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Herberman, Ronald*†; Gaynor, Mitchell‡; Axelrod, Deborah§; Davis, Devra*∥
*University of Pittsburgh Medical Center; †University of Pittsburgh Cancer Institute ‡Cornell Medical College; §New York University Medical College and St. Vincent’s Hospital; ∥Carnegie Mellon University’s Heinz School
Environmental oncology is being developed as a framework that combines the use of state of the art tools in epidemiology and molecular biochemistry and oncology in order to identify avoidable risk factors for cancer and provide practical advice to patients and their families on policies that will reduce the risk of recurrence.
Pilot efforts are being developed to provide systematic methods for evaluating risk factors for cancer. These include the adaptation of an automated questionnaire that the National Cancer Institute created as part of the National Action Plan on Breast Cancer. This questionnaire features previously pilot-tested subscales for nutrition, medical history, environmental history, workplace factors, family history, and behavioral characteristics.
This presentation will discuss practical barriers to using automated questionnaires in a clinical oncology setting and preliminary findings from administering these questionnaires.
The discussion will identify data gaps for the development of automated questionnaires to be used in a clinical oncology setting, recommend research priorities and research tools that can be improved to advance the development of molecular and environmental oncology, and encourage cross disciplinary exchanges between clinical research centers and epidemiology programs.
© 2004 Lippincott Williams & Wilkins, Inc.
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