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Healthy Skepticism Library item: 18342

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

Drazen JM and Others
Toward More Uniform Conflict Disclosures - The Updated ICMJE Conflict of Interest Reporting Form
NEJM 2010 July 8; 363:(2):188-189
http://content.nejm.org/cgi/content/full/363/2/188


Abstract:

The great variability in the processes that different journals use to ask about and report authors’ potential conflicts of interest creates confusion for authors, readers, and the public. To help lessen this confusion, the International Committee of Medical Journal Editors (ICMJE) developed an electronic uniform disclosure form and placed it in the public domain in October 2009. The ICMJE member journals piloted the form, encouraged other journals to use it, and invited feedback. We recognized that the reporting of competing interests is complex and nuanced and sometimes contentious and thus anticipated modifying the form on the basis of feedback received. We are grateful to the many authors, editors, and other interested parties who took the time to comment on the form and its implementation. The issues raised ranged from technical problems about the correct deployment of the form (to function, it requires the user to download the free Adobe Reader, version 8.0 or higher [Adobe Systems]) to concerns about the ethics of inquiring about nonfinancial associations. The Committee considered these valuable comments and revised the form at our most recent meeting. …

 

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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