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. 2011 May;30(5):931-7.
doi: 10.1377/hlthaff.2010.1219.

An evidence-based medicine methodology to bridge the gap between clinical and environmental health sciences

Collaborators, Affiliations

An evidence-based medicine methodology to bridge the gap between clinical and environmental health sciences

Tracey J Woodruff et al. Health Aff (Millwood). 2011 May.

Abstract

Physicians and other clinicians could help educate patients about hazardous environmental exposures, especially to substances that could affect their reproductive health. But the relevant scientific evidence is voluminous, of variable quality, and largely unfamiliar to health professionals caring for people of childbearing age. To bridge this gap between clinical and environmental health, we created a methodology to help evaluate the quality of evidence and to support evidence-based decision making by clinicians and patients. The methodology can also support professional societies, health care organizations, government agencies, and others in developing prevention-oriented guidelines for use in clinical and policy settings.

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Figures

Figure 1.
Figure 1.
Streams of Evidence for Chemical Toxicity Assessment in Clinical and Environmental Health Sciences
Figure 2.
Figure 2.
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References

    1. NTP. Center for the Evaluation of Risks to Human Reproduction. Research Triangle Park: National Toxicology Program; 2010. [cited 2010 April 13]; Available from: http://cerhr.niehs.nih.gov/chemicals/index.html.
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    1. NTP. National Toxicology Program Non-Cancer Evaluation Criteria. Research Triangle Park: National Toxicology Program; 2009.
    1. OEHHA. Mechanisms for Listing and Delisting Chemicals Under Proposition 65. California Environmental Protection Agency Office of Environmental Health Hazard Assessment; 2007. [cited 2010 April 13]; May 15, 2007:[Descriptions of the listing and delisting mechanisms]. Available from: http://www.oehha.ca.gov/prop65/policy_procedure/listde051007.html.

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