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Updated: Aug 4, 2025

Establishing a Competing Risk Regression Nomogram Model for Survival Data
Published on: October 23, 2020
hb or not hb - When and why accounting for background mortality in toxicological survival models matters?
Julie Plantade1,2, Virgile Baudrot3, Sandrine Charles1
1CNRS, UMR 5558, Université de Lyon; Université Lyon 1, Cedex, Villeurbanne 69622, France.
Abstract:
Decisions in Environmental Risk Assessment (ERA) about impacts of chemical compounds on different species are based on critical effect indicators such as the 50% lethal concentration (LC50). Regulatory documents recommend concentration-response (or concentration-effect) model fitting on standard toxicity test data to get LC50 values. However, toxicokinetic-toxicodynamic (TKTD) models proved their efficiency to better exploit toxicity test data, at Tier-2 but also at Tier-1, delivering time-independent indicators. In particular, LC50 values can be obtained from the reduced General Unified Threshold model of Survival (GUTS-RED) with both variants, Stochastic Death and Individual Tolerance, that include parameter hb, the background mortality. Estimating hb during the fitting process or not depends on studies and fitting habits, while it may strongly influence the other GUTS-RED parameters, and consequently the LC50 estimate. We hypothesized that estimating hb from all data in all replicates over time should provide more precise LC50 estimates. We then explored how estimating hb impacted: (i) GUTS-RED model parameters; (ii) goodness-of-fit criteria (fitting plot, posterior predictive check, parameter correlations); (iii) LC50 accuracy and precision. We finally show that estimating hb does not impact the LC50 precision while providing more accurate and precise GUTS parameter estimates. Hence, estimating hb would lead to a more protective ERA.
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