<?xml version="1.0" encoding="UTF-8"?>
<TEI xmlns="http://www.tei-c.org/ns/1.0" xml:lang="en">
  <teiHeader>
    <fileDesc>
      <titleStmt>
        <title>Half-Life of Serum Elimination of Perfluorooctanesulfonate,Perfluorohexanesulfonate, and Perfluorooctanoate in Retired Fluorochemical Production Workers</title>
        <author>Geary W. Olsen</author>
        <author>Jean M. Burris</author>
        <author>David J. Ehresman</author>
        <author>John W. Froehlich</author>
        <author>Andrew M. Seacat</author>
        <author>John L. Butenhoff</author>
        <author>Larry R. Zobel</author>
      </titleStmt>
      <publicationStmt>
        <p>Tag layer of the DHSS Meta-Tagging Project. The article text is reproduced from the
           staged copy named in sourceDesc and is not altered; the tags are held separately in
           standOff so that overlapping and nested spans are preserved.</p>
      </publicationStmt>
      <sourceDesc>
        <bibl>
          <title>Half-Life of Serum Elimination of Perfluorooctanesulfonate,Perfluorohexanesulfonate, and Perfluorooctanoate in Retired Fluorochemical Production Workers</title>
          <date>2007</date>
          <publisher>Environmental Health Perspectives</publisher>
          <idno type="DOI">10.1289/ehp.10009</idno>
          
          <idno type="record">olsen2007-half-life-of-serum-elimination-of</idno>
          <note type="staged-file">olsen2007-half-life-of-serum-elimination-of.txt, the project's staged copy</note>
          <note type="text-sha1">b35e1c925c0dff176b69a64efca0b24032cdcbed</note>
          <note type="rights">cc-by</note>
        </bibl>
      </sourceDesc>
    </fileDesc>
    <profileDesc>
      <textClass><keywords><term>environmental-science</term></keywords></textClass>
      <particDesc>
        <person xml:id="paper"><p>the paper's own words</p></person>
        <person xml:id="tagger"><p>the tag layer; a sentence written by the tagger about the
          paper, always anchored to a quotation but not itself a quotation</p></person>
      </particDesc>
    </profileDesc>
    <revisionDesc>
      <change when="2026-10-06"
              who="build_paper_edition.py">0 spans located by searching the stored text for the quote's exact words, allowing any whitespace between them</change>
    </revisionDesc>
  </teiHeader>
  <standOff>
    <spanGrp type="tags">
      <span xml:id="t0" type="object_of_study" ana="#object_of_study" resp="#paper">
        <label>the rate at which three perfluoroalkyl acids leave human serum, measured in people whose exposure has stopped</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t1" type="research_question" ana="#research_question" resp="#paper">
        <label>how long PFOS, PFHS and PFOA persist in human serum once occupational exposure ends, a number previously available only by extrapolation from monkeys and rodents</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t2" type="contribution" ana="#contribution" resp="#paper">
        <label>the first direct human serum elimination half-lives for PFOS, PFHS and PFOA, from 26 retired fluorochemical workers followed for five years</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t3" type="claim_type" ana="#claim_type" resp="#paper">
        <label>existence</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t4" type="phenomenon" ana="#phenomenon" resp="#paper">
        <label>serum elimination of perfluoroalkyl acids that is slow enough in humans, and fast enough in every other species measured, that the interspecies gap is itself the finding</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t5" type="method" ana="#method" resp="#paper">
        <label>observational-study</label>
        <term>observational-study</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t6" type="mechanisms" ana="#mechanisms[0]" resp="#tagger" cert="0.95">
        <label>a high-affinity transporter returns filtered perfluoroalkyl acid from the renal tubule to the blood; because it saturates, the elimination rate depends on concentration and on how much transporter a species expresses</label>
        <term>saturable renal resorption</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t7" type="mechanisms" ana="#mechanisms[1]" resp="#tagger" cert="0.95">
        <label>species and sexes differ in which proximal-tubule anion transporters they express, so the same molecule is returned to the blood at different rates - offered as the reason the human half-life is years and the rat&#x27;s is days</label>
        <term>differential expression of organic anion transporters</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t8" type="mechanisms" ana="#mechanisms[2]" resp="#tagger" cert="0.95">
        <label>the C-F bond&#x27;s stability and the high electronegativity of perfluorinated alkyl acids make metabolism unfavourable, so elimination is the only route of loss and half-life is set entirely by excretion</label>
        <term>metabolic stability of the carbon-fluorine bond</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t9" type="limitations" ana="#limitations[0]" resp="#tagger" cert="0.95">
        <label>the authors state that human pharmacokinetics is not likely to be one-compartment, in the same discussion that reports half-lives fitted with a one-compartment first-order model - the model is disclaimed and its output is the paper&#x27;s headline number</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t10" type="limitations" ana="#limitations[1]" resp="#tagger" cert="0.95">
