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Monday, September 06, 2010

RANKING RELATIVE RISKS

 

Because the linearized multistage models q1* upper-bound potency measure is very nonresponsive to the information on the shape of the dose-response relationship in observed data, the conservative q1* values make it difficult to rank the relative risks for different chemicals.  Chemicals that cause  relatively few if any responses for a wide range of low dose values may have q1* values that are very close to q1* values of chemicals that cause a much larger steady increase in the number of responses over the same range of low dose values.

 

As illustrated in Figure 8, the multistage models maximum likelihood estimates are more responsive to the observed data and hence have greater capability to differentiate between the shapes of the dose-response relationships of different substances than the  regulatory upper-bound potency measures (like q1*) based on the linearized multistage model.   Thus, the multistage models maximum likelihood estimates of risk are better at ranking relative risks than the linearized multistage models upper-bound potencies.

 

>> Figure 8

3. Human Health Risk Assessment
3.1     
Quantitative Risk Assessment and Statistical Analysis
3.2      Importance of Dose and Dose-Response Relationships
3.3      Misuse of Regulatory Upper-Bound Risk Characterizations
3.4      Risk Characterization Choices and Risk Exaggeration
3.5      A Better Approach to Cancer Risk Characterization
3.6      Overview of Background, Motivation, and Statistical Methods for Margin-of-Exposure Characterizations of Cancer Risks
           3.6.1    Importance of Dose
           3.6.2    Dose-Response Modeling
           3.6.3    Dose-Response Models
           3.6.4    Maximum Likelihood Estimation
           3.6.5    
Multistage Model
           3.6.6    Example of Fitted Multistage Model
           3.6.7    Potency
           3.6.8    Linearized Multistage Model
           3.6.9    Overstatement of Risks by the Linearized Multistage Model
           3.6.10  Adverse Impacts of the Variability in the Magnitude of the Bias in the Linearized Multistage Model's Overstatement of Risks
           3.6.11  Non-Responsiveness of the Linearized Multistage Model to Data
           3.6.12  Ranking Relative Risks
           3.6.13  Added Risk versus Extra Risk
           3.6.14  Need for a Better Dose-Response Characterization
           3.6.15  Better Dose-Response Characterization
           3.6.16  Benchmark Doses
           3.6.17  Responsiveness of Benchmark Doses Data Versus the Relative Non-Responsiveness of the Regulatory Upper-Bound Potency Q1* based on the Linearized Multistage Model
           3.6.18  Recommended Dose-Response Characterization
           3.6.19  Margin-of-Exposure Characterizations
           3.6.20  Conclusion
           3.6.21  Figures 1 to 16
3.7      Innovative Risk Assessment
3.8      Components of High-to-Low-Dose Extrapolation and Dose-Response Modeling
3.9      Probabilistic Exposure Assessment
3.10    Aggregate Risk Assessment
3.11    Cumulative Risk Assessment
3.12    Example Activities