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6988487 
Journal Article 
Perfluoroalkyl substances and cognitive function in older adults: Should we consider non-monotonic dose-responses and chronic kidney disease? 
Park, SK; Ding, N; Han, D 
2020 
Yes 
Environmental Research
ISSN: 0013-9351
EISSN: 1096-0953 
192 
110346 
English 
Although potential neurotoxicity of perfluoroalkyl and polyfluoroalkyl substances (PFAS) is suggested, previous epidemiologic studies have reported a 'protective' association between serum PFAS concentration and cognition function. Poor outcome assessment, residual confounding, non-monotonic dose-responses (NMDRs), and the role of reduced kidney function in PFAS excretion may be alternative explanations of these findings. 
Cognitive function; Confounding; Kidney function; Non-monotonic dose-responses; per- and polyfluoroalkyl substances 
PFAS
• Expanded PFAS SEM (formerly PFAS 430)
     Litsearch Update: November 2021
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          Web of Science
     Perfluorooctane
• PFAS 150
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          WOS
     Missing 2021 searches
     Literature Search Update December 2020
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          WOS
     Literature Search August 2019
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          Web of Science
     Screened Studies
          Included
               Include (TIAB)
          Excluded
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     Perfluorinated compounds
     Perfluorooctane
• PFHxS
     Database searches
          Scopus
          Pelch PFAS SEM
          Other
     Inclusion
          Full Text
               Human Study
• PFNA
     Title and Abstract Screening
          Full Text Screening
               Studies Meeting PECO
                    Human health effects studies
     June 2022 Pelch Database
• PFOA (335-67-1) and PFOS (1763-23-1)
     LitSearch Update (Sept 2020 - Feb 2022)
          PubMed
          WOS