        <label>continuing non-occupational exposure could flatten the observed decline, so the half-lives may be biased long; the paper raises this and does not quantify it</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t11" type="limitations" ana="#limitations[2]" resp="#tagger" cert="0.85">
        <label>the model was selected by looking at a semi-log plot, not by comparing candidate models - linearity by eye is the entire justification for first-order kinetics</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t12" type="limitations" ana="#limitations[3]" resp="#tagger" cert="0.95">
        <label>26 subjects, 24 of them male, all retired from two plants of one company; the two women are the whole basis for the sex comparison</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t13" type="limitations" ana="#limitations[4]" resp="#tagger" cert="0.95">
        <label>three of the original participants had post-baseline occupational exposure: one was dropped entirely, one truncated, one&#x27;s start point moved for a single analyte - principled and disclosed, but the cohort is not the cohort recruited</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t14" type="transfers" ana="#transfers[0]" resp="#tagger" cert="0.95">
        <label>first-order elimination kinetics and the half-life construct, carried from single-dose animal pharmacokinetics onto an observational human cohort with no known dose and no defined time zero</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t15" type="transfers" ana="#transfers[1]" resp="#tagger" cert="0.95">
        <label>the renal transporter explanation, carried from rodent sex-difference studies to account for a between-species difference in humans</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t16" type="controls" ana="#controls[0]" resp="#tagger" cert="0.95">
        <label>split analyses of the same blood collection, to separate assay variability from real decline</label>
        <note>eliminates: assay variability being read as a fall in serum concentration, since both halves of the split come from one blood collection · outcome: held</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t17" type="controls" ana="#controls[1]" resp="#tagger" cert="0.95">
        <label>spiked recovery and precision at three PFOA concentrations spanning the assay range</label>
        <note>eliminates: a half-life derived from an assay that is accurate at one concentration and not across the decline it is measuring · outcome: held</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t18" type="controls" ana="#controls[2]" resp="#tagger" cert="0.95">
        <label>spiked recovery and precision for PFHS, the analyte with the longest and most variable half-life</label>
        <note>eliminates: the same, for the analyte whose half-life is longest and most variable and therefore rests on the most measurements · outcome: partial</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t19" type="controls" ana="#controls[3]" resp="#tagger" cert="0.95">
        <label>blank rabbit or calf serum run with each batch, to detect contamination in a laboratory that also handled these compounds</label>
        <note>eliminates: contamination of the samples in a laboratory that also handled these compounds - a blank that comes back clean on each run is what separates measured serum from carry-over · outcome (stated by the tagger, no quotation): held</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t20" type="controls" ana="#controls[4]" resp="#tagger" cert="0.95">
        <label>end-of-study concentrations checked against general-population reference values, to show the decline was not floored by background exposure</label>
        <note>eliminates: an elimination rate flattened by continuing background exposure, which would lengthen every half-life in the study · outcome: held</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t21" type="controls" ana="#controls[5]" resp="#tagger" cert="0.95">
        <label>the same check applied per subject rather than to the median, which is where it stops holding for four of the 26</label>
        <note>eliminates: a median that holds while individuals do not - the per-subject form is where the check stops holding, for four of twenty-six · outcome: partial</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t22" type="controls" ana="#controls[6]" resp="#tagger" cert="0.95">
        <label>regression of half-life on age, years worked, job and time since retirement, to test whether the estimate tracks anything about the person rather than the chemistry</label>
        <note>eliminates: a half-life that tracks age, tenure, job or time since retirement rather than the chemistry of the compound · outcome: held</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t23" type="controls" ana="#controls[7]" resp="#tagger" cert="0.95">
        <label>self-reported disease and medication review, for renal or hepatic conditions that would alter clearance</label>
        <note>eliminates: altered renal or hepatic clearance in a subject being reported as the elimination rate of the compound · outcome: held</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t24" type="concepts" ana="#concepts[0]" resp="#paper" cert="0.95">
