xmlns:v="urn:schemas-microsoft-com:vml"
xmlns:o="urn:schemas-microsoft-com:office:office"
xmlns:w="urn:schemas-microsoft-com:office:word"
xmlns="http://www.w3.org/TR/REC-html40">
Authors should make their data available
EDITORHutchon discussed the desirability of
publishing the raw data used in medical research articles, and Eysenbach andSa have outlined some of the difficulties. 12 The
least thatshould happen at the moment is that authors should be
able tomake their data available on a journal's website. One
journalthat already does this is Clinical Chemistry, which
will includedata supplements in the material sent to reviewers.3
Journalsshould encourage authors to post their data on thewebsite.
One area where there should be neither debate nor difficulty is that of
systematic reviews. Readers of the review ought tohave access to
the numerical results of the primary studies beingreviewed to allow
the analyses to be checked and for other analysesto be
investigated. Also, this enables readers to examine theactual
results rather than the authors' aggregation or summary;for example,
they can assess the variation in event rates acrossthe studies,
without which an odds ratio is impossible tointerpret.
We have each separately had the experience of authors of systematic reviews
published in the BMJ refusing to release thesedata, in one
case to enable the data to be used in an educationalarticle. Such
obstruction is worrying and suggests that some suspicionis
appropriate where none had existed at the time of the request.Given
that in almost all cases the results will already be inthe public
domain, we can see no valid excuse for not includingthe data in the
report or making them available electronically.The missed
opportunity is even clearer in those cases where anextended version
of a paper appears on the web page but the trialresults are still
not given, although in this case the authorshave made the data
available to us.4
The BMJ and other journals should insist that authors of systematic reviews
adhere to one of the key recommendations the QUOROMstatementnamely, to present simple summary results for
each treatmentgroup in each trial, for each primary outcome.5
Douglas G Altman, professor of
statistics in medicine.
ICRF/NHS Centre for Statistics in Medicine, Institute of Health Sciences,
Oxford OX3 7LF altman@icrf.icnet.uk
Christopher Cates, general practitioner.
Bushey, Hertfordshire WD2 2NN
1.
Hutchon DJR. Infopoints: Publishing raw data and real time
statistical analysis on e-journals. BMJ 2001; 322: 530[Full
Text]. (3 March.)
2.
Eysenbach G, Sa E-R. Code of conduct is needed for
publishing raw data. BMJ 2001; 323: 166[Full
Text]. (21 July.)
Tramèr MR, Carroll D, Campbell FA, Reynolds DJM, Moore RA,
McQuay HJ. Cannabinoids for control of chemotherapy induced nausea and
vomiting: quantitative systematic review. BMJ 2001; 323: 16[Abstract/Full
Text]. (http://bmj.com/cgi/content/full/323/7303/16.)
(7 July.)
5.
Moher D, Cook DJ, Eastwood S, Olkin I, Rennie D, Stroup D,
for the QUOROM Group. Improving the quality of reports of meta-analyses of
randomised controlled trials: the QUOROM statement. Lancet 1999; 354:
1896-1900[Medline].
ALL
INFORMATION, DATA, AND MATERIAL CONTAINED, PRESENTED, OR PROVIDED HERE IS FOR
GENERAL INFORMATION PURPOSES ONLY AND IS NOT TO BE CONSTRUED AS REFLECTING THE
KNOWLEDGE OR OPINIONS OF THE PUBLISHER, AND IS NOT TO BE CONSTRUED OR INTENDED
AS PROVIDING MEDICAL OR LEGAL ADVICE. THE DECISION WHETHER OR NOT TO
VACCINATE IS AN IMPORTANT AND COMPLEX ISSUE AND SHOULD BE MADE BY YOU, AND YOU
ALONE, IN CONSULTATION WITH YOUR HEALTH CARE PROVIDER.
"A foolish faith in authority is the worst enemy of truth."
-- Albert Einstein, letter to a friend, 1901
"I know of no safe depository of the ultimate powers of the society but the people themselves, and if we think them not enlightened enough to exercise control with a wholesome discretion, the remedy is not to take it from them, but to inform their discretion by education."
-- Thomas Jefferson, letter to William C. Jarvis, September 28, 1820
"What's the point of vaccination if it doesn't protect you from the unvaccinated?"
-- Sandy Gottstein
"Who gets to decide what the greater good is and how many will be sacrificed to it?"