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Monitoring methods and their results in environmental medicine - implications for medical counsellors.

Abstract Besides effect and environmental monitoring, human biomonitoring (HBM) offers an attractive method for analyzing the distribution and intensity of anthropogenic environmental pollutants in individuals or in particular groups of the population. However, no assessment values of comparable reliability are available to enable an interpretation of the results of environmental studies from the viewpoint of environmental health. This must be taken into account when reporting findings of such studies as well as in medical consultation, in order to avoid overdiagnosis and unnecessary anxiety for the participant. In medical practice, care should be taken when dealing with monitoring results outside the normal range! Environmental or biomonitoring results provide only a part of the available information alongside medical history and clinical examinations. In the case of tests performed for private interests as well as tests carried out within the framework of an epidemiological environmental survey, communication of results and findings can be problematic. In epidemiological studies, a close co-operation between the participant's consultant physician and physicians conducting the study is beneficial in order to ensure professional advisory counselling for subjects with results outside the normal range.
PMID
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Authors

Mayor MeshTerms

Epidemiologic Studies

Keywords

Environmental medicine

Environmental monitoring

Epidemiological study

Human biomonitoring

Medical reports

Journal Title bundesgesundheitsblatt, gesundheitsforschung, gesundheitsschutz
Publication Year Start




PMID- 28492968
OWN - NLM
STAT- MEDLINE
DCOM- 20180321
LR  - 20180321
IS  - 1437-1588 (Electronic)
IS  - 1436-9990 (Linking)
VI  - 60
IP  - 6
DP  - 2017 Jun
TI  - [Monitoring methods and their results in environmental medicine - implications
      for medical counsellors].
PG  - 577-583
LID - 10.1007/s00103-017-2544-7 [doi]
AB  - Besides effect and environmental monitoring, human biomonitoring (HBM) offers an 
      attractive method for analyzing the distribution and intensity of anthropogenic
      environmental pollutants in individuals or in particular groups of the
      population. However, no assessment values of comparable reliability are available
      to enable an interpretation of the results of environmental studies from the
      viewpoint of environmental health. This must be taken into account when reporting
      findings of such studies as well as in medical consultation, in order to avoid
      overdiagnosis and unnecessary anxiety for the participant. In medical practice,
      care should be taken when dealing with monitoring results outside the normal
      range! Environmental or biomonitoring results provide only a part of the
      available information alongside medical history and clinical examinations. In the
      case of tests performed for private interests as well as tests carried out within
      the framework of an epidemiological environmental survey, communication of
      results and findings can be problematic. In epidemiological studies, a close
      co-operation between the participant's consultant physician and physicians
      conducting the study is beneficial in order to ensure professional advisory
      counselling for subjects with results outside the normal range.
FAU - Wolter, E
AU  - Wolter E
AD  - Fachgebiet II 1.5 Umweltmedizin und gesundheitliche Bewertung, Umweltbundesamt,
      Corrensplatz 1, 14195, Berlin, Deutschland. [email protected]
FAU - Neumann, A
AU  - Neumann A
AD  - Fachgebiet II 1.5 Umweltmedizin und gesundheitliche Bewertung, Umweltbundesamt,
      Corrensplatz 1, 14195, Berlin, Deutschland.
FAU - Straff, W
AU  - Straff W
AD  - Fachgebiet II 1.5 Umweltmedizin und gesundheitliche Bewertung, Umweltbundesamt,
      Corrensplatz 1, 14195, Berlin, Deutschland.
LA  - ger
PT  - Journal Article
PT  - Review
TT  - Monitoringverfahren in der Umweltmedizin und die arztliche Befunderstellung.
PL  - Germany
TA  - Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz
JT  - Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
JID - 101181368
SB  - IM
MH  - Biological Assay/*methods
MH  - Counseling/methods
MH  - Environment
MH  - Environmental Exposure/*analysis
MH  - Environmental Illness/diagnosis/*epidemiology
MH  - Environmental Medicine/*methods
MH  - Environmental Monitoring/*methods
MH  - Environmental Pollution/*analysis
MH  - *Epidemiologic Studies
MH  - Germany/epidemiology
MH  - Humans
MH  - Population Surveillance/*methods
MH  - Risk Assessment
OTO - NOTNLM
OT  - Environmental medicine
OT  - Environmental monitoring
OT  - Epidemiological study
OT  - Human biomonitoring
OT  - Medical reports
EDAT- 2017/05/12 06:00
MHDA- 2018/03/22 06:00
CRDT- 2017/05/12 06:00
PHST- 2017/05/12 06:00 [pubmed]
PHST- 2018/03/22 06:00 [medline]
PHST- 2017/05/12 06:00 [entrez]
AID - 10.1007/s00103-017-2544-7 [doi]
AID - 10.1007/s00103-017-2544-7 [pii]
PST - ppublish
SO  - Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2017
      Jun;60(6):577-583. doi: 10.1007/s00103-017-2544-7.