Evidence-Based Toxicology: "Sound Science" in New Disguise

被引:12
作者
Ruden, Christina [1 ]
Hansson, Sven Ove [1 ]
机构
[1] Royal Inst Technol KTH, Stockholm, Sweden
关键词
Evidence-based toxicology; evidence-based medicine; risk assessment; burden of proof; sound science; bias; Philip S. Guzelian; tobacco; Philip Morris;
D O I
10.1179/oeh.2008.14.4.299
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The "evidence-based toxicology" proposed by Guzelian et al. departs radically from state-of-the-art toxicology by claiming that risks for humans can only be determined on the basis of human evidence. Just like the previous proposal of "sound science," "evidence-based toxicology" poses a heavy burden of proof on any effort to control exposures in order to reduce health risks to those exposed. The alleged connection between "evidence-based toxicology" and evidence-based medicine is misconceived, since the strict criteria for use of scientific data in evidence-based medicine concerns proof of therapeutic effects, while in "evidence-based toxicology" these criteria are applied to proof of harmful effects. The slogans "sound science" and "evidence-based toxicology" have both been put forward by persons with a history of extensive involvement with the tobacco industry.
引用
收藏
页码:299 / 306
页数:8
相关论文
共 21 条
[1]   IPCS framework for analyzing the relevance of a cancer mode of action for humans [J].
Boobis, Alan R. ;
Cohen, Samuel M. ;
Dellarco, Vicki ;
McGregor, Douglas ;
Meek, M. E. ;
Vickers, Carolyn ;
Willcocks, Deborah ;
Farland, William .
CRITICAL REVIEWS IN TOXICOLOGY, 2006, 36 (10) :781-792
[2]  
Bucher JR, 2002, ANN NY ACAD SCI, V982, P198
[3]   Mortality in relation to smoking: 50 years' observations on male British doctors [J].
Doll, R ;
Peto, R ;
Boreham, J ;
Sutherland, I .
BMJ-BRITISH MEDICAL JOURNAL, 2004, 328 (7455) :1519-1528
[4]  
*EBT, EBT EV BAS TOX
[5]  
GARBONE M, 2004, CANCER RES, V64, P5518
[6]   Evidence-based toxicology: a comprehensive framework for causation [J].
Guzelian, PS ;
Victoroff, MS ;
Halmes, NC ;
James, RC ;
Guzelian, CP .
HUMAN & EXPERIMENTAL TOXICOLOGY, 2005, 24 (04) :161-201
[7]   From presumed benefit to potential harm - Hormone therapy and heart disease [J].
Herrington, DM ;
Howard, TD .
NEW ENGLAND JOURNAL OF MEDICINE, 2003, 349 (06) :519-521
[8]   ENVIRONMENT AND DISEASE - ASSOCIATION OR CAUSATION [J].
HILL, AB .
PROCEEDINGS OF THE ROYAL SOCIETY OF MEDICINE-LONDON, 1965, 58 (05) :295-+
[9]   Toward an evidence-based toxicology [J].
Hoffmann, S. ;
Hartung, T. .
HUMAN & EXPERIMENTAL TOXICOLOGY, 2006, 25 (09) :497-513
[10]  
*IARC, PREAMBL THEIR MON