Ethical oversight

Our journal received a manuscript which was a report of an evaluation and enhancement of an online clinical decision support system (CDS) for a specific population at risk of a disease. The online CDS had been developed by a national agency with a mission to support health promotion and disease prevention activities. Evaluation of the CDS was supported through contracts and sub-contracts. The first author was an employee of a university that was a sub-contractor on the project; the second and third authors were employees of a business that describes itself as providers of innovative scientific and technical solutions for national agencies through a consortium of more than 100 universities. The first author’s university was part of this consortium.

The manuscript was submitted to our journal 3 months after the project was finished. Project reports were also submitted to the national agency through the sub-contractors. The second author was the primary conduit of communication between the sub-contractors and the national funding agency.

As a result of the project report and evaluation, the national agency made changes to the online CDS, which included taking down the online version that was reported in the manuscript. When the manuscript was revised, the first author decided to include screenshots from the national agency which described the CDS even though it was no longer available online. 

The revised manuscript was submitted, re-reviewed, and after a few small changes, accepted for publication. Shortly thereafter, the editorial associate for the journal contacted the first author to inquire about whether permission was needed to print the screenshots. The first author asked the second author to verify that the national agency was happy about the inclusion of the screenshots. She replied that the agency approved. During the proofing stage, when the second author did not respond to emails, the editorial assistant contacted the agency directly and was told that the programme officer was totally unaware of the existence of the manuscript. Questions surrounding the actions of the second author then emerged pertaining to the details of his communication with the national agency prior to the manuscript being submitted to our journal.

The first author contacted the journal and said the proofs had to be reviewed and approved by the primary funder. As editor, I replied that at the page proof stage, all edits/changes must be very minor. Substantial changes would require that the manuscript be taken out of the production process and depending on the nature of the changes, the entire submission and review process might have to begin anew.

During a telephone call with the first author she stated that she believed the second author had lied regarding eliciting input and obtaining permission from the national agency to submit and publish the manuscript in our journal. Further, the second author had been fired from his job for “ethical transgressions,” and was now doing work completely unrelated to his previous job for the sub-contractor. She believed he had contributed little to the original paper. The first author has been dealing with the fallout from this and the funding agency. She asked if she should withdraw the manuscript? Or if not, should the second author be listed as an author?

As editor, I am reluctant to have the second author remain on the manuscript, especially given the fact that he may have done less on the manuscript than he originally said and may not even qualify for authorship according to the ICMJE guidelines. The first author agrees with this, but she is concerned that he may take litigious action against her, the university where she works, or the journal.

Question(s) for the COPE Forum

• Should the journal reject the manuscript? Is it unsalvageable at this point?
• If the journal does not reject the manuscript, should the second author be removed? How could that be handled?