IARC and regulatory authorities employ fundamentally different methodological approaches when evaluating the potential carcinogenicity of substances.
IARC reviews published scientific studies to determine if there is sufficient evidence that a substance might cause cancer in humans at any concentration. It does not systematically assess the quality nor consistency of these studies according to established scientific best practices.
Regulatory authorities conduct a more comprehensive evaluation, which also considers if a substance poses a risk of cancer under real-world conditions. They:
- Evaluate multiple data sources – including all available proprietary studies conducted to internationally-recognized standards;
- Integrate different types of data – including epidemiological data, animal data and mechanistic studies – while considering the quality and reliability of each dataset;
- Analyze disease processes and exposure effects in detail, identifying specific toxic effects and the mechanisms that lead to these effects.
Such methodological differences, combined with the regulatory authorities' consideration of risk management measures and exposure patterns, can lead to divergent conclusions about the same substance's carcinogenic potential.
Over the years, IARC has evaluated the carcinogenicity of various agents, including occupational and environmental exposures as well as chemical and biological agents.
IARC also classifies very hot beverages, red meat, working the night shift and hairdressing as Group 2A carcinogens.