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The Rise (and Rise) of
  Publication Ethics
Chris Graf, Associate Editorial Director
chris.graf@wiley.com


Publisher, International Journal of Clinical Practice
www.IJCP.org

Council Member, Committee on Publication Ethics (COPE)
www.publicationethics.org

Member at Large, ISMPP Board of Trustees
www.ISMPP.org
‘Ethics’
http://www.nature.com/nature/journal/v453/n7198/pdf/453980a.pdf
Office of Research Integrity
Paraphrased from NATURE, Vol 453, 19 June 2008


• Each year ORI investigates 24 cases of
  misconduct
• The survey suggests 1.5 cases of misconduct per
  100 scientists per year
• There are 155,000 NIH-supported scientists
• This would mean >2300 cases per year
• Survey says only 58% reported (would mean
  1350 cases per year)


                   http://www.nature.com/nature/journal/v453/n7198/pdf/453980a.pdf
                   http://ori.dhhs.gov/research/intra/documents/Investigations1994-2003-2.pdf
                   http://ori.dhhs.gov/publications/reporting_suspected_research_misconduct.shtml
Office of Research Integrity
 NATURE, Vol 453, 19 June 2008




• The authors conclude…

   “falsified and fabricated research
   records, publications, dissertations
   and grant applications are much more
   prevalent than has been suspected to
   date”

• Me: 1350 is a lot more than 24
Pharma sells newspapers
Pharma gets regulated, rules
• FDA Modernization Act, 1997
  (registration, serious or life- threatening
  diseases and conditions)

• ICMJE May 2004 (registration)

• FDAAA, preceded by State of Maine
  (posting)

• ICMJE supports FDAAA schedule and
  format (October 2008)
But do most editors worry?
                    Science journal editors views on publication ethics: An international survey
400                                                         350


350                                                         300

300
                                                            250

250
                                                            200
200
                                                            150
150

                                                            100
100

                                                                                                            115
                                                             50
                       112
           111
 50                                                                                                                                       83

                                                                              14                                       11
                                      7                                                           4
                                                                    1                   1
                                                    1
  0                                                           0
       Healthcare    Science        Social        Other           Africa   Australia   China   East Asia Europe      Japan     Middle    North
                                   sciences                                 & NZ                                                East    America

      Survey respondents     Total population sent survey                   Survey respondents        Total population sent survey




                                              231 (44%) responses from 524
                                       95% confidence with confidence interval +/- 4.8%
Do editors worry?
• In our survey, most editors were not very
  concerned about publication ethics

• Believe problems occur only rarely, but
  often unsure of frequency

• So if ORI is right, probably not enough…
  http://www.nature.com/nature/journal/v453/n7198/pdf/453980a.pdf
Common ground




http://www.flickr.com/
photos/mi-ki/2582190999/
We all subscribe to
“Good scientific practice embraces all
the procedures and practices that are
necessary for planning, conducting and
reporting research and scholarship
within a framework of scientific
integrity.”
Good Scientific Practice in Research and Scholarship. ESF Policy Briefing.
December 2000 http://www.esf.org/publications/policy-briefings.html Accessed
4 November 2008
… and something like …
“Transparent writing collaboration with
attribution between academic and
industry investigators, medical writers,
and/or technical experts is not
ghostwriting.”
AAMC Industry Funding of Medical Education Report of an AAMC Task Force,
June 2008.
https://services.aamc.org/Publications/index.cfm?fuseaction=Product.displayFo
rm&prd_id=232&prv_id=281
So what are we doing about it?
  • Advising, assisting editors (authors,
    and contributors) doing a tough job
  • Ethics guidance from publishers

  • Wiley-Blackwell first
    http://www.blackwellpublishing.com/publicationethics/


  • Others followed
    www.elsevier.com/wps/find/editorshome.editors/Introduction
    http://www.informaworld.com/smpp/authors_editorexisting_ethics~db=all
Leading guidance…
• … on posting clinical trial data

• Wiley-Blackwell does not consider
  results databases to be inappropriate
  prior publication
  Graf C, Wager E, Bowman A et al. Best Practice Guidelines on Publication
  Ethics: A Publisher's Perspective is reproduced with permission from. Int J
  Clin Pract 2007; 61 (s152):1–26



• Now ICMJE says the same thing
  (October 2008 update to „Uniform Requirements‟)
Sooooo many guidelines
• But … WMA trumps everything?

