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Healthy Skepticism Library item: 17258

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

 

Publication type: Journal Article

Chew M
Researchers, like politicians, use 'spin' in presenting their results, conference hears
BMJ 2009 Sep 15;
http://www.bmj.com/cgi/content/extract/339/sep15_2/b3779


Abstract:

Politicians are not alone in using “spin” to sway their constituents. Researchers do too, according to two presentations at the International Congress of Peer Review and Biomedical Publication in Vancouver, Canada. Two preliminary explorations of this phenomenon were presented, one on studies with non-significant results, the other on studies claiming positive results.

Isabelle Boutron, of the Centre for Statistics in Medicine, Oxford, and University Paris Descartes, and colleagues said that “spin” was a way of reporting results with the aim of convincing the reader that an experimental treatment was beneficial, despite results that were not significant.

They looked at 72 randomised controlled trials with such outcomes and found that over 40% of these had “spin” in at least two of the three sections of main text, usually in the conclusion and discussion.

Some examples claimed equivalence with the control intervention or similar effectiveness or focused on secondary outcomes or subgroup . . .

 

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Far too large a section of the treatment of disease is to-day controlled by the big manufacturing pharmacists, who have enslaved us in a plausible pseudo-science...
The blind faith which some men have in medicines illustrates too often the greatest of all human capacities - the capacity for self deception...
Some one will say, Is this all your science has to tell us? Is this the outcome of decades of good clinical work, of patient study of the disease, of anxious trial in such good faith of so many drugs? Give us back the childlike trust of the fathers in antimony and in the lancet rather than this cold nihilism. Not at all! Let us accept the truth, however unpleasant it may be, and with the death rate staring us in the face, let us not be deceived with vain fancies...
we need a stern, iconoclastic spirit which leads, not to nihilism, but to an active skepticism - not the passive skepticism, born of despair, but the active skepticism born of a knowledge that recognizes its limitations and knows full well that only in this attitude of mind can true progress be made.
- William Osler 1909