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Healthy Skepticism Library item: 16316

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

Dubben H-H
New methods to deal with publication bias
BMJ 2009 Aug 26; 339:
http://www.bmj.com/cgi/content/extract/339/aug26_1/b3272


Abstract:

Published and retrievable reports of research do not necessarily represent the research performed, and some research findings never reach the consumer. Positive findings-or those that are perceived to be positive-are more likely to be published, and in more prestigious journals, than are negative findings.1 This so called publication bias is an important factor to consider when searching for data and using it to make evidence based decisions. In the linked study (doi:10.1136/bmj.b2981), Moreno and colleagues test the performance of new methods of detecting and correcting for publication bias.2

Data collated for a meta-analysis can be investigated for possible missing studies using a funnel plot,2 3 on which Moreno and colleagues’ method is also based. It is a plot of effect size (for example, relative risk) versus the precision of a trial’s effect estimate (for example, number of patients or standard error). Typically, data points lie in a funnel shaped . . .

 

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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