{"id":67427,"date":"2016-08-15T11:33:40","date_gmt":"2016-08-15T15:33:40","guid":{"rendered":"http:\/\/1boringoldman.com\/?p=67427"},"modified":"2016-08-16T02:46:17","modified_gmt":"2016-08-16T06:46:17","slug":"no-neutrality","status":"publish","type":"post","link":"https:\/\/1boringoldman.com\/index.php\/2016\/08\/15\/no-neutrality\/","title":{"rendered":"no neutrality&#8230;"},"content":{"rendered":"<div align=\"justify\" class=\"small\">In 1980, <font color=\"#200020\">Arnold Relman<\/font>, then editor of the <strong><font color=\"#990000\">New England Journal of Medicine<\/font><\/strong>, gave us a dire warning. He saw what was coming and laid it out for all to see:     <\/div>\n<ul><span class=\"small\">      <\/p>\n<li>\n<div align=\"justify\"><a href=\"http:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJM198010233031703#t=articleTop\" target=\"_blank\">The New Medical-Industrial Complex<\/a><\/div>\n<div align=\"justify\">by Arnold S. Relman, M.D.<\/div>\n<div align=\"justify\"><strong><font color=\"#990000\">New England Journal of Medicine<\/font><\/strong>1980; 303:963-970.<\/div>\n<div align=\"justify\"><strong><font color=\"#200020\">October 23, 1980<\/font><\/strong><\/div>\n<\/li>\n<p>      <\/span><\/ul>\n<div align=\"justify\" class=\"small\">While he underestimated the involvement of the pharmaceutical industry, he was still dead on in general &#8211; that industry was poised to invade Medicine with a ferocity the rest of us couldn&#8217;t yet imagine. And this very problem played out in the editorial offices of his journal itself not very many years later resulting in the firing of Relman&#8217;s successor, <font color=\"#200020\">Jerome Kassirer<\/font> [see <a href=\"http:\/\/1boringoldman.com\/index.php\/2015\/05\/24\/a-narrative\/\" target=\"_blank\">a narrative&hellip;<\/a> and <a href=\"http:\/\/1boringoldman.com\/index.php\/2015\/05\/25\/57179\/\" target=\"_blank\">not so proud&hellip;<\/a>]. For the last year, <font color=\"#200020\">Relman<\/font>&#8216;s point has been the subject of a debate, largely in the pages of the  <strong><font color=\"#990000\">New England Journal of Medicine<\/font><\/strong>. But this time, the&nbsp; editor, <font color=\"#200020\">Jeffrey Drazen<\/font>, has been on the other side. Here are the relevant articles, arranged by date, all available full-text on-line:       <\/div>\n<ul><span class=\"small\">     <\/p>\n<li>\n<div align=\"justify\"><a href=\"http:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMe1503623\" target=\"_blank\">Revisiting the Commercial&ndash;Academic Interface<\/a><\/div>\n<div align=\"justify\">by Jeffrey M. Drazen, M.D.<\/div>\n<div align=\"justify\"><strong><font color=\"#990000\">New England Journal of Medicine<\/font><\/strong> 2015 372:1853-1854.<\/div>\n<div align=\"justify\"><strong><font color=\"#200020\">May 7, 2015<\/font><\/strong><\/div>\n<\/li>\n<li>\n<div align=\"justify\"><a href=\"http:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMMS1502493\" target=\"_blank\">Reconnecting the Dots &mdash; Reinterpreting Industry&ndash;Physician Relations<\/a><\/div>\n<div align=\"justify\">by Lisa Rosenbaum, M.D.<\/div>\n<div align=\"justify\"><strong><font color=\"#990000\">New England Journal of Medicine<\/font><\/strong> 2015  372:1860-1864.<\/div>\n<div align=\"justify\"><strong><font color=\"#200020\">May 7, 2015<\/font><\/strong><\/div>\n<\/li>\n<li>\n<div align=\"justify\"><a href=\"http:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMMS1502497\" target=\"_blank\">Understanding Bias &mdash; The Case for Careful Study<\/a><\/div>\n<div align=\"justify\">by Lisa Rosenbaum, M.D.<\/div>\n<div align=\"justify\"><strong><font color=\"#990000\">New England Journal of Medicine<\/font><\/strong> 2015;  372:1959-1963.<\/div>\n<div align=\"justify\"><strong><font color=\"#200020\">May 14, 2015<\/font><\/strong><\/div>\n<\/li>\n<li>\n<div align=\"justify\"><a href=\"http:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMms1502498\" target=\"_blank\">Beyond Moral Outrage &mdash; Weighing the Trade-Offs of COI Regulation<\/a><\/div>\n<div align=\"justify\">by Lisa Rosenbaum, M.D.