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Translating Research in Environmental Health to Pediatric Practice: A Survey of Pediatric Hematologists and Oncologists

机译：将环境卫生研究转化为儿科实践：儿科血液学家和肿瘤学家的调查

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Translating Research in Environmental Health to Pediatric Practice: A Survey of Pediatric Hematologists and Oncologists Background: Clinical practice plays an important role in advancing children's environmental health and preventing harmful exposures. While scientific studies have highlighted evidence of environmental contributions to childhood cancer incidence, we hypothesize that there have not been corresponding advances to incorporate this evidence into routine clinical practice. Aims:To assess environmental history-taking behavior and perceptions of environmental health among pediatric hematologists and oncologists. Methods:A web-based survey was conducted among 427 members of professional clinical networks across the country. Abstracts from the 2011-2012 American Society of Pediatric Hematology/Oncology (ASPHO) meetings were also reviewed to identify current clinical studies that investigate environmental risk factors. Results: The survey had a 45% response rate. Environmental exposures are of concern to clinicians, but a lack of familiarity or comfort in discussing these issues with patients' families presents a significant barrier. Although 76% of practitioners suspected some cases to have environmental etiologies, few asked about environmental exposures. Of the APSHO abstracts reviewed, less than 1% investigated environmental factors. Conclusions: This research implies a need for increased training and awareness of environmental health among pediatric practitioners, as well as a need for interventions related to improving environmental history-taking such as identifying behavior change strategies or incorporating self-administered intake questionnaires into patient care. By publishing research findings in journals that clinicians read, environmental epidemiologists can help bridge this knowledge gap and increase physician comfort in communicating research findings to patients.
机译：将环境卫生研究转化为儿科实践：儿科血液学家和肿瘤学家调查背景：临床实践在促进儿童环境健康和防止有害暴露方面发挥着重要作用。尽管科学研究突出了环境因素对儿童癌症发病率的影响的证据，但我们假设尚无相应进展将这一证据纳入常规临床实践。目的：评估儿科血液学家和肿瘤学家对环境进行历史记录的行为以及对环境健康的看法。方法：在全国427个专业临床网络成员中进行了基于网络的调查。还审查了2011-2012年美国小儿血液学/肿瘤学协会（ASPHO）会议的摘要，以鉴定研究环境危险因素的最新临床研究。结果：该调查的回应率为45％。环境暴露是临床医生关注的问题，但是与患者家属讨论这些问题时缺乏熟悉度或舒适度构成了很大的障碍。尽管76％的从业者怀疑某些病例有环境病因，但很少有人询问环境暴露。在所审查的APSHO摘要中，只有不到1％的受访者调查了环境因素。结论：这项研究意味着需要对儿科医生进行更多的培训和对环境健康的认识，并且需要采取与改善环境历史记录有关的干预措施，例如确定行为改变策略或将自我管理的摄入量调查表纳入患者护理。通过在临床医生阅读的期刊上发表研究结果，环境流行病学家可以帮助弥合这一知识鸿沟，并提高医生向患者传达研究结果的舒适度。

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