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Implementing systematic review techniques in chemical risk assessment:challenges, opportunities and recommendations

机译:在化学风险评估中实施系统的审查技术:挑战,机遇和建议

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摘要

Systematic review (SR) is a rigorous, protocol-driven approach designed to minimise error and bias when summarising the body of research evidence relevant to a specific scientific question. Taking as a comparator the use of SR in synthesising research in healthcare, we argue that SR methods could also pave the way for a “step change” in the transparency, objectivity and communication of chemical risk assessments (CRA) in Europe and elsewhere. We suggest that current controversies around the safety of certain chemicals are partly due to limitations in current CRA procedures which have contributed to ambiguity about the health risks posed by these substances. We present an overview of how SR methods can be applied to the assessment of risks from chemicals, and indicate how challenges in adapting SR methods from healthcare research to the CRA context might be overcome. Regarding the latter, we report the outcomes from a workshop exploring how to increase uptake of SR methods, attended by experts representing a wide range of fields related to chemical toxicology, risk analysis and SR. Priorities which were identified include: the conduct of CRA-focused prototype SRs; the development of a recognised standard of reporting and conduct for SRs in toxicology and CRA; and establishing a network to facilitate research, communication and training in SR methods. We see this paper as a milestone in the creation of a research climate that fosters communication between experts in CRA and SR and facilitates wider uptake of SR methods into CRA.
机译:系统评价(SR)是一种严格的,由协议驱动的方法,旨在在总结与特定科学问题相关的大量研究证据时最大程度地减少错误和偏见。通过比较SR在医疗保健综合研究中的应用,我们认为SR方法也可以为欧洲及其他地区的化学风险评估(CRA)的透明性,客观性和沟通性“逐步改变”铺平道路。我们建议当前围绕某些化学药品安全性的争议部分是由于当前CRA程序的局限性导致对这些物质带来的健康风险的模棱两可。我们概述了如何将SR方法应用于化学品风险评估,并指出了如何克服将SR方法从医疗保健研究适应CRA的挑战。关于后者,我们报告了研讨会的成果,该研讨会探讨了如何增加对SR方法的吸收,代表与化学毒理学,风险分析和SR相关的广泛领域的专家参加了研讨会。确定的优先事项包括:开展针对CRA的原型SR;为毒理学和CRA中的SR制定公认的报告和行为标准;并建立一个网络,以促进SR方法的研究,交流和培训。我们认为本文是创造研究氛围的里程碑,该氛围促进了CRA和SR专家之间的交流,并促进了SR方法在CRA中的广泛采用。

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