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Publication ethics. Professor Magne Nylenna, M.D., PhD [email protected] Stepwise developments in medical publishing. From clinician to clinician From researcher to clinician From researcher to researcher. From information to qualification. Trends. Internationalization

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Publication ethics l.jpg

Publication ethics

Professor Magne Nylenna, M.D., PhD

[email protected]


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Stepwise developments in medical publishing

  • From clinician to clinician

  • From researcher to clinician

  • From researcher to researcher

  • From information to qualification


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Trends

  • Internationalization

  • Specialization

  • Multiautorship

  • Digital media

  • Bibliometric evaluation

  • Increased ”production”


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  • Authorship

  • Patients’ rights

  • Publication bias

  • Plagiarism

  • Conflicts of interest


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Authorship

  • Who is an author?

  • ”Author” vs. ”writer”

    Developments:

  • Increasing multiauthorship (1,5 in 1950 – 4,5 in 2005)

  • Undeserved authorship


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Problems with undeserved authorship

  • Credits, merits, unfairness

  • Responsibility, trust


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Ca 25%

Ca 10%

Undeserved authorship

  • ”Gift authorship”

  • ”Guest authorship”

  • ”Ghost authorship”


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Another way of looking at it:

  • ”If authorship was a crime, are there enough evidence to sentence you?”


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Authorship credit should be based on

  • substantial contributions to conception and design, acquisition of data, or analysis and interpretation of data;

  • drafting the article or revising it critically for important intellectual content; and

  • final approval of the version to be published.

    Authors should meet conditions 1, 2, and 3.


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  • All persons designated as authors should qualify for authorship, and all those who qualify should be listed.

  • Each author should have participated sufficiently in the work to take public responsibility for appropriate portions of the content.

  • Some journals now also request that one or more authors, referred to as “guarantors,” be identified as the persons who take responsibility for the integrity of the work as a whole, from inception to published article, and publish that information.

  • Increasingly, authorship of multicenter trials is attributed to a group. All members of the group who are named as authors should fully meet the above criteria for authorship/contributorship.


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No one would like to be number 7…….. authorship, and all those who qualify should be listed.


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The order of authors authorship, and all those who qualify should be listed.

  • The order of authors is decided by the authors themselves

  • The first author has normally contributed most to the paper

  • The contribution of each author can and should be specified

  • The corresponding author has a particular responsibility and status


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Acknowledgments authorship, and all those who qualify should be listed.

  • All contributors who do not meet the criteria for authorship should be listed in an acknowledgments section.

  • Examples of those who might be acknowledged include a person who provided purely technical help, writing assistance, or a department chair who provided only general support.

  • Editors should ask corresponding authors to declare whether they had assistance with study design, data collection, data analysis, or manuscript preparation. If such assistance was available, the authors should disclose the identity of the individuals who provided this assistance and the entity that supported it in the published article.

  • Financial and material support should also be acknowledged.


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Some advice authorship, and all those who qualify should be listed.

  • Authorship and the order of authors should be decided as early as possible

  • The contribution of each author should be specified


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What characterizes medical research? authorship, and all those who qualify should be listed.

  • It involves human beings

  • …who are vulnerable

  • ….with their own free will (and self-determination)

  • ... and ethical and legal rights


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Participants’ rights authorship, and all those who qualify should be listed.

  • The consciousness about patients’ rights is increasing

  • In clinical research it should always be stated whether the Declaration of Helsinki has been followed and whether the study has been approved by an ethics committee

  • The distiction between public and professional reading is diminishing – patients are reading medical journals!


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How to ensure patients’ anonymity authorship, and all those who qualify should be listed.

  • Nonessential identifying details should be omitted. Informed consent should be obtained if there is any doubt that anonymity can be maintained.

  • If identifying characteristics are altered to protect anonymity, such as in genetic pedigrees, authors should provide assurance, and editors should so note, that such alterations do not distort scientific meaning

  • Masking the eye region in photographs of patients is inadequate protection of anonymity..


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Publication bias authorship, and all those who qualify should be listed.

  • Are ”negative studies” published?

  • Where (and when) are ”negative studies” published?

  • How are results presented?


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Half of all studies reported in abstracts reach full publication

N= 8,832 abstracts

Source: Scherer and Langenberg 2000. Systematic review of 46 reports. Cochrane Library


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Plagiarism publication

  • The "use or close imitation of the language and thoughts of another author and the representation of them as one's own original work”

    Random House Compact Unabridged Dictionary


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Be careful! publication

  • Use quotemarks

  • Give full references

  • Give credit


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Conflicts of interest publication

  • Commercial and other conflicts of interest should be declared when a manuscript is submitted

  • The funding of the project should be declared

  • The editor decides which information to publish


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Authors must sign this: publication

”I had full access to all of the data in this study and I take complete responsibility for the integrity of the data and the data analysis”



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