Brown: Is the Peer Review Journal Dead?

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Tony Brown's emotive expose on the bias of medical research and publication. The flaws in our current paradigms.

Gesundheit & Medizin Technologie

Is the Peer Review Journal Dead?
Professor Tony Brown
Senior Staff Specialist
Department of Emergency Medicine
Royal Brisbane and Women’s Hospital

Competing Interests Declaration
Professor Tony Brown
Educational / research funding:
Astra Zeneca, Boehringer Ingelheim, Roche,
Sanofi-Aventis, Shire.
Avant.

550,000
> 1 / minute
>150 this morning
> 5,600
(MedlineTM)

Is the Peer Review Journal Dead?
Aims
• What are journals for ?
• What do they do ?
• Who benefits ?
• What are the problems ?
• What are the alternatives ?

What are journals for ?
• Registration
• Certification
• Awareness
• Archiving

What do they do ?
• Online submission
• Peer review
• Editorial decision
• Production
• Publication

Who benefits ?
• Author
• Publisher
• Editor / peer reviewers

What are the problems?
• Peer review
• Most papers are rubbish
• Research hijacked
• Restricted full-text access

What are the problems?
Peer review
“Slow, expensive, ineffective, a lottery, biased,
incapable of detecting fraud and prone to
abuse”
Smith R. BMJ 2004;329:242-4

What are the problems?
Most papers are rubbish
• “Words on paper rarely lead directly to change
– and thank goodness they don’t, considering
the rubbish that journals often publish”.
Smith R. BMJ 2004;329:242-4
• Few trials are valid and relevant ( <1% – 7% )
Haynes RB. ACP J Club 1993;119:A22-A23
Scott I, Glaziou P. Med J Aust 2012;197:374-8

What are the problems?
Research hijacked
Radcliffe Publishing
2013
Harper Collins 2013

What are the problems?
Restricted full-text access
$24 billion
biomedical publishing industry

What are the alternatives?
• Release ALL data / publish negative trials
• Focus on the reader
• Post publication review
• ‘publish then filter’
• rating systems / Web 2.0 tools / crowdsourcing
• Educational / translational focus …

What are the alternatives?
Educational / translational focus
Websites Blog posts
Case studies Teaching videos
Podcasts Elearning modules
Apps
ALL informed by the best literature

Is the Peer Review Journal Dead?
Conclusions
• Not yet – but smelling badly !
• Return the focus back onto the reader
• Expect and embrace all forms of
post publication review
• Focus on education / translation

Is the Peer Review Journal Dead?
Conclusions
• Not yet – but smelling badly …
• Return the focus back onto the reader
• Expect / embrace post publication review
• Focus on education / translation
• EXCEPTION !
Emerg Med Australas 2014; 26 (1). Feb issue

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