        <label>half-life of serum elimination</label>
        <term>half-life of serum elimination</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t25" type="concepts" ana="#concepts[1]" resp="#paper" cert="0.95">
        <label>first-order model</label>
        <term>first-order model</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t26" type="concepts" ana="#concepts[2]" resp="#paper" cert="0.95">
        <label>semi-log plot</label>
        <term>semi-log plot</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t27" type="concepts" ana="#concepts[3]" resp="#paper" cert="0.95">
        <label>PFOS</label>
        <term>PFOS</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t28" type="concepts" ana="#concepts[4]" resp="#paper" cert="0.95">
        <label>PFHS</label>
        <term>PFHS</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t29" type="concepts" ana="#concepts[5]" resp="#paper" cert="0.95">
        <label>PFOA</label>
        <term>PFOA</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t30" type="concepts" ana="#concepts[6]" resp="#paper" cert="0.95">
        <label>retired fluorochemical production workers</label>
        <term>retired fluorochemical production workers</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t31" type="concepts" ana="#concepts[7]" resp="#paper" cert="0.95">
        <label>saturable renal resorption</label>
        <term>saturable renal resorption</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t32" type="concepts" ana="#concepts[8]" resp="#paper" cert="0.95">
        <label>organic anion transporters</label>
        <term>organic anion transporters</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t33" type="concepts" ana="#concepts[9]" resp="#paper" cert="0.95">
        <label>tubular resorption</label>
        <term>tubular resorption</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t34" type="concepts" ana="#concepts[10]" resp="#paper" cert="0.95">
        <label>internal standard</label>
        <term>internal standard</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t35" type="concepts" ana="#concepts[11]" resp="#paper" cert="0.95">
        <label>lower limit of quantitation</label>
        <term>lower limit of quantitation</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t36" type="concepts" ana="#concepts[12]" resp="#paper" cert="0.95">
        <label>split analyses</label>
        <term>split analyses</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t37" type="concepts" ana="#concepts[13]" resp="#paper" cert="0.95">
        <label>linear isomer</label>
        <term>linear isomer</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t38" type="concepts" ana="#concepts[14]" resp="#paper" cert="0.95">
        <label>branched chain isomers</label>
        <term>branched chain isomers</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t39" type="concepts" ana="#concepts[15]" resp="#paper" cert="0.95">
        <label>cynomolgus monkeys</label>
        <term>cynomolgus monkeys</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t40" type="concepts" ana="#concepts[16]" resp="#paper" cert="0.95">
        <label>ion ratios</label>
        <term>ion ratios</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t41" type="concepts" ana="#concepts[17]" resp="#paper" cert="0.95">
        <label>environmental exposure</label>
        <term>environmental exposure</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t42" type="concepts" ana="#concepts[18]" resp="#paper" cert="0.95">
        <label>rate of elimination</label>
        <term>rate of elimination</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t43" type="concepts" ana="#concepts[19]" resp="#paper" cert="0.95">
        <label>right skewness</label>
        <term>right skewness</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t44" type="senses" ana="#senses[0]" resp="#tagger" cert="0.95">
        <label>half-life of serum elimination - the ARITHMETIC mean over the 26 subjects: 5.4 y for PFOS, 8.5 y for PFHS, 3.8 y for PFOA</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t45" type="senses" ana="#senses[1]" resp="#tagger" cert="0.95">
        <label>half-life of serum elimination - the GEOMETRIC mean over the same 26 subjects: 4.8 y for PFOS, 7.3 y for PFHS, 3.5 y for PFOA. These are the three numbers later papers quote as the half-life, without naming the statistic</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t46" type="senses" ana="#senses[2]" resp="#tagger" cert="0.95">
        <label>half-life of serum elimination - the arithmetic mean after removing the two longest-eliminating subjects, which collapses onto the geometric mean and shows the gap between the first two senses is two people</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t47" type="claim_relations" ana="#claim_relations[0]" resp="#tagger" cert="0.95">
        <label>builds-on → Calafat et al.&#x27;s NHANES estimates of general-population serum concentrations, used here as the background floor the retirees had to stay above</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t48" type="claim_relations" ana="#claim_relations[1]" resp="#tagger" cert="0.95">