<\/div>\n<div align=\"justify\"><strong><font color=\"#990000\">New England Journal of Medicine<\/font><\/strong> 2015;  372:2064-2068.<\/div>\n<div align=\"justify\"><strong><font color=\"#200020\">May 21, 2015<\/font><\/strong><\/div>\n<\/li>\n<li>\n<div align=\"justify\"><a href=\"http:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMe1516564\" target=\"_blank\">Data Sharing<\/a><\/div>\n<div align=\"justify\">by Dan L. Longo, and Jeffrey M. Drazen<\/div>\n<div align=\"justify\"><strong><font color=\"#990000\">New England Journal of Medicine<\/font><\/strong> 2016&nbsp;  374:276-277.<\/div>\n<div align=\"justify\"><strong><font color=\"#200020\">January 21, 2016<\/font><\/strong><\/div>\n<\/li>\n<li>\n<div align=\"justify\"><a href=\"http:\/\/jama.jamanetwork.com\/article.aspx?articleid=2483008\" target=\"_blank\">Sharing Clinical Trial DataA Proposal From the International Committee of Medical Journal Editors<\/a><\/div>\n<div align=\"justify\">by Darren B. Taichman, Joyce Backus, Christopher Baethge, Howard Bauchner, Peter W. de Leeuw,<font color=\"#660033\"><strong> <\/strong><\/font><strong><font color=\"#660033\">Jeffrey M. Drazen, <\/font><\/strong>John Fletcher, Frank A. Frizelle, Trish Groves, Abraham Haileamlak, Astrid James, Christine Laine,&nbsp; Larry Peiperl, Anja Pinborg, Peush Sahni, and Sinan Wu <\/div>\n<div align=\"justify\"><strong><font color=\"#990000\">JAMA.<\/font><\/strong> 2016 315[5]:467-468.<\/div>\n<div align=\"justify\"><strong><font color=\"#200020\"> February 2, 2016<\/font><\/strong><\/div>\n<\/li>\n<li>\n<div align=\"justify\"><a href=\"https:\/\/www.propublica.org\/article\/amid-public-feuds-a-venerated-medical-journal-finds-itself-under-attack\" target=\"_blank\">Amid Public Feuds, A Venerated Medical Journal Finds Itself Under Attack<\/a><\/div>\n<div align=\"justify\">by Charles Ornstein<\/div>\n<div align=\"justify\"><strong><font color=\"#0000ff\">ProPublica\/Boston Globe<\/font><\/strong><\/div>\n<div align=\"justify\"><strong><font color=\"#200020\">April 5, 2016<\/font><\/strong><\/div>\n<\/li>\n<li>\n<div align=\"justify\"><a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h2942\" target=\"_blank\">Justifying conflicts of interest in medical journals: a very bad idea<\/a><\/div>\n<div align=\"justify\">by Robert Steinbrook, Jerome P Kassirer, and Marcia Angell<\/div>\n<div align=\"justify\"><strong><font color=\"#0066ff\">British Medical Journal<\/font><\/strong> 2015 350:h2942.<\/div>\n<div align=\"justify\"><strong><font color=\"#200020\">June 2, 2016<\/font><\/strong><\/div>\n<\/li>\n<li>\n<div align=\"justify\"><a href=\"http:\/\/www.bmj.com\/content\/350\/bmj.h2957\" target=\"_blank\">Revisiting the commercial-academic interface in medical journals<\/a><\/div>\n<div align=\"justify\">by Elizabeth Loder, Catherine Brizzell, and Fiona Godlee<\/div>\n<div align=\"justify\"><strong><font color=\"#0066ff\">British Medical Journal<\/font><\/strong> 2015 350:h2957.<\/div>\n<div align=\"justify\"><strong><font color=\"#200020\">June 2, 2016<\/font><\/strong><\/div>\n<\/li>\n<li>\n<div align=\"justify\"><a href=\"http:\/\/www.thelancet.com\/pdfs\/journals\/lancet\/PIIS0140-6736%2815%2961034-0.pdf\" target=\"_blank\">Offline: The BMJ vs NEJM&mdash;lessons for us all<\/a><\/div>\n<div align=\"justify\">by Richard Horton<\/div>\n<div align=\"justify\"><strong><font color=\"#487483\">Lancet<\/font><\/strong> 2015 385:2238.<\/div>\n<div align=\"justify\"><strong><font color=\"#200020\">June 5, 2015<\/font><\/strong><\/div>\n<\/li>\n<li>\n<div align=\"justify\"><a href=\"http:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMp1607282\" target=\"_blank\">Strengthening Research through Data Sharing<\/a><\/div>\n<div align=\"justify\">by Elizabeth Warren, J.D.<\/div>\n<div align=\"justify\"><strong><font color=\"#990000\">New England Journal of Medicine<\/font><\/strong> 2016; 375:401-403.