- Case
Duplicate publication
In 2003 a paper was published in a specialist surgical journal following proper peer review. The paper summarised the experience of a group of clinicians concerned in treating malignancy in the Head and Neck using a novel method of therapy - and was a case series of 25 patients. The paper was not considered to be one of high priority but was published because of the paucity of information con… - Case
Legal advice
We have just had a paper submitted as an ethical debate in which the author details ethical concerns about a study previously published in another journal. The study involved complementary/alternative therapy for an infectious disease in children. The author alleges that the study gave insufficient protection to vulnerable subjects, who were exposed to unwarranted risks and discomfort; and that… - Case
Sanitising a misleading statement
Author A published a paper in Journal X, which presented evidence of failure by another research group to declare a serious conflict of interest in a paper that had been published some years before in Journal Y. This conflict of interest centred around the undeclared involvement of a third party with a vested interest. Evidence for this was presented in the form of correspondence from the third… - Case
Misunderstood requirements for authorship
Dr X submitted a paper to a journal that was assigned by a rather hung-over editorial assistant to an associate editor who was a co-author on the paper. Realising the mistake, she emailed the associate editor to reassign the paper. He expressed surprise as he did not know Dr X, had not seen the paper before submission, and knew of no reason why he should be a co-author. Dr X was asked to… - Case
Using annual reviews to massage the impact factor
The editor in chief of Journal A is also on the editorial board of Journal B. Journal B publishes “annual reviews” that purport to describe recent advances in the field, but only do this by discussing and citing their own content. The editor in chief of Journal A now wants to have “annual reviews” in his journal to help increase the impact factor. In your experience, is… - Case
Massaging the impact factor
The editor in chief of a journal started insisting that authors include references from the journal in their articles. S/he provided examples of acceptance letters from several other journals in the field, which insist that their authors do this, as evidence that it is standard and acceptable practice. The authors do not agree and think this is an unethical attempt to massage the impact factor.… - Case
Competing interest
An editorial board member of a journal submitted an unsolicited review article on a drug. The editor said the journal would consider the article, but suspected that the article had been commissioned or even written by a drugs company. S/he stipulated that the author must provide a financial disclosure statement before the article could be accepted. The journal published the review article, whic… - Case
Whose responsibility is duplicate submission?
Ten days after receiving an article for consideration, a group of editors received an email from the publisher informing them that the particular author in question had recently submitted nine articles to their journals, eight of which had been submitted in the previous seven weeks. Based on the similarity of the titles, the publisher had concerns about possible duplicate submission and had wri… - Case
Interpretation of regulations: when is a waiver of authorisation acceptable?
Some authors tested the effect of a food on the menstrual cycle. The manuscript included patient identifiable information, but the authors did not provide formal confirmation that the patients consented to publication of the study. Information was sent to the corresponding author, outlining legal obligations in respect of patients' consent to publication. But the authors stated that they consid… - Case
Potentially unethical publication
A new Editor was appointed to a society journal in a minority medical specialty. An officer of the society immediately handed him an anonymous letter from a reader of the journal complaining that an article recently published was unethical. The Editor is a personal friend both of the previous editor who accepted the paper, and the author of the paper. The paper is by a single author who gives n… - Case
Undeclared competing interests
A journal published an animal study on the use of drug X for the treatment of clinical condition A. The authors did not declare any competing interests. A few months after publication, a journalist contacted the editors to say that the corresponding author had several patents on drug X, was listed as an inventor of the drug, and that the public charity of which he is the director recently annou… - Case
Research on volunteers without informed consent or ethics committee approval
An experiment on a volunteer in hospital was written up. The volunteer was an asthmatic who was stable at the time and given a combination of intravenous magnesium sulphate and salbutamol to observe the pharmacological effects. The drugs were given under supervision in intensive care as they carry some risk of cardiovascular side effects. The paper reports: "After discussion with colleagues, a… - Case
Retraction of false authorship
Dr X asked for a statement to be published to the effect that the letter he had published in the journal with two co-authors was not based on any work that he had done, but on that of his colleagues. The editor asked the other two authors why they had signed a copyright form in these circumstances. Both authors stated that they had not signed any such form, and when presented with a copy, state… - Case
Undeclared conflict of interest
Several years after a case series was published, a journalist with serious allegations of research misconduct contacted the editor. These allegations were that: - Ethics approval had not been obtained, contrary to a statement in the paper; and that the reported study was completed under the cover of ethics approval granted to a different study - Contrary to a statement in the paper that the par… - Case
Dual publication and attempted retraction by the author
An author who published an article in Journal A at the end of the year wrote to advise that it would have to be retracted on the grounds that his PhD tutor, Professor X, had already submitted a similar manuscript more than a year earlier to another journal. In the absence of any contact from the tutor, the author had assumed that this manuscript had not been accepted and went ahead with her own… - Case
Authorship dispute
A paper submitted to an international medical journal was reviewed externally and the authors were subsequently invited to submit a revised version. The initial submission included authors from two different research institutions and one author from a corporate sponsor. The initial submission was accompanied by an appropriate description of the individual authors’ contributions, a negative conf… - Case
Possible deception because of omission of important information
A large study—parts of which have been published in several major journals— purported to show that a drug may reduce side effect X without acting through an important intermediate process Y. This suggests that the drug may have important advantages over similar drugs in its class, and indeed it had been marketed as such. But a critic thinks that the drug may indeed act through the intermediate… - Case
Unauthorised use of questionnaires
A journal had two incidences in which a questionnaire was used in studies without permission of the originators of the questionnaires. Both manuscripts originated in different countries, and used different questionnaires. 1. A manuscript was submitted which addressed quality of life issues. The referees had various concerns about the data and methods, and the authors were invited to revise the… - Case
A patient was given an experimental course of complementary medicine when a standard treatment was available
A case report was submitted to a journal, describing a patient with a very serious, curable infectious disease who had been given complementary medicine (plant extract) rather than the standard treatment. A search of the literature indicated that the authors were known to support complementary therapies. The alternative treatment was not evidence based. The case took place in a country were the… - Case
An author thinks that a journal’s decision not to publish is ethically incorrect
A submitted paper reported on the investigation and management of an outbreak of a disease in a work environment (Company A). The authors acknowledged the referring physician from the workplace—who had declined on legal advice to be listed as an author—and also declared that the lead author had provided medical advice for remuneration to Company A during legal proceedings related to the outbrea…