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Merck Created Phony Peer-Review Medical Journal

Hugh Pickens writes "Don't believe everything you read on the internet is a good rule to follow, but it turns out that you can't even believe a 'peer reviewed scientific journal' as details emerge that drug manufacturer Merck created a phony, but real sounding, peer-review journal titled the 'Australasian Journal of Bone and Joint Medicine' to publish data favorable to its products. 'What's sad is that I'm sure many a primary care physician was given literature from Merck that said, "As published in Australasian Journal of Bone and Joint Medicine, Fosamax outperforms all other medications...."' writes Summer Johnson in a post on the website of the American Journal of Bioethics. One Australian rheumatologist named Peter Brooks who served as an 'honorary advisory board' to the journal didn't receive a single paper for peer-review in his entire time on the board, but it didn't bother him because he apparently knew the journal did not receive original submissions of research. All this is probably not too surprising in light of Merck's difficulties with Vioxx, the once $2.5 billion a year drug that was pulled from the market in September 2004, after a study showed it doubled the risk of heart attack and stroke in long-term users resulting in payments by Merck of $4.85 billion to settle personal injury claims from former users, but it bears repeating that 'if physicians would not lend their names or pens to these efforts, and publishers would not offer their presses, these publications could not exist.'"

39 of 213 comments (clear)

  1. Comment removed by account_deleted · · Score: 5, Interesting

    Comment removed based on user account deletion

  2. I sense a serious hand-slapping in Merck's future! by spun · · Score: 5, Insightful

    Oh no. They will get a fine far less than the money they made doing it, which is corp-speak for "please keep doing it." None of the executives will get any time. None of the doctors involved will get a reprimand, heck, this is just an advertisement that they play ball. On to the next corporate gig.

    --
    - None can love freedom heartily, but good men; the rest love not freedom, but license. -- John Milton
  3. Does it ever work? by __aanmys7397 · · Score: 4, Insightful

    Has any company ever gotten away with stuff like this in recent times? Doesn't the availability of everything on the Internet ensure that someone somewhere, doing just a little research, will call 'bullshit' when a certain journal/reviewer goes overboard in praising just one company?

    1. Re:Does it ever work? by Airw0lf · · Score: 5, Insightful

      Has any company ever gotten away with stuff like this in recent times? Doesn't the availability of everything on the Internet ensure that someone somewhere, doing just a little research, will call 'bullshit' when a certain journal/reviewer goes overboard in praising just one company?

      The problem is that companies never get more than a slap on the wrist for pulling stunts like this - commercial regulatory bodies in most countries are far too easy on them. As a previous poster said, it is usually a token fine and none of the executives ever get jailed. So I guess most companies do a simple calculation along the lines of:

      Profit = Initial Sales from Lies - Estimated Fine when Caught - Dip in Sales from Bad Publicity.

      It would seem that the "Profit" term still comes out as a big number so there is no real disincentive there unless regulatory bodies clean up their act, or the public starts voting with their dollars in a significant fashion.

    2. Re:Does it ever work? by interkin3tic · · Score: 5, Funny

      Has any company ever gotten away with stuff like this in recent times?

      Yes, I established an advertisement disguised as a medical journal for my company that hasn't yet been outed as a shill. It's called...

      Wait... you clever bastard, you almost had me with that one.

  4. Holy crap. by palegray.net · · Score: 5, Insightful

    I've seen a lot of seedy stuff in my time, but this might just take the cake with respect to all-time industry lows. To hell with the music industry; this is beyond reprehensible. They're playing with peoples' lives. Somebody please tell me someone's going to jail for this.

    1. Re:Holy crap. by oldhack · · Score: 5, Funny

      Careful, son. You know not the power of the evil you're belittling.

      --
      Fuck systemd. Fuck Redhat. Fuck Soylent, too. Wait, scratch the last one.
    2. Re:Holy crap. by MichaelSmith · · Score: 5, Informative

      I've seen a lot of seedy stuff in my time, but this might just take the cake with respect to all-time industry lows.

