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Policies, practices, and attitudes of north american medical journal editors

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Abstract

OBJECTIVE: To describe U.S. and Canadian medical journals, their editors, and policies that affect the dissemination of medical information.

DESIGN: Mailed survey.

PARTICIPANTS: Senior editors of all 269 leading medical journals published at least quarterly in the United States and Canada, of whom 221 (82%) responded.

MAIN MEASURES: The questionnaire asked about characteristics of journal editors and their journals and about journals’ policies toward peer review, conflicts of interest, pre-publication discussions with the press, and pharmaceutical advertisements.

RESULTS: The editors were overwhelmingly men (96%), middle-aged (mean age 61 years), and trained as physicians (82%). Although 98% claimed that their journals were “peer-reviewed,” the editors differed in how they defined a “peer” and in the number of peers they deemed optimal for review. Sixty-three percent thought journals should check on reviewers’ potential conflicts of interest, but only a minority supported masking authors’ names and affiliations (46%), checking reviewers’ financial conflicts of interest (40%), or revealing reviewers’ names to authors (8%). The respondents advocated discussion of scientific findings with the press (84%), but only in accord with the Ingelfinger rule, i.e.,after publication of the article (77%). Fifty-seven percent of the editors agreed that journals have a responsibility to ensure the truthfulness of pharmaceutical advertisements, and 40% favored subjecting advertisements to the same rigorous peer review as scientific articles.

CONCLUSIONS: The responding editors were relatively homogeneous demographically and professionally, and they tended to support the editorial status quo. There was little sentiment in favor of tampering with the current peer-review system (however defined) or the Ingelfinger rule, but a surprisingly large percentage of the respondents favored more stringent review of drug advertisements.

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References

  1. Lock S. A Difficult Balance: Editorial Peer Review in Medicine. London: Nuffield Provincial Hospital Trust, 1985.

    Google Scholar 

  2. Altman LK. Presented at the meeting “The relationship between scientific journals and the lay press,” sponsored by the American Medical Association, Chicago, 1L, May 1989.

  3. Healy B. Women in science: from panes to ceilings. Science. 1992;255:1333.

    Article  PubMed  CAS  Google Scholar 

  4. Healy B. Women’s health, public welfare. JAMA. 1991;266:2984.

    Article  Google Scholar 

  5. Angell M, Kassirer JP. The Ingelfinger rule revisited. N Engl J Med. 1991;325:1371–3.

    Article  PubMed  CAS  Google Scholar 

  6. Altman LK. Errors prompt proposals to improve peer review at science journals. New York Times. 1989;Jun 6:B6.

    Google Scholar 

  7. International Committee of Medical Journal Editors. Conflict of interest. Ann Intern Med. 1993;118:646.

    Google Scholar 

  8. Rochon PA, Gurwitz JH, Cheung CM, et al. Evaluating the quality of articles published in journal supplements compared with the quality of those published in the parent journal. JAMA. 1994;272:108–13.

    Article  PubMed  CAS  Google Scholar 

  9. Weller AC. Editorial peer review in U.S. medical journals. JAMA. 1990;263:1344–7.

    Article  PubMed  CAS  Google Scholar 

  10. American College of Physicians. Uniform Requirements for Manuscripts Submitted to Biomedical Journals and Supplemental Statements from the International Committee of Medical Journal Editors. Philadelphia: ACP, 1993.

    Google Scholar 

  11. McNutt RA. Evans AT, Fletcher RH, Fletcher RH, Fletcher SW. The effects of blinding on the quality of peer review. A randomized trial. JAMA. 1990;263:1371–6.

    Article  PubMed  CAS  Google Scholar 

  12. Fisher M, Friedman S, Strauss B. The effects of blinding on acceptance of research papers by peer review. JAMA. 1994;272:143–6.

    Article  PubMed  CAS  Google Scholar 

  13. Nylenna M, Riis P, Karlsson Y. Multiple blinded reviews of the same two manuscripts. JAMA. 1994;272:149–51.

    Article  PubMed  CAS  Google Scholar 

  14. Garfunkel JM. Ulshen MH, Hamrick HJ, Lawson EE. The effect of institutional prestige on reviewers’ recommendations and editorial decisions. JAMA. 1994;272:137–8.

    Article  PubMed  CAS  Google Scholar 

  15. Gilbert JR. Williams ES, Lundberg GD. Is there gender bias in JAMA’S peer review process? JAMA. 1994;272:139–42.

    Article  PubMed  CAS  Google Scholar 

  16. Kassirer JP. The next transformation in the delivery of health care. N Engl J Med. 1995;332:52–4.

    Article  PubMed  CAS  Google Scholar 

  17. Wilkes MS, Doblin B, Shapiro MF. Pharmaceutical advertisements in leading medical journals: experts’ assessments. Ann Intern Med. 1992;116:912–9.

    PubMed  CAS  Google Scholar 

  18. McGuire WJ. Attitudes and attitude change. In: Lindzey G, Aronson E (eds). Handbook of Social Psychology. New York: Random House, 1985.

    Google Scholar 

  19. Hays RD, Hagashi T, Stewart AL. A five item measure of socially desirable response set. Educ Psychol Meas. 1989;49:629–36.

    Article  Google Scholar 

  20. Wilkes MS, Kravitz RL. Medical researcher and the media: attitudes toward public dissemination of research. JAMA. 1992;268:999–1003.

    Article  PubMed  CAS  Google Scholar 

Download references

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Supported by the Robert Wood Johnson Foundation, Princeton, New Jersey.

The views herein do not necessarily reflect the policies of the authors’ institutions or the Robert Wood Johnson Foundation.

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Wilkes, M.S., Kravitz, R.L. Policies, practices, and attitudes of north american medical journal editors. J Gen Intern Med 10, 443–450 (1995). https://doi.org/10.1007/BF02599916

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