        <label>extends → intravenous and repeated-oral-dose pharmacokinetic studies in cynomolgus monkeys, from which human persistence had previously been extrapolated</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t49" type="claim_relations" ana="#claim_relations[2]" resp="#tagger" cert="0.95">
        <label>qualifies → one-compartment first-order pharmacokinetic modelling of perfluoroalkyl acids in humans</label>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t50" type="concept_edges" ana="#concept_edges[0]" resp="#tagger" cert="0.95">
        <label>PFHS —contrasted-with→ PFOS</label>
        <term>PFHS</term>
        <term>PFOS</term>
        <note>differs in: human serum elimination half-life and its dispersion · the relation itself is separately evidenced · strength of the relation: 0.9 · differs in (stated by the tagger, no quotation): human serum elimination half-life and its dispersion · the relation stated: eliminates more slowly and more variably</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t51" type="concept_edges" ana="#concept_edges[1]" resp="#tagger" cert="0.95">
        <label>retired fluorochemical production workers —contrasted-with→ cynomolgus monkeys</label>
        <term>retired fluorochemical production workers</term>
        <term>cynomolgus monkeys</term>
        <note>differs in: serum elimination half-life of PFOA · the relation itself is separately evidenced · strength of the relation: 0.9 · differs in (stated by the tagger, no quotation): serum elimination half-life of PFOA · the relation stated: eliminate PFOA on a scale of years rather than weeks</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t52" type="concept_edges" ana="#concept_edges[2]" resp="#tagger" cert="0.95">
        <label>PFOS —operationalised-as→ ion ratios</label>
        <term>PFOS</term>
        <term>ion ratios</term>
        <note>the relation itself is separately evidenced · strength of the relation: 0.9 · the relation stated: serum concentration is quantified as an ion ratio against a labelled internal standard
Audit 2026-09-28: DOUBTFUL - read against its full span and kept, but the span says quantification of PFOS was based on ion ratios; operationalised-as is loose.</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t53" type="concept_edges" ana="#concept_edges[3]" resp="#tagger" cert="0.85">
        <label>environmental exposure —causes→ rate of elimination</label>
        <term>environmental exposure</term>
        <term>rate of elimination</term>
        <note>direction on the measure: reduces · the relation itself is separately evidenced · strength of the relation: 0.45 — the record marks this weak · direction on the measure (stated by the tagger, no quotation): reduces · the relation stated: continuing background intake would flatten the observed decline, biasing the estimated half-life long
Audit 2026-09-28: DOUBTFUL - read against its full span and kept, but the span says it is POSSIBLE that environmental exposure produced shallower slopes; hedged.</note>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t54" type="content_tags" ana="#content_tags.findings[0]" resp="#tagger" cert="0.95">
        <label>The human PFOA half-life is considerably longer than in cynomolgus monkeys (about 14-40 days).</label>
        <term>The human PFOA half-life is considerably longer than in cynomolgus monkeys (about 14-40 days).</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t55" type="content_tags" ana="#content_tags.findings[1]" resp="#tagger" cert="0.95">
        <label>Excluding the two subjects with the highest half-lives brought the arithmetic means close to the geometric means and medians.</label>
        <term>Excluding the two subjects with the highest half-lives brought the arithmetic means close to the geometric means and medians.</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t56" type="content_tags" ana="#content_tags.findings[2]" resp="#tagger" cert="0.95">
        <label>The human PFHS half-life may be longer and more variable than that of PFOS.</label>
        <term>The human PFHS half-life may be longer and more variable than that of PFOS.</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t57" type="content_tags" ana="#content_tags.findings[3]" resp="#tagger" cert="0.95">
        <label>no subject characteristic - age, years worked, job, time since retirement - predicts the half-life</label>
        <term>no subject characteristic - age, years worked, job, time since retirement - predicts the half-life</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t58" type="content_tags" ana="#content_tags.findings[4]" resp="#tagger" cert="0.85">
        <label>the two female subjects&#x27; half-lives are statistically indistinguishable from the men&#x27;s, on n=2</label>
        <term>the two female subjects&#x27; half-lives are statistically indistinguishable from the men&#x27;s, on n=2</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t59" type="content_tags" ana="#content_tags.definitions[0]" resp="#tagger" cert="0.95">
        <label>the time for serum concentration to halve, estimated per subject from the slope of log concentration against time under an assumed first-order model</label>
        <term>half-life of serum elimination</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t60" type="content_tags" ana="#content_tags.definitions[1]" resp="#tagger" cert="0.95">