      How about drug companies treating thousands of doctors to a free night out in a posh restaurant every week for years, so that they can be informed about the latest products.

    3. Re:Holy crap. by blackest_k · · Score: 4, Insightful

      I don't know about Vioxx, but perhaps it's not the only drug out there that can help, or maybe the only one your health insurance company was willing to pay for.

      My niece sufferers from junior rheumatoid arthritis, within a year of the symptoms first appearing she was in a wheelchair, eventually she managed to see a specialist who put her on to a new drug treatment and very rapidly she went from being wheelchair bound to being a healthy and normal teenager.

      The treatment requires 2 injections a week at a cost of £500 a week, luckily this is in the UK and its paid for by the National Health Service, a system we all pay into from our pay packets. If she had been under the American system would she have this drug or would she still be in constant pain in a wheelchair? It took a year of trials of various different medicines before she was prescribed something effective but she has it now and will continue to have it for as long as its needed.

      America is a great country but the health system is a complete disgrace. Hopefully Obama will address this issue.

  5. Re:I sense a serious hand-slapping in Merck's futu by !coward · · Score: 5, Funny

    Apparently the mods had a good night out.. Every single comment so far has been moded "Funny". And I'm pretty sure most of them weren't. A poster further down suggests that we may be dealing with shills.. But I shudder to think that slashdot is such a high-profile news site for drug companies, that they'd bother. So I'm going with drunk/stoned or otherwise giddy mods getting their rocks off.

    Hmm.. "2009 A H1N1 flu" (or whatever it is that they've decided to call it) doesn't mess with your brain like that, right? Heh, not to worry -- if they are infected, I'm sure it won't spread.. Who're they gonna infect from their Mom's basement anyway? (bad taste? too soon? ok, I apologize.. carry on)

  6. Re:I sense a serious hand-slapping in Merck's futu by davester666 · · Score: 4, Insightful

    the article forgot ...and publishers would not offer their presses, AND MANUFACTURERS DID NOT OFFER THEIR MONEY TO SAID PHYSICIANS AND PUBLISHERS these publications could not exist

    --
    Sleep your way to a whiter smile...date a dentist!
  7. Other stuff by guyminuslife · · Score: 4, Interesting

    My father, who is a psychiatrist, was looking over a medical journal one day and showed me an article where some researcher---in a study funded by one of the drug companies, I forget which one---had determined that whatever SSRI the company was peddling was effective against bipolar disorder. This had been a six-week trial.

    I didn't understand. My father explained to me that yes, SSRIs tend to be effective as short-term treatment for bipolar disorder, but that over the long term, they actually can make bipolar symptoms worse. So the study was cherry-picked: deceptive, because what is good in the short term can be bad in the long term. Many bipolar people get put on antidepressants, which are counterproductive. And doctors often go along with it, because the drug companies have been intentionally misleading them in publications.

    --
    I don't believe in time. It's a grand conspiracy designed to sell watches.
    1. Re:Other stuff by oneirophrenos · · Score: 4, Insightful

      So the study was cherry-picked: deceptive, because what is good in the short term can be bad in the long term.

      This is why drugs oughtn't be marketed to patients. If an ad says a drug has fared well in a study, Joe Regular will assume it's automatically a good thing. He doesn't know a good study from a bad one, or whether a medical journal is reputable - or even exists. A physician has a far greater probability of distinguishing bullshit from actual facts than a layperson, though it doesn't of course always hold true.

  8. Re:I sense a serious hand-slapping in Merck's futu by Stormwatch · · Score: 5, Funny

    My Mom's house doesn't have a basement, you inconsiderate clod! I live in her den!

    Your mom's a furry?

  9. Well now... by toby · · Score: 5, Insightful

    Who's to say only the "American people" got fucked over? It's usually the rest of us.

