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Healthy Skepticism Library item: 15761

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

Sridharan L, Greenland P.
Editorial Policies and Publication Bias: The Importance of Negative Studies
Arch Intern Med. 2009 Jun 8; 169:(11):1022-1023
http://archinte.ama-assn.org/cgi/content/short/169/11/1022


Abstract:

Publication bias is the tendency for certain kinds of studies, typically those showing a significant positive result in a clinical trial or an observational study, to receive more favorable publication decisions than equally well-conducted studies that report a negative or null result.1-4 Authors, editors, and peer reviewers all participate in this favoritism toward publication of positive results. An obvious outcome of the bias toward overpublication of positive results is that many treatments or exposures are overrated in the published literature. Some critics have gone so far as to claim that publication bias results in “most published research findings” being “false.“5 Although most researchers, reviewers, and editors would probably believe that such a claim is far too harsh, an unquestioned result of the overwhelming bias to publish mostly positive studies is that subsequent meta-analyses are distorted and result in promoting existing scientific biases. The Cochrane . . .

 

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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