        <label>the lowest acceptable standard value fitted on the standard curves used; 10.0 ng/mL for all analyses regardless of instrument</label>
        <term>lower limit of quantitation</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t61" type="content_tags" ana="#content_tags.quantities[0]" resp="#tagger" cert="0.95">
        <label>arithmetic mean serum elimination half-life of PFOS</label>
        <term>5.4 years</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t62" type="content_tags" ana="#content_tags.quantities[1]" resp="#tagger" cert="0.95">
        <label>geometric mean serum elimination half-life of PFOS - the value cited downstream</label>
        <term>4.8 years</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t63" type="content_tags" ana="#content_tags.quantities[2]" resp="#tagger" cert="0.95">
        <label>arithmetic mean serum elimination half-life of PFHS, the longest of the three</label>
        <term>8.5 years</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t64" type="content_tags" ana="#content_tags.quantities[3]" resp="#tagger" cert="0.95">
        <label>geometric mean serum elimination half-life of PFHS</label>
        <term>7.3 years</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t65" type="content_tags" ana="#content_tags.quantities[4]" resp="#tagger" cert="0.95">
        <label>arithmetic mean serum elimination half-life of PFOA</label>
        <term>3.8 years</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t66" type="content_tags" ana="#content_tags.quantities[5]" resp="#tagger" cert="0.95">
        <label>geometric mean serum elimination half-life of PFOA</label>
        <term>3.5 years</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t67" type="content_tags" ana="#content_tags.quantities[6]" resp="#tagger" cert="0.95">
        <label>lower limit of quantitation for every analyte and instrument</label>
        <term>10.0 ng/mL</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t68" type="content_tags" ana="#content_tags.quantities[7]" resp="#tagger" cert="0.95">
        <label>mean length of follow-up, 5.0 years</label>
        <term>1,849 days</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t69" type="content_tags" ana="#content_tags.statistics[0]" resp="#tagger" cert="0.95">
        <label>arithmetic mean</label>
        <term>arithmetic mean</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t70" type="content_tags" ana="#content_tags.statistics[1]" resp="#tagger" cert="0.95">
        <label>geometric mean</label>
        <term>geometric mean</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t71" type="content_tags" ana="#content_tags.statistics[2]" resp="#tagger" cert="0.95">
        <label>95% CI</label>
        <term>95% CI</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t72" type="content_tags" ana="#content_tags.statistics[3]" resp="#tagger" cert="0.95">
        <label>Pearson correlation coefficients</label>
        <term>Pearson correlation coefficients</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t73" type="content_tags" ana="#content_tags.statistics[4]" resp="#tagger" cert="0.95">
        <label>Spearman Rho correlations</label>
        <term>Spearman Rho correlations</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t74" type="content_tags" ana="#content_tags.statistics[5]" resp="#tagger" cert="0.95">
        <label>multiple regression</label>
        <term>multiple regression</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t75" type="content_tags" ana="#content_tags.statistics[6]" resp="#tagger" cert="0.95">
        <label>log-normal distribution</label>
        <term>log-normal distribution</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t76" type="content_tags" ana="#content_tags.statistics[7]" resp="#tagger" cert="0.95">
        <label>CVs</label>
        <term>CVs</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t77" type="content_tags" ana="#content_tags.variables[0]" resp="#tagger" cert="0.95">
        <label>initial and end-of-study perfluorochemical concentration</label>
        <term>initial and end-of-study perfluorochemical concentration</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t78" type="content_tags" ana="#content_tags.variables[1]" resp="#tagger" cert="0.95">
        <label>age at study onset</label>
        <term>age at study onset</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t79" type="content_tags" ana="#content_tags.variables[2]" resp="#tagger" cert="0.95">
        <label>years worked</label>
        <term>years worked</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
      <span xml:id="t80" type="content_tags" ana="#content_tags.variables[3]" resp="#tagger" cert="0.95">
        <label>years since retirement</label>
        <term>years since retirement</term>
        <note type="quotation-withheld">Quotation withheld because this record is not cleared for redistribution.</note>
      </span>
    </spanGrp>
  </standOff>
  <text>
    <body>
      <p><note type="rights">The full text of this article is not redistributable, so it is
      not included here. The evidence sentences are withheld with it; the tag layer and its
      grounding status remain. The article itself is at https://doi.org/10.1289/ehp.10009.</note></p>
    </body>
  </text>
</TEI>