    When some greedy corporation in the US gets the urge to over-reach common sense in the name of profit, people die. Hello Halliburton, Blackwater - sorry, "Xe" - Merck, Chevron, Shell, Union Carbide, Monsanto - This is going on all around you, every day. It's just the kind of business y'all have been trained to tolerate, encourage and sponsor. And let's be frank, the absurd US military budget is largely what it is so that they can keep doing it with impunity. Nice little system.

    If a corporation is legally a person, then let them be shut down and incarcerated like the murderers and thieves they are.

    --
    you had me at #!
    1. Re:Well now... by G-Man · · Score: 5, Informative

      Umm, you are aware that Shell is a *Dutch*, company, right? Getting a little blood on your hands for a few extra dollars/pounds/yen/euros/whatever is hardly just an American corporate phenomenon. TotalFinaElf was plenty happy to develop oil fields for Hussein under the utterly corrupt Oil for Food program, while ordinary Iraqis starved. Toshiba illegally sold submarine propeller tech to the Soviet Union. Shall we even get started on Chinese companies and food safety?

  10. Re:I sense a serious hand-slapping in Merck's futu by sunwukong · · Score: 5, Funny

    Ok, now where are all the funny funny modding moderators?

  11. Re:Misleading or Deceptive Conduct by spun · · Score: 4, Interesting

    People need to be informed of the other kinds of 'jobs' that the companies they do business with perform. It will help them make rational decisions about who they want to do business with. Where they want to get their books published, where they want to get their colon checked, who they want to buy their drugs from, you know, that sort of thing.

    Unfortunately, people do not like it to be known that they are in the side business of helping kill random strangers. It tends to put a damper on business. So we have governments and courts. But the word never seems to get out to enough people, and it is just ever so easy to ignore the deaths of random strangers. They are just a statistic connected at one remove to the publisher of a fake journal.

    Suppose I am a publisher. Suppose I take a job from the mafia, to print and put up a bunch of fliers offering $10,000 for your nut sack, JordanL? And suppose your nut sack is delivered to the mafia, should I be partially liable for your loss?

    --
    - None can love freedom heartily, but good men; the rest love not freedom, but license. -- John Milton
  12. Fosomax is crazy stuff by Wheat · · Score: 4, Interesting

    Fosomax is a crazy drug, it stops bone turnover and in some cases has lead to patients having to have their jaw bone removed. That's nasty!

        """
        Raisor was told her jaw bone was going to end up in a bucket. "They took some out, took some out, kept taking more out," Raisor said.

        They tried to save what they could. They used a metal plate for reinforcement.

        It didn't work.
        """

    http://www.wave3.com/Global/story.asp?S=4911501&nav=0RZF

  13. Australasian Journal of Bone and Joint Medicine? by PolygamousRanchKid+ · · Score: 4, Funny

    I was skeptical about this this periodical since their "Bestiality" issue, which had the title headline: "Give a dog a bone."

    Bones? Joints?

    Oh, never mind, make up your own jokes.

    --
    Schroedinger's Brexit: The UK is both in and out of the EU at the same time!
  14. Re:Misleading or Deceptive Conduct by sy5t3m · · Score: 5, Informative
    The article says that it was published by Elsevier. If they were just a printing company, I'd agree with you, but they are claiming to be more than that.
    http://www.elsevier.com/wps/find/intro.cws_home/ataglance

    As the world's leading publisher of science and health information, Elsevier serves more than 30 million scientists, students, and health and information professionals worldwide.

    We are proud to play an essential role in the global science and health communities and to contribute to the advancement of these critical fields. By delivering world-class information and innovative tools to researchers, students, educators and practitioners worldwide, we help them increase their productivity and effectiveness.

    And from http://www.elsevier.com/wps/find/intro.cws_home/mission:

    That's why Elsevier partners with leading experts to publish the most authoritative and reliable information so scientists and health professionals can make critical decisions that advance scientific discovery and save lives.

