8 Reference Dose and Reference Concentration Rounding in IRIS: Risk Assessment Ramifications

Citation

Tannenbaum LV (2020) Reference Dose and Reference Concentration Rounding in IRIS: Risk Assessment Ramifications. J Toxicol Risk Assess 6:032. doi.org/10.23937/2572-4061.1510032

Original Article | OPEN ACCESS DOI: 10.23937/2572-4061.1510032

Reference Dose and Reference Concentration Rounding in IRIS: Risk Assessment Ramifications

Lawrence V Tannenbaum*

3310 Taney Road, Baltimore, USA

Abstract

Commonly, reference doses and reference concentrations, toxicity factors supporting non-cancer assessments for the chemical exposures of humans, are rounded values. While the U.S. EPA's Integrated Risk Information System rather evidently employs this rounding practice so as to arrive at toxicity values that are uniform and simple in appearance, the particulars of the rounding approach are only loosely discussed. The analysis provided here found that reference dose and reference concentration rounding, occurring respectively, for some 50% and 87% of chemicals of methodically developed lists, is a fully indiscriminate and highly inconsistent process. Toxicity factors being either rounded up or down are close to equiprobable events. Further, through rounding, sizeable percentages (e.g., ca. 20%) of the toxicity factors bear magnitude increases or decreases of 20% or more, and an overall absolute shifted magnitude figure (i.e., for both reference doses and reference concentrations, and independent of rounding direction) was approximately 12%. The consequences of seemingly unnecessary rounding for hundreds of chemicals, in terms of the non-cancer/hazard outcomes of risk assessments, are reviewed.

Introduction

En route to establishing reference doses (RfDs) and reference concentrations (RfCs) in support of non-cancer assessments, such as those conducted for hazardous waste sites, the results of hopeful and directed toxicity testing with laboratory animals are cautiously scrutinized. Although the benchmark dose (BMD) methodology [1] has come to play an increasing role in setting RfDs and RfCs via the use of a mathematical dose-response model, most RfDs and RfCs are derived through establishing No Observed Adverse Effect Levels (NOAELs), [2,3] a central concern of this paper. Procedurally for a given chemical, a considerable volume of peer-reviewed reports and articles is first examined, leading to the designation of a critical study. It is from the critical study that the NOAEL, the highest experimental dose for which no adverse health effects have been documented, is identified. Assumed to be safe, a series of uncertainty factors (UFs) and a modifying factor (MF) are nevertheless applied to NOAELs, to arrive at RfDs and RfCs. Uncertainty factors (UFs), generally 10-fold factors, reduce the magnitude of the NOAEL in an effort to offset the influences of such phenomena as animal-to-human extrapolation, subchronic exposure-to-chronic exposure extrapolation, and datasets being deemed incomplete. The MF, with a value ranging from greater than zero to a maximum of 10, is applied using professional judgment.

Quite evidently, pursuant to UF and MF application, RfDs and RfCs are rounded prior to use, rendering them into their final forms. Thus the EPA's Integrated Risk Information System, [4] in addition to identifying a chemical's critical study, NOAEL, and the pertinent UFs and MF applied, will also display RfDs and RfCs that, in nearly every case, have been adjusted somewhat in their decimal places. This generally is in keeping with approaches adopted across the sciences; commonly bona fide rules exist for rounding to significant figures [5,6] or to n decimal places. U.S. EPA practice, as stated in its seminal human health risk assessment (HHRA) guidance document (USEPA 1989) [2] is to express oral RfDs (RfDos) as one significant figure (in units of mg/kg-day). It is noteworthy that this same guidance does not identify a rounding rule for inhalation reference concentrations (RfCis), one of two toxicity factors explored in this paper. It is also noteworthy that this guidance does not recognize that the applied one significant figure rule might come at a cost in terms of sacrificed accuracy for resultant hazard estimates. Thus, the degree of increase or decrease in RfDs and RfCs, attributable to the commonplace rounding, is never discussed despite the rounding often translating into magnitude shifts of 20 or 30%. As an example, butyl benzyl phthalate's oral RfD prior to rounding is 1.59E-01. After rounding though, it is 2.00E-01, a figure 27.9% larger. This paper is a methodical review of the rounding of IRIS-available RfDs and RfCs used respectively, in the calculation of non-cancer hazard for the ingestion and inhalation exposure pathways. The findings are then considered in a discussion of the ramifications of routinely applied rounding on non-cancer assessment efficacy.

