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All that glitters isn't gold: a survey on acknowledgment of limitations in biomedical studies

Acknowledgment of all serious limitations to research evidence is important for patient care and scientific progress. Formal research on how biomedical authors acknowledge limitations is scarce. To assess the extent to which limitations are acknowledged in biomedical publications explicitly, and imp...

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Published in:PloS one 2013-11, Vol.8 (11), p.e73623-e73623
Main Authors: Ter Riet, Gerben, Chesley, Paula, Gross, Alan G, Siebeling, Lara, Muggensturm, Patrick, Heller, Nadine, Umbehr, Martin, Vollenweider, Daniela, Yu, Tsung, Akl, Elie A, Brewster, Lizzy, Dekkers, Olaf M, Mühlhauser, Ingrid, Richter, Bernd, Singh, Sonal, Goodman, Steven, Puhan, Milo A
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cited_by cdi_FETCH-LOGICAL-c692t-9a7d9b3ec3aeca53107fdb08c59b2c0dabdb56e6ffdbe8d1bed5176bb2c3eb953
cites cdi_FETCH-LOGICAL-c692t-9a7d9b3ec3aeca53107fdb08c59b2c0dabdb56e6ffdbe8d1bed5176bb2c3eb953
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container_issue 11
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container_title PloS one
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creator Ter Riet, Gerben
Chesley, Paula
Gross, Alan G
Siebeling, Lara
Muggensturm, Patrick
Heller, Nadine
Umbehr, Martin
Vollenweider, Daniela
Yu, Tsung
Akl, Elie A
Brewster, Lizzy
Dekkers, Olaf M
Mühlhauser, Ingrid
Richter, Bernd
Singh, Sonal
Goodman, Steven
Puhan, Milo A
description Acknowledgment of all serious limitations to research evidence is important for patient care and scientific progress. Formal research on how biomedical authors acknowledge limitations is scarce. To assess the extent to which limitations are acknowledged in biomedical publications explicitly, and implicitly by investigating the use of phrases that express uncertainty, so-called hedges; to assess the association between industry support and the extent of hedging. We analyzed reporting of limitations and use of hedges in 300 biomedical publications published in 30 high and medium -ranked journals in 2007. Hedges were assessed using linguistic software that assigned weights between 1 and 5 to each expression of uncertainty. Twenty-seven percent of publications (81/300) did not mention any limitations, while 73% acknowledged a median of 3 (range 1-8) limitations. Five percent mentioned a limitation in the abstract. After controlling for confounders, publications on industry-supported studies used significantly fewer hedges than publications not so supported (p = 0.028). Detection and classification of limitations was--to some extent--subjective. The weighting scheme used by the hedging detection software has subjective elements. Reporting of limitations in biomedical publications is probably very incomplete. Transparent reporting of limitations may protect clinicians and guideline committees against overly confident beliefs and decisions and support scientific progress through better design, conduct or analysis of new studies.
doi_str_mv 10.1371/journal.pone.0073623
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identifier ISSN: 1932-6203
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issn 1932-6203
1932-6203
language eng
recordid cdi_plos_journals_1460161454
source Publicly Available Content Database; PubMed
subjects Bibliometrics
Biomedical Research
Committees
Computer programs
Decision analysis
Design analysis
Documents
Epidemiology
Gold
Health care
Hedging (Finance)
Hospitals
Internal medicine
Medical research
Patient care
Peer review
Preventive medicine
Public health
Publications - statistics & numerical data
Studies
Surveys
Uncertainty
title All that glitters isn't gold: a survey on acknowledgment of limitations in biomedical studies
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