    At best, they were duped into lending any credibility they have to a sham. At worst, they knew that the thing was fake and went against their mission statement, yet published anyway because the money was too good to pass up.

  15. Re:Misleading or Deceptive Conduct by Daniel+Dvorkin · · Score: 4, Insightful

    Why is it the publishers job to censor or police what people publish?

    Elsevier is a major scientific publisher; articles appearing in their journals are generally considered respectable. The fact that they were willing to publish a "journal" like this one will do a lot of damage to that reputation. Researchers will be less likely to submit high-quality articles to other Elsevier journals, and university libraries will look more closely at the subscription package deals which is where the journal publishers make most of their money.

    That's why.

    --
    The correlation between ignorance of statistics and using "correlation is not causation" as an argument is close to 1.
  16. Re:Misleading or Deceptive Conduct by BrokenHalo · · Score: 5, Insightful

    Suppose I am a publisher. Suppose I take a job from the mafia...

    If I were a publisher by the name of Elsevier, I would be very, very careful what journals I accept to publish. Elsevier is a very high profile outfit, publishing most of the reputable journals in my discipline (biotech) and many others. Backing up a shonky outfit like this was ill-considered, and whoever's idea it was deserves to be fired.

  17. Re:Misleading or Deceptive Conduct by Maelwryth · · Score: 4, Informative

    The Australasian Journal of Bone and Joint Surgery might not be very happy about this as well. Especially as their slogan is, "Excellence through peer review". :)

    --
    I reserve the write to mangle english.
  18. Re:Forgive my language by jcr · · Score: 4, Informative

    Yay, free market!

    Big pharma does not operate in a free market. They exist in a regulatory framework consisting of thousands of laws and regulations written primarily by their own lobbyists to raise barriers to competition.

    The more any industry is regulated, the more it will concentrate into fewer and larger organizations. Big companies can cope with the regulation, but the compliance costs drive smaller competitors out, or push them to be acquired by larger organizations.

    If you want to see a free market in medicine, the closest you get to it is Mexico, Thailand, China, or India. There's a reason why medical tourism is a rapidly-growing market.

    -jcr

    --
    The only title of honor that a tyrant can grant is "Enemy of the State."
  19. Elsevier by Anonymous Coward · · Score: 5, Informative

    The summary should mention that Elsevier published this. That's the shocking part... We already knew about Merck's lack of ethics.

  20. Re:Misleading or Deceptive Conduct by Man+On+Pink+Corner · · Score: 4, Funny

    Publishers shouldn't censor, they should just publish.

    Damn straight.

    And on that subject, don't miss the newest issue of Elsevier's Journal of Holistic Electromagnetic Medicine, where my peer-reviewed article "Correlation Between H1N1 Swine Flu Propagation and Near-Field WiFi Radiation from Linux-Based Routers" just came out. I understand it's already garnering favorable attention in Stockholm.

  21. Re:Forgive my language by jcr · · Score: 4, Insightful

    the pharmas are just shopping in probably the purest free-market, the buying and selling of congressmen

    Actually, thats a highly regulated market, too. They have to jump through a lot of hoops to buy a congressman without the congressman, the lobbyist and the buyer all landing in jail. Again, it's something that larger companies can afford to do far more easily than smaller ones.

    -jcr

    --
    The only title of honor that a tyrant can grant is "Enemy of the State."
  22. Re:Misleading or Deceptive Conduct by MrMr · · Score: 5, Interesting

    The publisher may be deeper involved than you think; I have been offered 'special issues' of journals with favorable pieces on one of our products in the past. I never figured out if it was just one desperate sales guy or a real company policy.

