardelli ML; Geriatric Unit, Orthogeriatric Ward, University Hospital Policlinico S. Orsola Malpighi, Bologna, Italy.
Marengoni A; Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Marozzi F; Federation of the Italian Associations of Medico-Legal Experts (FAMLI), Milan, Italy.
Martelloni M; Department of Legal Medicine, Local Health Trust Toscana Nordovest, Scientific Society of Forensic Medicine of Italian National Health Service Hospitals (COMLAS), Lucca, Italy.
Mecocci P; Department of Medicine, Institute of Gerontology and Geriatrics, University of Perugia, Perugia, Italy.
Molinelli A; Italian Society of Legal and Insurance Medicine (SIMLA), Department of Science of Health (DISSAL), University of Genoa, Genoa, Italy.
Polo L; Pavia, Italy.
Portas M; Verona, Italy.
Rossi P; National Institute for Insurance against Accidents at Work (INAIL), Rome, Italy.
Scorretti C; Trieste, Italy.
Trabucchi M; Italian Association of Psychogeriatrics (AIP), University of Tor Vergata, Rome, Italy.
Volpato S; Department of Medical Sciences, University of Ferrara, Ferrara, Italy.
Zoja R; Department of Health and Biomedical Sciences, Section of Legal Medicine, University of Milan, Milan, Italy.
Castellani GL; Federation of the Italian Associations of Medico-Legal Experts (FAMLI), Verona, Italy.
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Source:
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International journal of legal medicine [Int J Legal Med] 2020 Nov; Vol. 134 (6), pp. 2319-2334. Date of Electronic Publication: 2020 Jul 17.
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Publication Type:
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Consensus Development Conference; Journal Article; Systematic Review
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Language:
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English
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Imprint Name(s):
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Original Publication: Heidelberg, FRG : Springer International, c1990-
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MeSH Terms:
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Accidental Injuries*
Aging*
Forensic Medicine*
Aged ; Aged, 80 and over ; Functional Status ; Geriatric Assessment ; Health Status ; Humans ; Italy ; Liability, Legal
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References:
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Contributed Indexing:
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Keywords: Medico-legal assessment; Multidimensional assessment; Older adults; Personal damage; Personal injury; Pre-existing conditions
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Entry Date(s):
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Date Created: 20200719 Date Completed: 20210712 Latest Revision: 20210712
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Update Code:
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20240105
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PubMed Central ID:
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PMC7578136
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DOI:
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10.1007/s00414-020-02368-z
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PMID:
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32681208
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Ageing of the global population represents a challenge for national healthcare systems and healthcare professionals, including medico-legal experts, who assess personal damage in an increasing number of older people. Personal damage evaluation in older people is complex, and the scarcity of evidence is hindering the development of formal guidelines on the subject. The main objectives of the first multidisciplinary Consensus Conference on Medico-Legal Assessment of Personal Damage in Older People were to increase knowledge on the subject and establish standard procedures in this field. The conference, organized according to the guidelines issued by the Italian National Institute of Health (ISS), was held in Bologna (Italy) on June 8, 2019 with the support of national scientific societies, professional organizations, and stakeholders. The Scientific Technical Committee prepared 16 questions on 4 thematic areas: (1) differences in injury outcomes in older people compared to younger people and their relevance in personal damage assessment; (2) pre-existing status reconstruction and evaluation; (3) medico-legal examination procedures; (4) multidimensional assessment and scales. The Scientific Secretariat reviewed relevant literature and documents, rated their quality, and summarized evidence. During conference plenary public sessions, 4 pairs of experts reported on each thematic area. After the last session, a multidisciplinary Jury Panel (15 members) drafted the consensus statements. The present report describes Conference methods and results, including a summary of evidence supporting each statement, and areas requiring further investigation. The methodological recommendations issued during the Conference may be useful in several contexts of damage assessment, or to other medico-legal evaluation fields.
