Cited by 134Health Sciences Research and EducationClinical practice guidelines implementationHealth, Environment, Cognitive Aging

An Evidence-Based Medicine Methodology To Bridge The Gap Between Clinical And Environmental Health Sciences

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Woodruff, Tracey J., Sutton, Patrice, The Navigation Guide Work Group·2011·Health Affairs

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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References 42 · Cited by 134

Research works printed but not linked: 8

  1. [9]National Research Council. Phthalates and Cumulative Risk Assessment: The Task Ahead Committee on the Health Risks of Phthalates, editor. Washington, D.C.: National Academies Press; 2008. 25009926
  2. [1]National Research Council (U.S.). Committee on Improving Risk Analysis Approaches Used by the U.S. EPA., National Research Council (U.S.). Board on Environmental Studies and Toxicology., National Research Council (U.S.). Division on Earth and Life Studies. Science and decisions: advancing risk assessment. Washington, D.C.: National Academies Press; 2009.
  3. [2]National Research Council (U.S.). Committee on the Health Risks of Phthalates., National Academies Press (U.S.). Phthalates and cumulative risk assessment: the task ahead. Washington, D.C.: National Academies Press; 2008.
  4. [21]American Medical Association. Proceedings of the American Medical Association House of Delegates: 157th Annual Meeting Chicago: American Medical Association 2008.
  5. [29]West S, King V, Carey TS, Lohr KN, McKoy N, Sutton SF, Systems to rate the strength of scientific evidence. Evid Rep Technol Assess (Summ). 2002 3(47): 1– 11. PMC4781591 11979732
  6. [34]Guyatt GH, Oxman AD, Vist GE, Kunz R, Falck-Ytter Y, Alonso-Coello P, GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. Bmj. 2008 4 26; 336(7650): 924– 6. 18436948 PMC2335261
  7. [39]Peterson E, editor. Research methods to speed the development of better evidence-the registries example Institue of Medicine Annual Meeting: Evidence-based medicine and the changing nature of health care; 2007; Washington, D.C.: The National Academies Press.
  8. [40]Halvorson GC, editor. Electronic medical records and the prospect of real time evidence development Institue of Medicine Annual Meeting: Evidence-based medicine and the changing nature of health care; 2007; Washington, D.C.: The National Academies Press.

Authors
Woodruff, T. J., Sutton, P., & The Navigation Guide Work Group
Affiliations
  • University of California, San Francisco (US)
  • Patrice Sutton is a research scientist at the Program on Reproductive Health and the Environment.
Corresponding author
Woodruff, Tracey J.
Venue
Health Affairs
Published
2011-05
Volume
30
Issue
5
Pages
931-937
ISSN
  • 0278-2715 (ISSN-L)
  • 1544-5208
OpenAlex
W2098280994
Cited by
134
References
42
Citations by year
2026: 5 · 2025: 2 · 2024: 7 · 2023: 7 · 2022: 15 · 2021: 19 · 2020: 11 · 2019: 6 · 2018: 7 · 2017: 6 · 2016: 12 · 2015: 9 · 2014: 13 · 2013: 10 · 2012: 3
FWCI
16.62
Type
journal article
Language
en
Open access
Locations
  • Health Affairs (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • World Health Organization
  • National Institute of Environmental Health Sciences (ES018135, P20ES018135)
Topics
  • Health Sciences › Health Professions › General Health Professions › Health Sciences Research and Education
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Health, Environment, Cognitive Aging
Keywords
environmental health, reproductive health, evidence-based decision making, patient education, reproductive age, evidence synthesis methodology
MeSH terms
Child, Cooperative Behavior, Decision Support Techniques, Environmental Health, Health Planning Guidelines, Humans, Patient Education as Topic, Public Health, United States, Hazardous Substances, Evidence-Based Medicine, Government Regulation, Interdisciplinary Communication, Information Literacy

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