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DRI Dietary Reference Intakes: For Thiamin, Riboflavin, Niacin, Vitamin B6, Folate, Vitamin B12, Pantothenic Acid, Biotin, and Choline
Another option for dealing with uncertainties is to allow risk assessors to develop a range of estimates based on application of both defaults and alternative inferences that, in specific cases, have some degree of scientific support. Indeed, appropriate analysis of uncertainties seem to require such a presentation of risk results. Although presenting a number of plausible risk estimates has the advantage that it would seem to more faithfully reflect the true state of scientific understanding, there are no well-established criteria for using such complex results in risk management.
The various approaches to dealing with uncertainties inherent to risk assessment are summarized in Table J-1.
As will be seen in the chapters on each nutrient, specific default assumptions for assessing nutrient risks have not been recommended. Rather, the approach calls for case-by-case judgments, with the recommendation that the basis for the choices made be explicitly
TABLE J-1 Approaches for Dealing with Uncertainties in a Risk Assessment Program
Program Model
Advantages
Disadvantages
Case-by-case judgments by experts
Flexibility; high potential to maximize use of most relevant scientific information bearing on specific issues
Potential for inconsistent treatment of different issues; difficulty in achieving consensus; need to agree on defaults
Written guidelines specifying defaults for data and model uncertainties (with allowance for departures in specific cases)
Consistent treatment of different issues; maximization of transparency of process; resolution of scientific disagreements possible by resort to defaults
Possibly difficult to justify departure or to achieve consensus among scientists that departures are justified in specific cases; danger that uncertainties will be overlooked
Presentation of full array of estimates from all scientifically plausible models by assessors
Maximization of use of scientific information; reasonably reliable portrayal of true state of scientific understanding
Highly complex characterization of risk, with no easy way to discriminate among estimates; size of required effort may not be commensurate with utility of the outcome