Toward improved analysis of concentration data: Embracing nondetects.

Various statistical tests on concentration data serve to support decision-making regarding characterization and monitoring of contaminated media, assessing exposure to a chemical, and quantifying the associated risks. However, the routine statistical protocols cannot be directly applied because of challenges arising from nondetects or left-censored observations, which are concentration measurements below the detection limit of measuring instruments. Despite the existence of techniques based on survival analysis that can adjust for nondetects, these are seldom taken into account properly. A comprehensive review of the literature showed that managing policies regarding analysis of censored data do not always agree and that guidance from regulatory agencies may be outdated. Therefore, researchers and practitioners commonly resort to the most convenient way of tackling the censored data problem by substituting nondetects with arbitrary constants prior to data analysis, although this is generally regarded as a bias-prone approach. Hoping to improve the interpretation of concentration data, the present article aims to familiarize researchers in different disciplines with the significance of left-censored observations and provides theoretical and computational recommendations (under both frequentist and Bayesian frameworks) for adequate analysis of censored data. In particular, the present article synthesizes key findings from previous research with respect to 3 noteworthy aspects of inferential statistics: estimation of descriptive statistics, hypothesis testing, and regression analysis. Environ Toxicol Chem 2018;37:643-656.