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Integrating environmental risk factors into pediatric cancer care: Laying the groundwork for improved outcomes and primary prevention

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dc.contributor.authorWood, Nicole M .
dc.contributor.authorShakeel, Omar
dc.contributor.authorOrtega García, Juan Antonio
dc.contributor.authorMiller, Mark D.
dc.contributor.departmentCirugía, Pediatría y Obstetricia y Ginecología
dc.contributor.otherFacultades de la UMU::Facultad de Medicina
dc.date.accessioned2026-05-20T05:57:35Z
dc.date.available2026-05-20T05:57:35Z
dc.date.copyright© 2025 The Authors.
dc.date.issued2025-12-01
dc.description.abstractChildhood cancer incidence has steadily risen both in the United States and worldwide, yet its environmental contributors remain underrecognized in clinical care. Children and cancer survivors are particularly susceptible to environmental exposures due to their unique physiology and the long-term health vulnerabilities that follow cancer treatment. Although exposures to substances such as pesticides, air pollution, and household chemicals are linked to increased cancer risk, limited clinical frameworks and clinician training leave oncologists underprepared to address growing environmental health concerns from families. A holistic pediatric oncology environmental health program in Murcia, Spain offers a scalable vision for embedding the environment into longitudinal cancer care. In the United States, survey data from two large academic pediatric cancer centers revealed strong clinician interest in addressing environmental health in pediatric oncology, leading to the development of a consultative model. Workshops and a standardized environmental health history tool, adapted for clinical use and integration into the medical record, have laid the groundwork for implementation of an environmental consult service across 3 care settings: cancer predisposition clinics, survivorship programs, and as requested. These efforts aim to reduce family anxiety, offer actionable risk-reduction strategies, and empower primary teams with the knowledge to engage in meaningful conversations. The patient-centered tools, interdisciplinary training, and structured integration into clinical workflows are designed to strengthen environmental health knowledge and practice of pediatric oncologists in the United States.
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dc.format.extent10
dc.identifier.citationWood NM, Shakeel O, Ortega-Garcia JA, Miller MD. Integrating environmental risk factors into pediatric cancer care: Laying the groundwork for improved outcomes and primary prevention. Curr Probl Pediatr Adolesc Health Care. 2025;55(9):101821. doi:10.1016/j.cppeds.2025.101821
dc.identifier.doi10.1016/j.cppeds.2025.101821
dc.identifier.eissn1538-3199
dc.identifier.issn1538-5442
dc.identifier.urihttp://hdl.handle.net/10201/233141
dc.languageeng
dc.publisherElsevier
dc.relationThis work was supported by cooperative agreement FAIN: NU61TS000356 from the Centers for Disease Control and Prevention/ Agency for Toxic Substances and Disease Registry (CDC/ATSDR) totaling $3,673,450.00 with 73% funded by CDC/ATSDR. The U.S. Environmental Protection Agency (EPA) provided the remaining support through Inter-Agency Agreement 24TSS2400078 with CDC/ ATSDR. The Public Health Institute supports the Pediatric Environmental Health Specialty Units as the National Program Office. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by CDC/ATSDR, EPA, or the U.S. Government. Use of trade names that may be mentioned is for identification only and does not imply endorsement by the CDC/ATSDR or EPA
dc.relation.publisherversionhttps://www.sciencedirect.com/science/article/pii/S1538544225000951?via%3Dihub
dc.rightsAttribution-NonCommercial 4.0 International*
dc.rights.accessRightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/*
dc.subjectPediatric oncology
dc.subjectEnvironmental exposures
dc.subjectEnvironmental health
dc.subjectPreventive medicine
dc.subjectSurvivorship care
dc.subjectChildhood cancer
dc.subject.odsObjetivo 3: Salud
dc.titleIntegrating environmental risk factors into pediatric cancer care: Laying the groundwork for improved outcomes and primary prevention
dc.typeinfo:eu-repo/semantics/article
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dspace.entity.typePublicationes
relation.isAuthorOfPublication625b99b7-d25c-49eb-b53c-f389378e6993
relation.isAuthorOfPublication.latestForDiscovery625b99b7-d25c-49eb-b53c-f389378e6993
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