Children's Cancer and Environmental Exposures: Professional Attitudes and Practices

Journal of Pediatric Hematology/oncology
Christine M ZachekGary V Dahl

Abstract

Epidemiologic studies worldwide have provided substantial evidence of the contributions of environmental exposures to the development of childhood cancer, yet this knowledge has not been integrated into the routine practice of clinicians who care for children with this disease. To identify the basis of this deficit, we sought to assess the environmental history-taking behavior and perceptions of environmental health among pediatric hematologists and oncologists. A web-based survey was sent from June to October 2012 to 427 pediatric oncologists, fellows, and nurse practitioners from 20 US institutions, with an overall response rate of 45%. Survey responses indicated that environmental exposures are of concern to clinicians. The vast majority of respondents (88%) reported receiving questions from families about the relationship between certain environmental exposures and the cancers they regularly treat. However, a lack of comfort with these topics seems to have limited their discussions with families about the role of environmental exposures in childhood cancer pathogenesis. Although 77% of respondents suspected that some of the cases they saw had an environmental origin, their methods of taking environmental histories varied wi...Continue Reading

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Citations

Oct 27, 2016·The Science of the Total Environment·Elise G ElliottNicole C Deziel
Jul 13, 2017·Pediatric Research·Shetal ShahHeather Brumberg
Nov 24, 2019·International Journal of Molecular Sciences·Sandra Ackermann, Matthias Fischer
May 18, 2018·Environmental Health and Preventive Medicine·Nicole Bijlsma, Marc Maurice Cohen
Feb 14, 2018·Social Work in Health Care·Jaehee YiYelena P Wu
Jan 10, 2021·BMC Medical Education·Benjamin KliglerErin Speiser Ihde
Dec 13, 2016·Pediatrics·Catherine MetayerMark Miller

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