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Healthy Skepticism Library item: 18435

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: Electronic Source

Silverman E
Baylor College Probes Avandia And Ghostwriting
Pharmalot 2010 July 16
http://www.pharmalot.com/2010/07/baylor-college-probes-avandia-and-ghostwriting/


Full text:

Three years ago, Steve Haffner briefly gained notoriety when he leeked a meta-analysis of GlaxoSmithKline’s Avandia diabetes that was to be published in The New England Journal of Medicine. At the time, Haffner served as a peer reviewer and the breach allowed the drugmaker to respond very quickly to publication. But a recent US Senate Finance Committee investigation shows his ties to Glaxo were complicated – he was the lead author on an Avandia paper that was apparently ghostwritten before appearing in Circulation (back story here and here).
A Glaxo spokeswoman has denied any ghostwriting took place and maintains Haffner authored the paper, providing “substantial input.” Moreover, she says the drugmaker follows accepted “authorship practices.” But Baylor College of Medicine isn’t so sure. The school, where Haffner is employed part time after retiring from the University of Texas Health Science Center, is investigating the episode and considering whether to penalize the assistant professor, according to The Chronicle of Higher Education (subscription required). “We will conduct our own review of this issue and subsequently make a well-informed determination of whether this affects his continued part-time employment,” a university spokeswoman tells the paper.
And Circulation, which is published by the American Heart Association and has policies against ghostwriting, may conduct its own probe. “If we find out that an author has deliberately misrepresented themselves, we will take appropriate steps in response, including possibly notifying the lead author’s institution so the institution can investigate,” an AHA spokeswoman tells the paper.
Ironically, Haffner was quick to express outrage at alleged transgressions commited by others. Three years ago, he accused Cleveland Clinic cardiologist Steve Nissen, who authored the 2007 meta-analysis and co-authored a recent update, of throwing “Molotov cocktails” at the Glaxo and Avandia, and accused the New England Journal of Medicine, the Journal of the American Medical Association and The Lancet of behaving like British tabloid – absent photos of topless women – for running editorials lambasting Avandia data (back story). Haffner, meanwhile, was a member of the Glaxo speakers bureau (look here).

 

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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