Now, that may seem like a small point - every hospital system looks at data all the time, so why does it matter?
Thing is, this is a HUGE issue that @TheLancet and @NEJM have yet to explain
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The absolute minimum of any research project is ethics approval FOR A REASON Without any independent oversight, we get things like the Tuskegee experiment https://www.cdc.gov/tuskegee/timeline.htm …
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It is a pretty enormous breach of ethical oversight that any study purporting to not need ethics was ever published (even if they are now retracted)
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Yes, there is some research that is deemed exempt from ethics approval, but this is usually governed by large independent committees from the places in question For example, some Scandinavian countries waive ethics for deidentified registry data, but through a government program
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And the issues don't stop at published research. There are half a dozen preprints out there that claim that the researchers didn't have any ethical oversight during the process ~and didn't ask for it~ That is a HUGE RED FLAG
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Bottom line - researchers should not be the ones who decide whether their own actions are ethical That articles are being published saying that the researchers don't think they needed ethics is a massive problem
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That point was heavily discussed at
@IDJClub when the lancet paper was analyzed. You should come by sometime
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How can that even happen, it's in the publication guidelines?
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I agree, astonishing. The casual way research was 'deemed' not to need ethical review or specifics of general agreement on ethical use of the 'database' was one of the things that flagged this as probable data fraud for me, leading to my 30 May blog post.http://freerangestats.info/blog/2020/05/30/implausible-health-data-firm …
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I'm astonished it got through a basic editorial process, never mind pre-publication peer review, which I think now has to be accepted as worthless. Real peer review starts post-publication, and needs open code (and if possible, which it often won't be, data) .
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without ethics approval