<\/div>\n<div align=\"justify\"><strong><font color=\"#200020\">August 4, 2016<\/font><\/strong><\/div>\n<\/li>\n<li>\n<div align=\"justify\"><a href=\"http:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMp1607342\" target=\"_blank\">The Yale Open Data Access [YODA] Project &mdash; A Mechanism for Data Sharing<\/a><\/div>\n<div align=\"justify\">by Harlan M. Krumholz, M.D., and Joanne Waldstreicher, M.D.<\/div>\n<div align=\"justify\"><strong><font color=\"#990000\">New England Journal of Medicine<\/font><\/strong> 2016; 375:403-405.<\/div>\n<div align=\"justify\"><strong><font color=\"#200020\">August 4, 2016<\/font><\/strong><\/div>\n<\/li>\n<li>\n<div align=\"justify\"><a href=\"http:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMp1605654\" target=\"_blank\">Toward Fairness in Data Sharing<\/a><\/div>\n<div align=\"justify\">by <a href=\"http:\/\/www.nejm.org\/doi\/suppl\/10.1056\/NEJMp1605654\/suppl_file\/nejmp1605654_appendix.pdf\" target=\"_blank\">The International Consortium of Investigators for Fairness in Trial Data Sharing<\/a><\/div>\n<div align=\"justify\"><strong><font color=\"#990000\">New England Journal of Medicine<\/font><\/strong> 2016;  375:405-407.<\/div>\n<div align=\"justify\"><strong><font color=\"#200020\">August 4, 2016<\/font><\/strong><\/div>\n<\/li>\n<li>\n<div align=\"justify\"><a href=\"http:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMp1605260\" target=\"_blank\">Sharing Data from Cardiovascular Clinical Trials &mdash; A Proposal<\/a><\/div>\n<div align=\"justify\">by <a target=\"_blank\" href=\"http:\/\/www.nejm.org\/doi\/suppl\/10.1056\/NEJMp1605260\/suppl_file\/nejmp1605260_appendix.pdf\">The Academic Research Organization Consortium for Continuing Evaluation of Scientific Studies &mdash; Cardiovascular [ACCESS CV]<\/a><\/div>\n<div align=\"justify\"><strong><font color=\"#990000\">New England Journal of Medicine<\/font><\/strong> 2016; 375:407-409.<\/div>\n<div align=\"justify\"><strong><font color=\"#200020\">August 4, 2016<\/font><\/strong><\/div>\n<\/li>\n<li>\n<div align=\"justify\"><a href=\"https:\/\/www.statnews.com\/2016\/08\/10\/data-sharing-science-nejm\/\" target=\"_blank\">NEJM editorial doubles down on resistance to data sharing<\/a><\/div>\n<div align=\"justify\">by Ivan Oransky and Adam Marcus<\/div>\n<div align=\"justify\"><strong><font color=\"#0033ff\">STAT News<\/font><\/strong><\/div>\n<div align=\"justify\"><strong><font color=\"#200020\">August 10, 2016<\/font><\/strong><\/div>\n<\/li>\n<p>    <\/span><\/ul>\n<div align=\"justify\" class=\"small\">I listed the primary sources for you to read for yourself because I have no neutrality in this matter. From my point of view, <font color=\"#200020\">Jeffrey Drazen<\/font>, presumably backed by the current powers that be at the <strong><font color=\"#990000\">New England Journal of Medicine<\/font><\/strong>, has shamed his journal and our profession. He&#8217;s used the time-honored medical journal of record to push his own corporate-friendly agenda. Let&#8217;s hope he and his like-minded associates find a way to move on quickly&#8230;<\/div>\n","protected":false},"excerpt":{"rendered":"<p>In 1980, Arnold Relman, then editor of the New England Journal of Medicine, gave us a dire warning. He saw what was coming and laid it out for all to see: The New Medical-Industrial Complex by Arnold S. Relman, M.D. New England Journal of Medicine1980; 303:963-970. October 23, 1980 While he underestimated the involvement of [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[5],"tags":[],"class_list":["post-67427","post","type-post","status-publish","format-standard","hentry","category-opinion"],"_links":{"self":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/67427","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/comments?post=67427"}],"version-history":[{"count":26,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/67427\/revisions"}],"predecessor-version":[{"id":67478,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/67427\/revisions\/67478"}],"wp:attachment":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/media?parent=67427"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/categories?post=67427"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/tags?post=67427"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}