Methods

The EPA's 2019 Regional Screening Level (RSL) table [7] served as the initial source of chemicals for the study. RfDo and RfCi universes to be subjected to the rounding analysis were developed following the scheme of Tannenbaum and Comaty [8] excluding from consideration, chemicals with toxicity factor development features that could serve to confound findings, or that had issues outstanding (e.g., having an archived or withdrawn status). As a first implemented measure to ensure an equitable review of toxicity factor rounding, chemicals with a lower position in the preferred peer review hierarchy for toxicity values to be used in human health risk assessment (HHRA; i.e., other than IRIS; USEPA 2003) [9] were excluded. RfDos and RfCis that had been set using the BMD methodology were also removed, given the critical study-specific nature of the analysis (i.e., the focus on rounding that occurs for individual studies as opposed to rounding done for an amalgam of studies; Tannenbaum and Comaty) [8].

For the retained chemical lists, the principal analysis extended to identifying those chemicals with a rounded toxicity factor, determining the percentage of these that were either rounded up or rounded down, and expressing the range of the degree to which RfDos and RfCis had been increased or decreased through rounding. Rounding inconsistency was evaluated in three ways. First, the frequency and directionality of rounding was examined for what are hereafter termed 'mathematical' RfDos and RfCis (i.e., the quotients resulting from the division of study NOAELs by their respective UFs) whose last decimal, either in the tenths or hundredths place, was 5 (i.e., a mid-point value). Second, several paired or grouped chemicals were selected from the RfDo study universe to illustrate curiosities with regard to mathematical RfDos being rounded or not prior to their placement on the RSL table. Finally, a series of hypothetical soil concentrations were carried through a standard human health chemical exposure pathway (the incidental soil ingestion of a site resident) to highlight the corrupting influence of applied RfDo and RfCi rounding when a technical basis in support of such is lacking.

Results

As Table 1 illustrates, substantial percentages of RSL Table chemicals with RfDos and RfCis derived from laboratory animal studies, were screened out of the rounding analysis. A lower position in the peer-review hierarchy (i.e., secondary to IRIS as the review source) accounted for the greatest percentage of chemicals being excluded from consideration. Pursuant to chemicals being eliminated for a number of reasons, 37 and 20% respectively, of the initial RfDo and RfCi universes were retained for study. Continuing with the rounding analysis, fully half of the RfDos evidenced rounding, while 87% of the RfCi universe had this feature (Table 2). This dichotomy was observed to reflect the relative percentages of mathematical RfDos and RfCis that either did or did not divide evenly. To illustrate, fortuitously, only 13% of mathematical RfCis retained for analysis had whole integers preceding the exponent, a situation that obviates the need for rounded or simplified toxicity expressions. In contrast to this difference between the universes, the partitioning of RfDos and RfCis into those with rounding up and those with rounding down, was nearly even. Table 2 also shows that the similarity in the degree of rounding (i.e., how much RfDos and RfDis were increased or decreased through rounding) was also strikingly similar for the two toxicity factors, this when expressed both as a range, and as an absolute mean (i.e., independent of rounding direction) of the values for each universe. The absolute magnitude of rounding across all considered cases (i.e., for RfDos and RfCis, and for rounded up and rounded down values) straddled a figure of 12%.

Table 1: Establishing the RfDs and RfCs submitting to the rounding analysis. View Table 1

Table 2: Rounding analysis summary statistics for the chemical universe considered. View Table 2

Table 3 reports the results of a first foray into quantifying rounding inconsistency for RSL Table RfDos and RfCis. While the RfCi universe was too small to demonstrate irregularities with regard to how values that terminate with a 5 in the decimal portion of a toxicity factor are rounded (i.e., in which direction to round, if such is done at all), the RfDo statistics are dramatic. When a 5 is in the tenths decimal place, instances are rather evenly split between values that are rounded and those that are not (i.e., there are 20 rounded values within a universe of 45). The ratio of rounded up to rounded down values however, is quite lopsided; of the 20 rounded values, only one is rounded down.

Table 3: Rounding inconsistency analysis for mathematical RfDos and RfCis with 5 as a last decimal figure. View Table 3

Notable occurrences of rounding inconsistency with RfDos are profiled in Table 4. Aside from the examples highlighting inconsistency with regard to rounding direction, the tabularized information incorporates concerns over unnaturally boosted or reduced RfDos, particularly where RfDo magnitude was shifted by 20% or more. The examples support the overall observation that IRIS RfDo and RfCi rounding (following from application of the one significant figure rule) follows no pattern whatsoever (see Discussion).

