Evidence map›Paper›PMID 34976164›Full record

ArticleEFSA journal. European Food Safety Authority2021

Guidance Document on Scientific criteria for grouping chemicals into assessment groups for human risk assessment of combined exposure to multiple chemicals.

EFSA Scientific Committee, Simon John More, Vasileios Bampidis, Diane Benford, Claude Bragard, Antonio Hernandez-Jerez, Susanne Hougaard Bennekou, Thorhallur Ingi Halldorsson, Konstantinos Panagiotis Koutsoumanis, Claude Lambré and 15 more

Abstract read
In one paragraph

Article in EFSA journal. European Food Safety Authority, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

60 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  14. Statement on the use and interpretation of the margin of exposure approach.EFSA journal. European Food Safety Authority · 2025
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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

25 authors.

EFSA Scientific Committee
Simon John More
Vasileios Bampidis
Diane Benford
Claude Bragard
Antonio Hernandez-Jerez
Susanne Hougaard Bennekou
Thorhallur Ingi Halldorsson
Konstantinos Panagiotis Koutsoumanis
Claude Lambré
Kyriaki Machera
Hanspeter Naegeli
Søren Saxmose Nielsen
Josef Rudolf Schlatter
Dieter Schrenk
Vittorio Silano
Dominique Turck
Maged Younes
Emilio Benfenati
Amélie Crépet
Jan Dirk Te Biesebeek
Emanuela Testai
Bruno Dujardin
Jean Lou Cm Dorne
Christer Hogstrand

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This guidance document provides harmonised and flexible methodologies to apply scientific criteria and prioritisation methods for grouping chemicals into assessment groups for human risk assessment of combined exposure to multiple chemicals. In the context of EFSA's risk assessments, the problem formulation step defines the chemicals to be assessed in the terms of reference usually through regulatory criteria often set by risk managers based on legislative requirements. Scientific criteria such as hazard-driven criteria can be used to group these chemicals into assessment groups. In this guidance document, a framework is proposed to apply hazard-driven criteria for grouping of chemicals into assessment groups using mechanistic information on toxicity as the gold standard where available (i.e. common mode of action or adverse outcome pathway) through a structured weight of evidence approach. However, when such mechanistic data are not available, grouping may be performed using a common adverse outcome. Toxicokinetic data can also be useful for grouping, particularly when metabolism information is available for a class of compounds and common toxicologically relevant metabolites are shared. In addition, prioritisation methods provide means to identify low-priority chemicals and reduce the number of chemicals in an assessment group. Prioritisation methods include combined risk-based approaches, risk-based approaches for single chemicals and exposure-driven approaches. Case studies have been provided to illustrate the practical application of hazard-driven criteria and the use of prioritisation methods for grouping of chemicals in assessment groups. Recommendations for future work are discussed.

Indexed as

assessment groupscombined exposure to multiple chemicalsdose additiongroupingharmonised methodologieshuman risk assessmentscientific criteria

Identifiers

PMID34976164
PMCPMC8681880

What OpenQuestion holds

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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.