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Healthy Skepticism Library item: 16991

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

Spielmans GI, Biehn TL, Sawrey DL
A Case Study of Salami Slicing: Pooled Analyses of Duloxetine for Depression
Psychother Psychosom 2010; 79:(2):97-106 [Epub ahead of print]
http://content.karger.com/ProdukteDB/produkte.asp?Aktion=ShowAbstract&ArtikelNr=270917&Ausgabe=253773&ProduktNr=223864


Abstract:

Background: Publishing separate, yet very similar pieces of a single dataset across multiple papers is known as ‘salami slicing’. This practice may be motivated by researchers wishing to increase their publication counts and by the desire to increase exposure of their findings. ‘Salami slicing’ may also be used by the drug industry to help widely disseminate positive findings regarding its products. Journal editors across many scientific disciplines have bemoaned such duplicative publications on several occasions. However, little research has been conducted on the frequency of such publication practices, and findings have been inconsistent. No research has investigated whether ‘salami slicing’ may also occur in publications presenting results from pooled analyses of clinical trials. Methods: We examined the scientific literature on duloxetine as a treatment for depression, examining how data from clinical trials were reported across 43 pooled analyses. Results: The vast majority of pooled analyses (88%) had at least one author who was employed by the manufacturer of duloxetine. Several pooled analyses based on highly overlapping clinical trials presented efficacy and safety data that did not answer unique research questions, and thus appeared to qualify as salami publications. Six clinical trials had their data utilized as part of 20 or more separately published pooled analyses. Conclusions: Such redundant publications add little to scientific understanding and represent a poor use of peer reviewer and editorial resources.

Keywords:
Duloxetine Salami slicing, duplicate publication Depression Pooled analysis

 

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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