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DOI10.1080/10937404.2015.1051612
Improving Concordance in Environmental Epidemiology: A Three-Part Proposal
LaKind, Judy S.1,2,3; Goodman, Michael4; Makris, Susan L.5; Mattison, Donald R.6,7
发表日期2015-02-17
ISSN1093-7404
卷号18期号:2页码:105-120
英文摘要

In observational research, evidence is usually derived from multiple studies, and any single result is rarely considered sufficient for public health decision making. Despite more than five decades of research and thousands of studies published, the ability to draw robust conclusions regarding the presence or absence of causal links between specific environmental exposures and human health remains limited. To develop policies that are protective of public health and can withstand scrutiny, agencies need to rely on investigations of satisfactory quality that follow sufficiently concordant protocols in terms of exposure assessment, outcome ascertainment, data analysis, and reporting of results. Absent such concordance, the ability of environmental epidemiology studies to inform decision making is greatly diminished. Systems and tools are proposed here to improve concordance among environmental epidemiology studies. Specifically, working systems in place in other fields of research are critically examined and used as guidelines to develop analogous policies and procedures for environmental epidemiology. A three-part path forward toward more concordant, transparent, and readily accessible environmental epidemiology evidence that parallels ongoing efforts in medical research is proposed. The three parts address methods for improving quality and accessibility of systematic reviews, access to information on ongoing and completed studies, and principles for reporting. The goals are to increase the value of epidemiological research in public health decision making and to stimulate discussions around solutions proposed herein.


语种英语
WOS记录号WOS:000357651000002
来源期刊JOURNAL OF TOXICOLOGY AND ENVIRONMENTAL HEALTH-PART B-CRITICAL REVIEWS
来源机构美国环保署
文献类型期刊论文
条目标识符http://gcip.llas.ac.cn/handle/2XKMVOVA/61516
作者单位1.LaKind Associates LLC, Catonsville, MD 21228 USA;
2.Univ Maryland, Sch Med, Dept Epidemiol & Publ Hlth, Baltimore, MD 21201 USA;
3.Penn State Univ, Milton S Hershey Med Ctr, Coll Med, Dept Pediat, Hershey, PA 17033 USA;
4.Emory Univ, Rollins Sch Publ Hlth, Dept Epidemiol, Atlanta, GA 30322 USA;
5.US EPA, Natl Ctr Environm Assessment, Washington, DC 20460 USA;
6.Risk Sci Int, Ottawa, ON, Canada;
7.Univ Ottawa, McLaughlin Ctr Populat Hlth Risk Assessment, Ottawa, ON, Canada
推荐引用方式
GB/T 7714
LaKind, Judy S.,Goodman, Michael,Makris, Susan L.,et al. Improving Concordance in Environmental Epidemiology: A Three-Part Proposal[J]. 美国环保署,2015,18(2):105-120.
APA LaKind, Judy S.,Goodman, Michael,Makris, Susan L.,&Mattison, Donald R..(2015).Improving Concordance in Environmental Epidemiology: A Three-Part Proposal.JOURNAL OF TOXICOLOGY AND ENVIRONMENTAL HEALTH-PART B-CRITICAL REVIEWS,18(2),105-120.
MLA LaKind, Judy S.,et al."Improving Concordance in Environmental Epidemiology: A Three-Part Proposal".JOURNAL OF TOXICOLOGY AND ENVIRONMENTAL HEALTH-PART B-CRITICAL REVIEWS 18.2(2015):105-120.
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