Table 4: Emblematic RfDo rounding inconsistencies in IRIS/the RSL Table. View Table 4

Critical RfDo rounding manifestations of underplayed and exaggerated hazard outcomes are evaluated in Table 5. The first three rows profile chemicals whose RfDos were 'rounded up', recalling that the larger the RfDo, (as the denominator of the hazard quotient [HQ] construct), the smaller a resultant HQ will be. The selected hypothetical chemical concentrations in these rows correspond to HQs that are at unity (a value of 1.0) for a modeled site resident where the RSL Table (rounded) RfDo is used. Corresponding HQs for each of the chemicals where the mathematical RfDos were used, are observed to be unacceptable in risk assessment terms, with values approximating 1.2. The lower three table rows profile chemicals with 'rounded down' RfDos. These lesser magnitude toxicity factors in the HQ construct's denominator give rise to relatively enlarged HQs (again, at a value of approximately 1.2). When the mathematical RfDo is used for these chemicals, the selected soil concentrations lead to HQs that are acceptable/safe, with values ranging from 0.81 to 0.93. Buttressing these observations is the reporting of Table 6, a quantification of the frequencies with which RfDos and RfCis are, through rounding, increased or decreased by noteworthy degrees (i.e., 10-30%).

Table 5: Risk assessment outcome manifestations due to inconsistent toxicity factor rounding. View Table 5

Table 6: Rounding magnitude summary: percentages of rounded RfDo and RfCi universes with noteworthy magnitude increases or decreases. View Table 6

Discussion

In the hard sciences, only a small handful of reasons account for the phenomenon of rounding numerical values. Rounding to a fixed number of significant figures or to n decimal places may first be done for convenience, allowing for an easier way to express, reference, or manipulate values in certain instances. By way of example, it is less clumsy to say that there are 1.7 items in a measure (e.g., insects on an average plant leaf) than it is to say there are 1.739 items in a measure. A second reason for rounding is so as to have all the numerical values within a given set bear notable consistency. Seemingly as a third reason, the intent with number rounding is to confer a respectable degree of accuracy on numerical values to be used (i.e., to enable working with values that better approximate the real-world condition). One last reason for rounding numbers is so as to be compliant with a standard that science has recognizably adopted. With regard to the present study and its focus on the degrees of rounding of RfDos and RfCis reported in IRIS and the RSL Table, these four bases for rounding do not appear to be relevant, or to have been implemented, as discussed below. Further, the case can be made that without a scientifically sound (as opposed to a programmatic) rationale for rounding RfDos and RfDis provided, and with the great rounding inconsistency observed for these toxicity factors, rounding has undoubtedly been detrimental to non-cancer assessment, allowing erroneous and misleading HQs to form.

Arguably, there is no convenience supplied to non-cancer assessment with the rounding or truncating of computed toxicity factors evident in RSL Table RfDos and RfCis. Calculated RfDos and RfCis are almost never manipulated by hand in risk assessment work; they are rather drawn from existing electronic databases, and incorporated into equations on the desktop as part of a highly automated process that generates hazard outcomes and related computations. Neither a risk assessor or a computer therefore, works any harder to number crunch toxicity factors of two or three decimal places or of multiple significant figures, than they do when manipulating toxicity factors that are rounded to a nearest (whole) integer (e.g., 3.00E-03). It is possible nevertheless, that ongoing and routinely implemented RfDo and RfCi rounding reflects the thinking that such action simplifies the tasks of risk assessors. An irony is that while not supplying any such convenience for the greater risk assessment process, RfDo and RfCi rounding necessarily supplies notable inconsistency and introduces the possibility of inaccurate outcomes (addressed further into this Discussion).

Empirically, the greatest degree of consistency in RfDo and RfCi generation is attained when there is straightforward division of each chemical-specific NOAEL by its respective (cumulative) UF. This is because a NOAEL (the HQ's numerator) depicts an actual study dose that was used, and that by definition is a study's highest dose that did not produce a toxicological response, adverse or otherwise [2,8]. Regardless of its form, it is perfectly appropriate to work with RfDos and RfCis that form from the division of true study NOAELs by commonplace UFs such as 1,000 or 3,000. Examples would be aluminum phosphide with a NOAEL of 0.043 mg/kg/day, and acetophenone with a NOAEL of 423 mg/kg/day. While it may be unfortunate that UFs regularly assume three order-of-magnitude and greater values, and transparently appear each time as unimaginative products of a series of ten-fold factors, there is no need for any further adjustment of the quotients produced (i.e., the RfDos and RfCis). Most critical to this study and its examination of rounding, is that NOAELs that are 'cleanly divided' by UFs (i.e., that present as figures with either no decimal preceding the exponent, or often enough, with a decimal of 0.5; Table 2) are no more accurate than NOAELs that do not divide this way. A practical example demonstrates this.

