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Healthy Skepticism Library item: 15133

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

An Unbiased Scientific Record Should Be Everyone's Agenda
PLoS Med 2009 Feb 24; 6:(2):e38
http://medicine.plosjournals.org/perlserv/?request=get-document&doi=10.1371/journal.pmed.1000038


Abstract:

A large and growing literature details the many ways by which research and the subsequent published record can be inappropriately influenced, including publication bias [1], outcome reporting bias [2], financial [3] and non-financial [4] competing interests, sponsors’ control of study data and publication [5], and restrictions on access to data and materials [6]. But it can be difficult for an editor, reading a submitted manuscript, to disentangle these many influences and to understand whether the work ultimately represents valid science.

Any journal has stories to tell of attempts to unduly influence the publication process-such as the author who repeatedly appeals a manuscript’s rejection, claiming the reviewers are incompetent and demanding evaluation by a specific list of preferred experts, or the biotech company that refuses to publicly deposit the microarray data underlying their findings. Sometimes distortion of the scientific record may be limited in scope, relating to just one paper. But when a single company funds virtually an entire research agenda on a particular topic, there is the potential for wider and far more damaging distortion. In a detailed analysis of documentation released as part of a class-action lawsuit relating to the drug gabapentin (Neurontin), Kay Dickersin has described “…a remarkable assemblage of evidence of reporting biases that amount to outright deception of the biomedical community, and suppression of scientific truth concerning the effectiveness of Neurontin for migraine, bipolar disorders, and pain…” (7, summarized in [8]). Here we propose five ways in which authors and editors can mitigate the effects of biased agendas on the published scientific record.

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909