  23. The Case of El Naschie (Elsevier) by boombaard · · Score: 4, Interesting

    You've missed this story then?
    Sadly, the blog that was initially involved in this, and where the 'riddle' was solved, seems to have removed the entire blog post + comments (lawyers?), but the posts can still be found here

  24. That's why you have Impact Factor by jw3 · · Score: 5, Informative

    There are hundreds or thousands of journals with a fairly low standard. Even if they are not industry founded, they make it relatively easy for anyone to publish next to anything. I know of scientific institutions that have their own journals just so that the (lousy) researchers can publish *somewhere* and have a non-zero publication list.
    That said, it is also fairly easy to see how good a scientific journal is, especially to someone who reads scientific literature. The system is not perfect, but it is better than nothing, and relies on the number of times that a single article from a journal gets cited. This metrics spawns the "Science Citation Index" (how often did I get cited?) and "Impact Factor" (how often, on the avearage, an article from a given journal gets cited?).
    Think Google. This is exactly what the original google algorithm was using: number of times someone found an information useful / reliable as a measure of how relevant / important / interesting this information is. However, IF / SCI is much older than Google or WWW.
    Both indices can be misused or manipulated. Furthermore, they differ wildly depending on the area studied (in especially, medical journals have ridicoulously high impact factors) because of the different number of citations per article and article turnover rate. Finally, it can be really hard for a new journal to get a high IF because of preferential attachement -- scientists flock to these journals that already have high impact factors.
    Still, they are better than anything else.
    j.

  25. Re:Forgive my language by Dasher42 · · Score: 5, Insightful

    The more any industry is regulated, the more it will concentrate into fewer and larger organizations. Big companies can cope with the regulation, but the compliance costs drive smaller competitors out, or push them to be acquired by larger organizations.

    That's an interesting observation, but I think it's actually the other way around. The more wealth concentrates, the more the elite will lean on the government to issue laws that secure their wealth, and tilt the odds in favor of their acquiring more. There is no non-disruptive way to hold this in check once this happens. You cannot legislate against money's corruption. People can be bought - period. This makes systems of political checks and balances incompletely, because wealth is power, power corrupts, and economic power is most other forms of power spring from.

    This is why I am absolutely in favor of redistribution of wealth. I approve of Norway's lack of a sharp division between rich and poor.

  26. Elsevier is more to blame than Merck by Mutatis+Mutandis · · Score: 4, Interesting

    It is not particularly outrageous in itself that a drug manufacturer should collect a few papers that report favourable data on its products, bundle them with a few adverts and some marketing materials, and hand them out at conferences and trade shows. This happens all the time and it does little harm because you know who the sponsor is, and of course that you should not expect full objectivity.

    The problem is in the disguise: Elsevier, a respectable publisher of scientific journals, apparently has a side business "Excerpta Medica", which states on its website that "Excerpta Medica Helps Pharma Companies Fulfill 2009 Pharma Guidelines with Elsevierâ(TM)s Physician and Patient Educational Content." In other words, Excerpta Medica is a marketing organisation that serves pharmaceutical companies. It seems highly unwise for a large scientific publisher to run a side business of this nature, which screams "conflict of interest" pretty loud.

    The moral figleaf is provided by the "2009 Pharma Guidelines", issued by the PhRMA. However, the PhRMA is essentially a lobby organization for the pharmaceutical companies. Being a lobbyist is not necessarily evil, and no doubt self-regulation can be a good thing, but nevertheless this figleaf is a bit too small to cover Elsevier's shame: Essentially Excerpta Medica is vowing to obey the moral standards defined by its own customers!

    The selling point, of course, is obvious: Elsevier holds copyrights to a vast amount of scientific publications, both journals and books, so it can churn out impressive compilations on demand. Or, as they put it on their website "we can leverage the resources of the worldâ(TM)s largest medical and scientific publisher."

    We can only hope that most of these publications will have been peer-reviewed earlier, but Excerpta's website also makes it clear that "authors take full responsibility for the content of their manuscripts" and the editor of the publication is "an outside expert". In other words, Elsevier lends it good name to promotional materials, but declines responsibility for their content.