The ingestion route NOAEL for the chemical, glycidaldehyde is 1.09 mg/kg/day. This dose failed to elicit a toxicological response in chronically exposed rats, whereas the test dose immediately above it, of 2.23 mg/kg/day, triggered enlarged adrenal glands, hydropic renal pelvis, and several other sublethal effects in the test animals. Procedurally, dividing the NOAEL by the critical study's cumulative UF of 3000, gives rise to the RfDo of 3.63E-04. Importantly with regard to this simple mathematical construct, there is no reason to be suspect of this RfDo's magnitude, as in feeling that it should either be reduced or enlarged. The rounding up though, of the 3.63E-04 mg/kg/day figure (by 10.19%) to the 4.00E-04 mg/kg/day figure displayed in IRIS and the RSL Table, a happenstance of abiding by the well-intended practice of rounding to one significant figure, has nevertheless acted to lessen glycidaldehyde's toxicity (i.e., potency). A 'rounded up' glycidaldehyde RfDo as the divisor for a receptor's computed intake (perhaps that for an outdoor worker under the incidental soil ingestion pathway), will necessarily give rise to HQs that are 10.19% lower than should be. Potentially, glycidaldehyde HQs produced with the RSL Table-available 'rounded up' RfDo, are masking what would otherwise be unacceptable hazards (see Table 5). Transparently however, IRIS is not attentive to this reality; some 50% and 87% of considered RfDos and RfCis respectively, have been rounded solely because their quotients did not cleanly divide, i.e., because the emerging quotients did not present as values with one significant figure. In effect, chemicals whose mathematical RfDos and RfCis are not of one significant figure are being penalized with regard to having their truer potencies expressed. Further, the subject analysis identifies an unstated but nevertheless apparent IRIS objective, namely to have all RfDos and RfCis assume a uniform appearance, with whole integers preceding an exponent. It is precisely the attention given to this objective that is responsible for compromised accuracy, as explained below.

The perception might be that the dominant factor compromising the accuracy of RfDos and RfCis (and increasing HQ uncertainty) is that of whole integer values being left as they are, while all other mathematical RfDos and RfCis are rounded. While such does constitute a source of inaccuracy, the case can be made that the dominant factor compromising non-cancer assessment accuracy is the recurrent inconsistency in rounding direction (Table 3 and Table 4). We could, theoretically, imagine USEPA toxicologists and IRIS managers adopting a position or policy (without supportive evidence) that through their derivation, mathematical RfDos and RfCis commonly emerge slightly attenuated. In that case, it might be decided that all mathematical RfDos and RfCis, independent of any fractional values (i.e., decimals) they may bear, should be adjusted upwards by a fixed degree (perhaps 4%). Since advanced toxicological study never proceeds in efforts to determine if/that chemical-specific mathematical RfDos and RfCis are in fact, attenuated/underestimated (or overestimated), it becomes clear that values are not rounded for the sake of supplying greater accuracy.

A widely held practice in science and engineering is rounding to a fixed number of significant figures, a more general-purpose technique than rounding to n decimal places, since it handles numbers of different scales in a uniform way. By way of example, a city's population might only be known to the nearest thousand and reported as such (e.g., 52,000), while a country's population might only be known to the nearest million, and expressed that way (e.g., as 52,000,000). The city population might be in error by hundreds, and the country population by hundreds of thousands, but there is an equity in such reporting. Both populations have two significant figures, with this reflecting the significance of the error being the same for both, relative to the size of the quantity being measured. We should expect the number of significant figures of toxicity study NOAELs to be maintained through all subsequent usages, as in computed mathematical RfDos and RfCis, and then, final-form RfDos and RfCis as found on the RSL Table. This paper's review however, observed that the only instances of a maintained number of significant figures were for that specific case where serendipitously, study NOAELs were of one significant figure (e.g., 0.04 mg/kg/day; 2.00 mg/kg/day). Thus, a constancy in the number of significant figures was observed only some 28% and 5% of the time for RfDos and RfCis, respectively. As an example, bromodichloromethane's NOAEL and mathematical RfDo, respectively, were each of three significant figures, at 17.9 (mg/kg/day) and 1.79E-02, while this chemical's RSL Table-available RfDo of 2.00E-02, reflecting an unintended 11.73% toxicity decrease, has but one significant figure. The pivotal point to secure here is that whether the mainstay practice of rounding IRIS RfDos and RfCis to one significant figure occurs so as to offset imprecision associated with application of four and five-digit UFs or for some other reason, the practice comes at a cost. The rounding, appearing to be centered more on a formatting concern, is necessarily compromising expressions of toxicity and thereby, accuracy.

