PMID- 26313704 OWN - NLM STAT- MEDLINE DCOM- 20160624 LR - 20181202 IS - 1873-6750 (Electronic) IS - 0160-4120 (Print) IS - 0160-4120 (Linking) VI - 85 DP - 2015 Dec TI - Confidence interval estimation for pooled-sample biomonitoring from a complex survey design. PG - 40-5 LID - S0160-4120(15)30031-3 [pii] LID - 10.1016/j.envint.2015.08.003 [doi] AB - The National Centers for Disease Control and Prevention (CDC) is using a weighted pooled-sample design to characterize concentrations of persistent organic pollutants (POPs) in the U.S. POPULATION: Historically, this characterization has been based on individual measurements of these compounds in body fluid or tissue from representative samples of the population using stratified multistage selection. Pooling samples before making analytical measurements reduces the costs of biomonitoring by reducing the number of analyses. Pooling samples also allows for larger sample volumes which can result in fewer left censored results. But because samples are pooled across the sampling design cells of the original survey, direct calculation of the design effects needed for accurate standard error and confidence interval (CI) estimation is not possible. So in this paper I describe a multiple imputation (MI) method for calculating design effects associated with pooled-sample estimates. I also evaluate the method presented, by simulating NHANES individual sample data from which artificial pools are created for use in a comparison of pooled-sample estimates with estimates based on individual samples. To further illustrate and evaluate the method proposed in this paper I present geometric mean and various percentile estimates along with their 95% CIs for two chemical compounds from NHANES 2005-2006 pooled samples and compare them to individual-sample based estimates from NHANES 1999-2004. CI - Published by Elsevier Ltd. FAU - Caudill, Samuel P AU - Caudill SP AD - Division of Laboratory Sciences, National Center for Environmental Health, Centers for Disease Control & Prevention, Public Health Service, US Department of Health and Human Services, United States. Electronic address: SPC1@CDC.GOV. LA - eng GR - CC999999/Intramural CDC HHS/United States PT - Journal Article DEP - 20150824 PL - Netherlands TA - Environ Int JT - Environment international JID - 7807270 RN - 0 (Environmental Pollutants) SB - IM MH - Confidence Intervals MH - Costs and Cost Analysis MH - Environmental Monitoring/economics/*methods/statistics & numerical data MH - Environmental Pollutants/*blood MH - Nutrition Surveys/economics/*methods/statistics & numerical data MH - Research Design/*statistics & numerical data MH - United States PMC - PMC4648671 MID - NIHMS719943 OID - NLM: HHSPA719943 [Available on 12/01/16] OTO - NOTNLM OT - Biomonitoring OT - Complex survey design OT - Design effects OT - Persistent organic pollutants OT - Pooled-samples EDAT- 2015/08/28 06:00 MHDA- 2016/06/25 06:00 PMCR- 2016/12/01 CRDT- 2015/08/28 06:00 PHST- 2014/10/01 00:00 [received] PHST- 2015/07/20 00:00 [revised] PHST- 2015/08/01 00:00 [accepted] PHST- 2015/08/28 06:00 [entrez] PHST- 2015/08/28 06:00 [pubmed] PHST- 2016/06/25 06:00 [medline] PHST- 2016/12/01 00:00 [pmc-release] AID - S0160-4120(15)30031-3 [pii] AID - 10.1016/j.envint.2015.08.003 [doi] PST - ppublish SO - Environ Int. 2015 Dec;85:40-5. doi: 10.1016/j.envint.2015.08.003. Epub 2015 Aug 24.