Most of the Twitter discussion on "what is a #conflictofinterest #COI, really?" is much less interesting or relevant than it appears. Once again, it proves the perils of always picking the brains of the same visible people, even 4 issues outside of their expertise/knowledge.
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This is a very dense field, where many questions have been asked, turned around & refined, where stakes are high & debate fierce. If you are not aware of that literature, it's a bit useless to chip in, just because you usually publicly reflect on all issues
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For ex, it's a bit naive to start asking where we draw the line for financial
#COI w/ examples like yes, but what about publishing papers? A lot has been written on the distinction b/w#financial &#intellectual COI. Lisa Bero has written extensively, e.g.https://journals.plos.org/plosbiology/article?id=10.1371/journal.pbio.2001221 …2 replies 5 retweets 27 likesShow this thread -
Or this: https://jamanetwork.com/journals/jama/fullarticle/2623632 … also by Lisa Bero from- by the way- a whole thematic
@JAMAInternalMed issue dedicated to#COI (https://jamanetwork.com/journals/jama/fullarticle/2623590 …)1 reply 3 retweets 15 likesShow this thread -
Investigator preferences for some types of research were also considered as a form of
#COI in a thought-provoking viewpoint by John Ioannidis & John Trepanowski: https://jamanetwork.com/journals/jama/fullarticle/2666008 …. See also the replies back and forth.1 reply 0 retweets 13 likesShow this thread -
In psychology and intervention research, we have been discussing researcher allegiance for decades now, and some of us have also proposed looking at financial
#COI (e.g., https://jamanetwork.com/journals/jamapsychiatry/article-abstract/2678042 …). There is empirical research on both, e.g.https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0142803 …2 replies 0 retweets 18 likesShow this thread -
Another example: the idea that only large sums are biasing (again thrown around on Twitter) is in fact not so clear: https://jamanetwork.com/journals/jama/fullarticle/2623616 …. Unintended costs to COI disclosures, another item of discussion. Again, others have thought about this too.https://jamanetwork.com/journals/jama/fullarticle/1104993 …
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Maybe science journalism should rely less on who is more active, more vocal and more followed on Twitter or on who is more prominent in a research community/movement & go back to the good old-fashioned Pubmed search. Maybe ask the people who have been actually researching COI?
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It would also be nice if the individuals always in the spotlight would sometimes, occasionaly, defer comment, particularly outside of their area of expertise and for topics on which they clearly have only surface knowledge.
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Maybe my salary is a COI. 
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Replying to @o_guest
I looked for a pacepalm gif.pic.twitter.com/cJ7CkR7roZ
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Replying to @o_guest @IoanaA_Cristea
No salary, no COIpic.twitter.com/6Maq84aE8G
0 replies 0 retweets 2 likesThanks. Twitter will use this to make your timeline better. UndoUndo
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