The frequency of occurrence statistics for RfDos and RfCis that have been increased or decreased by 20% or more as a consequence of IRIS rounding (Table 6), may not at first blush, seem problematic for risk assessments. A consideration of the magnitudes that HQs regularly assume in US risk assessments though, dispels such thinking. An exhaustive review of a near decade's worth of Superfund Records of Decision (ROD) and ROD amendments, found that the largest category of unacceptable hazard indices (HIs), at approximately 27%, were those with magnitudes ranging from just above 1.0 to 10 (a situation notably different from what occurs regularly in ecological risk assessments; Tannenbaum, et al. 2003) [10]. What practitioners then, might term only slight HQ increases or decreases (e.g., 1.0 to 1.2, or 1.2 to 1.0) attributable to unnecessary rounding up or down (i.e., where a technical basis for rounding is lacking), could be providing a basis for improperly drawn conclusions. Thus, with IRIS's routinely implemented one significant figure rounding (that often enough obscures a significant degree of RfDo and RfCi specificity), HQs or HIs slightly above unity may not mean that a human receptor's exposure is unhealthful, or that site remedial action should proceed. Such might only be the effect of an RfDo or RfCi having been unnecessarily rounded down. Similarly, RfDos and RfCis that have been fortuitously increased through rounding to give rise to HQs and HIs slightly below unity, might be masking instances that in actuality, very much need to be addressed. In the discussion here it is critical to note that in human health non-cancer assessment a HQ value of 1.0 is not scientifically, a bright line. While regulators may well understand this and thereby not insist that a HQ of 1.2 is unacceptable, the 'slight (magnitude) HQ increases' mentioned above, when presented in a somewhat different light, can easily be interpreted by regulators and other stakeholders as problematic. Thus, for a rounding-caused HQ shift from 1.2 to 1.4 (i.e., a shift of the same magnitude when climbing from 1.0 to 1.2), many a regulator and stakeholder could be expected to flag the (higher) outcome as firmly unacceptable.

Pursuant to what the subject analysis has revealed, the perception might be that the inaccuracies and other difficulties engendered with the indiscriminate rounding of RfDos and RfCis, can be avoided through engineering toxicity studies to always result in NOAELs that are always of whole integers (e.g., 3.00E-04). For two reasons however, such is not a viable option. First, as a simple consequence of human endeavor, researchers commonly do not arrive at the precise (and presumably) numerically even chemical doses (e.g., 80 mg/kg) they intend to administer to their animal subjects. Also, at the outset of a dosing study, one cannot know what the study's actual UFs and MF will be. A realistic view is that whole integer RfDos and RfCis will not be generated on every occasion.

It is the author's position that IRIS-sanctioned rounding of RfDos and RfCis is not inconsequential for HHRA. While the long-time indoctrinated chronic RfD definition recognizes the variability that this toxicity value can assume (i.e., with these estimates having uncertainty spanning perhaps an order of magnitude or greater; USEPA 1989) [2], such variability need not arise from an inconsistently applied value adjustment process. While adhering to significant figure rounding is a standard practice across many sciences, its application in the case of RfDos and RfCis may be a detrimental one. Toxicity value specificity is clearly being undermined at the expense of values being crafted with a shortened/simplified appearance. Further, recognition of the frequent cases of inconsistently applied rounding in fashioning these toxicity factors should suggest that the significant figure rounding be withheld. A final example concretizes this argument. Chloroform's critical study (converted) lowest observed adverse effect level (i.e., the toxicological basis of the chemical's RfDo) is a 12.9 mg/kg/day. After applying the UF of 1000, the final RfDo becomes 1.29E-02 mg/kg/day. This value could be used as is, with no bias being supplied in any HQ computations that may follow. Its adjustment though, to a value of 1.00E-02, a figure over 22% smaller, will necessarily impart bias to subsequent HQs produced. Dispensing with the rounding of RfDos and RfCis, ordinarily applied with the intent only of adhering to a standard often seen in the sciences, would allow for more truthful hazard estimates to occur.

Sources of support

Not applicable.

Statement of Equal Authors' Contribution

Not applicable.

References

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Citation

Tannenbaum LV (2020) Reference Dose and Reference Concentration Rounding in IRIS: Risk Assessment Ramifications. J Toxicol Risk Assess 6:032. doi.org/10.23937/2572-4061.1510032