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Extreme exposure biomarker levels: do physicians want to be informed?

Daniels, Alexander R.
http://orcid.org/0000-0002-9005-9051
http://rave.ohiolink.edu/etdc/view?acc_num=ucin1439281144

Abstract Details

2015, MPH, University of Cincinnati, Medicine: Epidemiology.
BACKGROUND: Improving technology has allowed researchers to detect ever smaller amounts of environmental toxins in blood, serum and urine. Occasionally, participants are found to have concentrations well above national averages. There are few systems of support in place for participants to whom these results have been returned, and no guidelines for researchers or community physicians concerning how to address participants’ concerns. This study aims to assess whether or not community physicians are ready and willing to assist their patients who have participated in biomonitoring studies. METHODS: The study group recruited 100 internists, and 100 pediatricians selected via multiple online directories to ensure the greatest coverage of the Greater Cincinnati area. A survey consisting of two scenarios, with 8 or 9 multiple choice questions each, was mailed to these 200 community physicians. The scenarios presented were an 11 year old female with extremely high urinary phthalates, and a 55 year old male with extremely high urinary cadmium. STATISTICAL ANALYSIS: Descriptive statistics were calculated for each scenario separately for strata of physician specialty, gender, and age range. RESULTS: The majority of physicians surveyed indicated that they would like to receive the information about their patient's exposure levels (93.4%). Nearly all indicated that they did not have the knowledge base to offer their patient any guidance or treatment, and that they would require additional information. Many of the comments left on the surveys asked for the researchers to provide informational material to the physicians along with their patient's results, so that they might be able to better serve the patient. DISCUSSION: Based on the large percentage of physicians who indicated a desire to receive this kind of information, we believe this topic warrants further study in order to address the lack of guidance for researchers and community physicians.
Susan Pinney, Ph.D. (Committee Chair)
Frank Biro, M.D. (Committee Member)
Jun Ying, Ph.D. (Committee Member)
21 p.
Environmental Health
Report findings; extreme exposure biomarker; physician communication; environmental exposure

Recommended Citations

Citations

  • Daniels, A. R. (2015). Extreme exposure biomarker levels: do physicians want to be informed? [Master's thesis, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1439281144

    APA Style (7th edition)

  • Daniels, Alexander. Extreme exposure biomarker levels: do physicians want to be informed? 2015. University of Cincinnati, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ucin1439281144.

    MLA Style (8th edition)

  • Daniels, Alexander. "Extreme exposure biomarker levels: do physicians want to be informed?" Master's thesis, University of Cincinnati, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1439281144

    Chicago Manual of Style (17th edition)

ucin1439281144
379
© 2015, all rights reserved.
This open access ETD is published by University of Cincinnati and OhioLINK.