Evidence map›Paper›PMID 38682480›Full record

ArticleJournal of primary care & community health

Arsenic Exposure in Well Water From the Perspective of Patients and Providers.

Dominika Jegen, Julie Maxson, Karen Fischer, Matthew Bernard, Randy Foss, Brandon Hidaka, Rachael Passmore, Jessica Sosso, Stephen K Stacey, Tom D Thacher

Open access · goldAbstract read
In one paragraph

Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 46% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. Private Well Water Safety: Practical Counseling Strategies for Primary Care.Journal of the American Board of Family Medicine : JABFM
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Dominika JegenMayo Clinic Health System, Owatonna, MN, USA.ORCID 0000-0003-2075-8778
Julie MaxsonMayo Clinic, Rochester, MN, USA.
Karen FischerMayo Clinic, Rochester, MN, USA.
Matthew BernardMayo Clinic, Rochester, MN, USA.
Randy FossMayo Clinic Health System, Lake City, MN, USA.ORCID 0000-0003-3898-7317
Brandon HidakaMayo Clinic Health System, Eau Claire, WI, USA.ORCID 0000-0002-2378-3621
Rachael PassmoreMayo Clinic, Rochester, MN, USA.ORCID 0009-0005-2905-0217
Jessica SossoMayo Clinic Health System, Sparta, WI, USA.
Stephen K StaceyMayo Clinic Health System, La Crosse, WI, USA.
Tom D ThacherMayo Clinic, Rochester, MN, USA.ORCID 0000-0002-7644-8173
Mayo Clinic Health System · USMayo Clinic in Arizona · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundArsenic is a well-known toxin which may contaminate household water. It is harmful when ingested over prolonged periods of time. As a result, public health experts recommend that water should be screened and treated to prevent arsenic ingestion. In the United States, the responsibility of testing and treatment of private wells falls on homeowners. Despite recommendations for routine screening, this is rarely done.

objectivesTo assess the prevalence of well water use in a Midwestern patient population, how patients and clinicians perceive the risks of arsenic in well water, and whether additional resources on well water testing are desired. These findings will be used to influence tools for clinicians regarding symptom and examination findings of chronic arsenic exposure and potentiate the distribution of informational resources on well water testing.

methodsSurveys were sent via email to all actively practicing primary care clinicians at the Mayo Clinic in the United States Midwest, and all active adult patients at the Mayo Clinic in the same region. Our team analyzed survey data to determine whether both patients and clinicians are aware of the health effects of chronic arsenic toxicity from well water, the need for routine well water testing and whether each group wants more information on the associated risks.

resultsBoth patients and primary care clinicians worry about arsenic exposure. Patients with well water are concerned about their water safety yet feel uninformed about testing options. Clinicians do not know how prevalent well water use is among their patients, feel uninformed about the chronic risks of arsenic exposure and the physical examination associated with it. Both groups unanimously want more information on testing options.

conclusionsOur findings show a significant reliance on well water use in the American Midwest, and unanimous support for the need for further well water testing information and resources for patients and their clinicians.

Indexed as

ArsenicWater WellsAdultAgedArsenic PoisoningDrinking WaterEnvironmental ExposureFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedMidwestern United StatesSurveys and QuestionnairesWater Pollutants, ChemicalWater SupplyArsenicDrinking WaterWater Pollutants, Chemicalarsenichealth riskrural healthtoxicitywell water

Identifiers

PMID38682480
PMCPMC11060032
OpenAlexW4396229434

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.