• New Helsinki (October)

• “Reports of research not in
  accordance with the principles of this
  Declaration should not be accepted
  for publication”
  http://www.wma.net/e/policy/b3.htm
New Helsinki
• Make results publicly available
• Emphasis on accountability,
  completeness, accuracy
• Adherence to accepted guidelines for
  ethical reporting
• Declaration of funding, institutional
  affiliations, conflicts of interest
Hot on Helsinki’s heals…
• GPP2 … coming soon
What does this mean for you?
                      1.   The world of medical
                           publishing is complex
                           and fast-moving

                           Recommendations,
                           guidelines and legislation
                           evolve

                      2.
                           Ask publishers to help
 Wiley Offices, New
 York circa 1880
Subtle advert for IJCP 2009
          www.IJCP.org

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Rise (and Rise) of Publication Ethics

  • 1. The Rise (and Rise) of Publication Ethics Chris Graf, Associate Editorial Director chris.graf@wiley.com Publisher, International Journal of Clinical Practice www.IJCP.org Council Member, Committee on Publication Ethics (COPE) www.publicationethics.org Member at Large, ISMPP Board of Trustees www.ISMPP.org
  • 4. Office of Research Integrity Paraphrased from NATURE, Vol 453, 19 June 2008 • Each year ORI investigates 24 cases of misconduct • The survey suggests 1.5 cases of misconduct per 100 scientists per year • There are 155,000 NIH-supported scientists • This would mean >2300 cases per year • Survey says only 58% reported (would mean 1350 cases per year) http://www.nature.com/nature/journal/v453/n7198/pdf/453980a.pdf http://ori.dhhs.gov/research/intra/documents/Investigations1994-2003-2.pdf http://ori.dhhs.gov/publications/reporting_suspected_research_misconduct.shtml
  • 5. Office of Research Integrity NATURE, Vol 453, 19 June 2008 • The authors conclude… “falsified and fabricated research records, publications, dissertations and grant applications are much more prevalent than has been suspected to date” • Me: 1350 is a lot more than 24
  • 7.
  • 8. Pharma gets regulated, rules • FDA Modernization Act, 1997 (registration, serious or life- threatening diseases and conditions) • ICMJE May 2004 (registration) • FDAAA, preceded by State of Maine (posting) • ICMJE supports FDAAA schedule and format (October 2008)
  • 9. But do most editors worry? Science journal editors views on publication ethics: An international survey 400 350 350 300 300 250 250 200 200 150 150 100 100 115 50 112 111 50 83 14 11 7 4 1 1 1 0 0 Healthcare Science Social Other Africa Australia China East Asia Europe Japan Middle North sciences & NZ East America Survey respondents Total population sent survey Survey respondents Total population sent survey 231 (44%) responses from 524 95% confidence with confidence interval +/- 4.8%
  • 10. Do editors worry? • In our survey, most editors were not very concerned about publication ethics • Believe problems occur only rarely, but often unsure of frequency • So if ORI is right, probably not enough… http://www.nature.com/nature/journal/v453/n7198/pdf/453980a.pdf
  • 12. We all subscribe to “Good scientific practice embraces all the procedures and practices that are necessary for planning, conducting and reporting research and scholarship within a framework of scientific integrity.” Good Scientific Practice in Research and Scholarship. ESF Policy Briefing. December 2000 http://www.esf.org/publications/policy-briefings.html Accessed 4 November 2008
  • 13. … and something like … “Transparent writing collaboration with attribution between academic and industry investigators, medical writers, and/or technical experts is not ghostwriting.” AAMC Industry Funding of Medical Education Report of an AAMC Task Force, June 2008. https://services.aamc.org/Publications/index.cfm?fuseaction=Product.displayFo rm&prd_id=232&prv_id=281
  • 14. So what are we doing about it? • Advising, assisting editors (authors, and contributors) doing a tough job • Ethics guidance from publishers • Wiley-Blackwell first http://www.blackwellpublishing.com/publicationethics/ • Others followed www.elsevier.com/wps/find/editorshome.editors/Introduction http://www.informaworld.com/smpp/authors_editorexisting_ethics~db=all
  • 15. Leading guidance… • … on posting clinical trial data • Wiley-Blackwell does not consider results databases to be inappropriate prior publication Graf C, Wager E, Bowman A et al. Best Practice Guidelines on Publication Ethics: A Publisher's Perspective is reproduced with permission from. Int J Clin Pract 2007; 61 (s152):1–26 • Now ICMJE says the same thing (October 2008 update to „Uniform Requirements‟)
  • 16. Sooooo many guidelines • But … WMA trumps everything? • New Helsinki (October) • “Reports of research not in accordance with the principles of this Declaration should not be accepted for publication” http://www.wma.net/e/policy/b3.htm
  • 17. New Helsinki • Make results publicly available • Emphasis on accountability, completeness, accuracy • Adherence to accepted guidelines for ethical reporting • Declaration of funding, institutional affiliations, conflicts of interest
  • 18. Hot on Helsinki’s heals… • GPP2 … coming soon
  • 19. What does this mean for you? 1. The world of medical publishing is complex and fast-moving Recommendations, guidelines and legislation evolve 2. Ask publishers to help Wiley Offices, New York circa 1880
  • 20. Subtle advert for IJCP 2009 www.IJCP.org