Gradient Corporation , 20 University Road, Cambridge, MA , USA .
Crit Rev Toxicol. 2013 Oct;43(9):753-84. doi: 10.3109/10408444.2013.832727.
The National Academy of Sciences (NAS) Review of the Environmental Protection Agency's Draft IRIS Assessment of Formaldehyde proposed a "roadmap" for reform and improvement of the Agency's risk assessment process. Specifically, it called for development of a transparent and defensible methodology for weight-of-evidence (WoE) assessments. To facilitate development of an improved process, we developed a white paper that reviewed approximately 50 existing WoE frameworks, seeking insights from their variations and nominating best practices for WoE analyses of causation of chemical risks. Four phases of WoE analysis were identified and evaluated in each framework: (1) defining the causal question and developing criteria for study selection, (2) developing and applying criteria for review of individual studies, (3) evaluating and integrating evidence and (4) drawing conclusions based on inferences. We circulated the draft white paper to stakeholders and then held a facilitated, multi-disciplinary invited stakeholder workshop to broaden and deepen the discussion on methods, rationales, utility and limitations among the surveyed WoE frameworks. The workshop developed recommendations for improving the conduct of WoE evaluations. Based on the analysis of the 50 frameworks and discussions at the workshop, best practices in conducting WoE analyses were identified for each of the four phases. Many of these best practices noted from the analysis and workshop could be implemented immediately, while others may require additional refinement as part of the ongoing discussions for improving the scientific basis of chemical risk assessments.
美国国家科学院(NAS)对美国环保署(EPA)关于甲醛的 IRIS 评估草案的审查提出了一项“路线图”,以改革和改进该机构的风险评估程序。具体而言,它呼吁制定一种透明且有说服力的证据权重(WoE)评估方法。为了促进改进过程的发展,我们编写了一份白皮书,审查了大约 50 个现有的 WoE 框架,从它们的差异中寻求见解,并为化学风险因果关系的 WoE 分析提名最佳实践。在每个框架中都确定并评估了 WoE 分析的四个阶段:(1)定义因果问题并为研究选择制定标准,(2)制定和应用审查单个研究的标准,(3)评估和整合证据,以及(4)根据推理得出结论。我们将白皮书草案分发给利益相关者,然后举行了一个由多方利益相关者参与的专题研讨会,以扩大和深化对调查框架中的方法、原理、效用和局限性的讨论。该研讨会为改进 WoE 评估的实施提出了建议。基于对 50 个框架的分析和研讨会的讨论,为每个阶段的 WoE 分析确定了最佳实践。从分析和研讨会中注意到的许多最佳实践可以立即实施,而其他实践可能需要进一步细化,作为改进化学风险评估科学基础的正在进行的讨论的一部分。