RT Journal Article T1 Draft for internal testing Scientific Committee guidance on appraising and integrating evidence from epidemiological studies for use in EFSA's scientific assessments. A1 EFSA Scientific Committee, A1 More, Simon A1 Bambidis, Vasileos A1 Benford, Diane A1 Bragard, Claude A1 Hernandez-Jerez, Antonio A1 Bennekou, Susanne Hougaard A1 Koutsoumanis, Kostas A1 Machera, Kyriaki A1 Naegeli, Hanspeter A1 Nielsen, Soren Saxmose A1 Schlatter, Josef R A1 Schrenk, Dieter A1 Silano, Vittorio A1 Turck, Dominique A1 Younes, Maged A1 Fletcher, Tony A1 Greiner, Matthias A1 Ntzani, Evangelia A1 Pearce, Neil A1 Vinceti, Marco A1 Ciccolallo, Laura A1 Georgiadis, Marios A1 Gervelmeyer, Andrea A1 Halldorsson, Thorhallur I K1 Epidemiological studies K1 evidence appraisal K1 exposure assessment K1 hazard characterisation K1 risk assessment AB EFSA requested its Scientific Committee to prepare a guidance document on appraising and integrating evidence from epidemiological studies for use in EFSA's scientific assessments. The guidance document provides an introduction to epidemiological studies and illustrates the typical biases of the different epidemiological study designs. It describes key epidemiological concepts relevant for evidence appraisal. Regarding study reliability, measures of association, exposure assessment, statistical inferences, systematic error and effect modification are explained. Regarding study relevance, the guidance describes the concept of external validity. The principles of appraising epidemiological studies are illustrated, and an overview of Risk of Bias (RoB) tools is given. A decision tree is developed to assist in the selection of the appropriate Risk of Bias tool, depending on study question, population and design. The customisation of the study appraisal process is explained, detailing the use of RoB tools and assessing the risk of bias in the body of evidence. Several examples of appraising experimental and observational studies using a Risk of Bias tool are annexed to the document to illustrate the application of the approach. This document constitutes a draft that will be applied in EFSA's assessments during a 1-year pilot phase and be revised and complemented as necessary. Before finalisation of the document, a public consultation will be launched. YR 2020 FD 2020-08-18 LK https://hdl.handle.net/10668/26732 UL https://hdl.handle.net/10668/26732 LA en DS RISalud RD Apr 17, 2025