Published June 10, 2025 | Version Old
Preprint Open

Model History-taking Form for Clinicians Dealing with Mesothelioma Patients Validated by Delphi Expert Consensus

Authors/Creators

  • 1. Department of Environmental and Occupational Health, Dornsife School of Public Health, Drexel University, Philadelphia, USA.
  • 2. Department of Pulmonary Medicine, Critical Care Medicine and Sleep Disorders, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, India.
  • 3. Department of Medical Oncology, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, India
  • 4. Public Health, Society for Health Allied Research & Education, Hyderabad, India.
  • 5. Department of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin, Madison, USA.
  • 6. Department of Epidemiology, ICMR-National Institute of Virology, Pune, India.
  • 7. Department of Pathology, All India Institute of Medical Sciences, Rajkot, India.
  • 8. Sydney School of Public Health, The University of Sydney, Sydney, Australia
  • 9. Thoracic Surgery, Navi Mumbai, India.
  • 10. Department of Pulmonary Medicine, Vallabhbhai Patel Chest Institute, University of Delhi, New Delhi, India.
  • 11. Thoracic Surgery, Medanta Hospital, Gurugram, India.
  • 12. Department of Pulmonary Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
  • 13. Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education & Research, Puducherry, India.
  • 14. Department of Surgical Oncology, Geetanjali Medical College, Udaipur, India.
  • 15. Department of Cell and Molecular Therapies, Royal Prince Alfred Hospital, Sydney Local District & University of Sydney, Sydney, Australia.
  • 16. Gynae-Surgical Oncology, Max Hospital, New Delhi, India
  • 17. Department of Radiotherapy and Oncology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
  • 18. Department of Surgical Oncology, King George's Medical University, Lucknow, India.
  • 19. Department of Respiratory Medicine, King George's Medical University, Lucknow, India.
  • 20. Department of Surgical Oncology, Shalby Cancer and Research Institute, Ahmedabad, India.
  • 21. Department of Medical Oncology, National Cancer Institute, Jhajjar, (All India Institute of Medical Sciences, New Delhi), India.
  • 22. Department of Radiation Oncology, Indira Gandhi Institute of Medical Sciences, Patna, India.
  • 23. Department of Medical Oncology, Mahamana Pandit Madan Mohan Malaviya Cancer Centre & Homi Bhabha Cancer Hospital, Tata Memorial Centre, Varanasi, India
  • 24. Department of Radiology, Columbia University, New York, USA.
  • 25. Laboratory for Molecular Reproduction and Genetics, Department of Anatomy, All India Institute of Medical Sciences, New Delhi, India.
  • 26. Department of Community Medicine, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, India.
  • 27. Department of Environmental and Occupational Health, Dornsife School of Public Health, Drexel University, Philadelphia, USA

Description

See Latest Peer Reviewed Version here: 

Singh R, Kumar R, Nagar M, et al. Development of a history-taking form for mesothelioma patients at risk of exposure to asbestos. Public Health Action. 2025;15(4), 160-163. https://doi.org/10.5588/pha.25.0024

FINAL PUBLICATION LINK: 

https://pmc.ncbi.nlm.nih.gov/articles/PMC12687119/

Abstract

Mesothelioma is causally established to be exclusively related to asbestos exposure as a risk factor. Before considering other possible causative factors linked to mesothelioma, a detailed exposure history may be warranted which looks at possible exposures to asbestos. Some of these exposures may be unknown to patients, may be forgotten or may not be readily available as a comprehensive tool for the clinicians dealing with mesothelioma patients. This study uses the Delphi anonymous consensus technique to develop and validate a detailed, seven-sectioned, and comprehensive questionnaire which can be readily used by clinicians. After two rounds, the experts followed a thorough and rigorous process to validate the questionnaire. This includes medical history along with occupational, non-occupational as well as para-occupational exposure to asbestos. It also consists of many parameters which can be used to rule out rather than rule in the possibility of mesothelioma. Questions have also been included to factor in other types of dust exposure for an informed differential diagnosis. Overall, this attempt creates a readily available history-taking questionnaire validated by experts which can be replicated for other conditions and become an essential tool for diagnosis. Apart from accurate and informed diagnosis, this documentation can be valuable for epidemiological, research, policy-informing, legal and compensation related issues.

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