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      Why Current Publication Practices May Distort Science

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      PLoS Medicine
      Public Library of Science

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          Abstract

          John Ioannidis and colleagues argue that the current system of publication in biomedical research provides a distorted view of the reality of scientific data.

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          Most cited references46

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          Priorities in Scientific Discovery: A Chapter in the Sociology of Science

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            Publication bias and clinical trials.

            A study was performed to evaluate the extent to which the medical literature may be misleading as a result of selective publication of randomized clinical trials (RCTs) with results showing a statistically significant treatment effect. Three hundred eighteen authors of published trials were asked whether they had participated in any unpublished RCTs. The 156 respondents reported 271 unpublished and 1041 published trials. Of the 178 completed unpublished RCTs with a trend specified, 26 (14%) favored the new therapy compared to 423 of 767 (55%) published reports (p less than 0.001). For trials that were completed but not published, the major reasons for nonpublication were "negative" results and lack of interest. From the data provided, it appears that nonpublication was primarily a result of failure to write up and submit the trial results rather than rejection of submitted manuscripts. The results of this study imply the existence of a publication bias of importance both to meta-analysis and the interpretation of statistically significant positive trials.
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              The Impact Factor Game

              The PLoS Medicine editors argue that we need a better measure than the impact factor for assessing the biomedical literature.
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                Author and article information

                Journal
                PLoS Med
                pmed
                plme
                plosmed
                PLoS Medicine
                Public Library of Science (San Francisco, USA )
                1549-1277
                1549-1676
                October 2008
                7 October 2008
                : 5
                : 10
                : e201
                Author notes
                * To whom correspondence should be addressed. E-mail: youngns@ 123456mail.nih.gov
                Article
                08-PLME-ES-1446R3
                10.1371/journal.pmed.0050201
                2561077
                18844432
                7cb8cc5e-4fb5-44e8-a83a-d2a8e8b9f8b1
                This is an open-access article distributed under the terms of the Creative Commons Public Domain declaration, which stipulates that, once placed in the public domain, this work may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose.
                History
                Page count
                Pages: 5
                Categories
                Essay
                Science Policy
                Medical Journals
                Health Economics
                Epidemiology
                Communication in Health Care
                Academic Medicine
                Custom metadata
                Young NS, Ioannidis JPA, Al-Ubaydli O (2008) Why current publication practices may distort science. PLoS Med 5(10): e201. doi: 10.1371/journal.pmed.0050201

                Medicine
                Medicine

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