On Sat, 23 Feb 2002, Sergio Della Sala and Jordan Grafman wrote: > We are convinced that peer-review is central to scientific credibility. > However, as it stands the process is far from watertight. Is there any > way we can improve it by suggesting any modification, either radical or > minimal? Time is ripe for such a discussion to be launched (see the > JAMA and BMJ four congresses on peer review in biomedical publication: > www.jama-peer.org).
Many papers presented at the JAMA/BMJ congresses and other sources point to a problem that I call "insularity." That is ignorance of, ignoring or avoiding inconvenient information. This includes national and language biases as well as the sort of short-sightedness that led to the death of a subject at Johns Hopkins last year and commercial biases that typically omit studies that contradict the desired conclusion. To combat insularity, several medical journals adopted the Consolidated Standards of Reporting Trials [CONSORT]. One of the recommendations was that authors "state general interpretation of the data in light of the totality of the available evidence." A study at the Prague conference showed little evidence that authors complied or that authors were able to compel it. The little time reportedly spent by referees, according to other studies, suggests they would not catch many omissions and blind spots. The Achilles' Heel of peer review is that referees are no better informed than authors. Of course, it is the sponsors of research who call the tune. The totality of the literature is overwhelming. That includes not only primary reports but review articles. The sponsors appear to tolerate a shallow review in proposals and preparation, and little more in conclusions. More intensive screening, evaluating, digesting, and review of all lines of research is essential. Many reviews reflect an erroneous consensus, such as the notion in the 1940s that research on steriods was at a dead end. I have written more on this in SOCIETY 38,2 47-54 (J/F 2001), if anyone is interested. I would also be happy to provide references to studies of peer review that actually shed light on the problem and its solution. Best wishes, Albert Henderson Former Editor, PUBLISHING RESEARCH QUARTERLY 1994-2000 <70244.1...@compuserve.com>