  27. Re:Misleading or Deceptive Conduct by tomhudson · · Score: 5, Insightful

    That would be like suing HP for selling the Laserjets that were used to print it.

    Nope - the publisher actually gets to see the content before publishing it. What if they put out a magazine full of kiddie porn? Could they claim "we only publish it?" Didn't think so.

    You're confusing the publisher with the printer. The publisher is responsible for hiring the editors (you know, the people who are supposed to be reviewing what's published - unless it's slashdot), etc., and will contract with a printing company for the actual print run.

  28. Re:I sense a serious hand-slapping in Merck's futu by Scrameustache · · Score: 4, Informative

    suggests that we may be dealing with shills.. But I shudder to think that slashdot is such a high-profile news site for drug companies, that they'd bother.

    I once had a job offer to be an "online forum participant", you needed to have already established identities in many popular discussion boards and be willing to create more and maintain them with daily participation.

    Astroturfing is apparently done now by hiring a company with shills established where you want to have a say, not by specific companies engaging the forums directly.

    --

    You can't take the sky from me...

  29. Re:Misleading or Deceptive Conduct by hankwang · · Score: 5, Interesting

    Elsevier is a major scientific publisher; ... and university libraries will look more closely at the subscription package deals which is where the journal publishers make most of their money.

    Well, ask any librarian who has to deal with Elsevier Science about their opinion. Elsevier is the Microsoft of the scientific press. Elsevier charges subscribers as much as they can afford, completely unrelated to the costs related to producing the journal. Typically, they will start a new journal, get some reputable professors to participate in the editorial board. If the journal has enough papers that are being cited, Elsevier increases the subscription price, knowing that a university that does research in the particular niche that the journal covers must have a subscription regardless of the price.

    A while ago, I did a price comparison of a couple of journals. The (non-profit) American Physical Society publishes the reputable Physical Review journals (A-E and Letters). An institutional subscription (up to 500 people or so) costs about €0,10 per page IIRC. (There are quite a few pages per year, though) Science and Nature, published by for-profit companies, charge significantly more, I think around €0,60 per page. One of the more reputable Elsevier journals, Chemical Physics Letters, costs €2 per page! That means that a journal that has 5000 pages per year sets you back by 10 k per year. And those prices for Elsevier tend to increase every year.

    It doesn't surprise me in the least that Elsevier would do something unethical that makes them money. If you're a scientist and considering to publish papers, avoid citing papers published in Elsevier journals and don't publish there yourself.

  30. Re:Misleading or Deceptive Conduct by digitalderbs · · Score: 4, Interesting

    They're already slipping. I try to avoid Elsevier when I publish my articles. Look at this journal, for instance :

    http://www.elsevier.com/wps/find/journaldescription.cws_home/623042/description#description

  31. Re:I sense a serious hand-slapping in Merck's futu by cusco · · Score: 5, Interesting

    Wild salmon have pink or orange meat because they eat krill and such that have red pigment that gets deposited in their flesh. Farmed salmon or fresh water salmon have white flesh naturally because they don't get krill in their diet. Salmon farmers now feed them red dyes to change their meat to the color that consumers expect.

    --
    "Think about how stupid the average person is. Now, realise that half of them are dumber than that." - George Carlin
  32. Ahem by IdahoEv · · Score: 4, Informative

    You are SERIOUSLY overestimating the value of medicine.

    Many of the most significant advances in medical science over the past 100 years has to do with a better understanding of nutrition and hygiene.

    Oh geez. Yes, our understanding of nutrition and hygiene have added significantly to our lifespan. But overestimating the value of medicine? No, "most sicknesses" are not caused by what we eat. A very few of the classic illnesses - scurvy, for example - were caused by nutrient deficiencies. Most of the rest are caused by infectious migroorganisms or viruses, autoimmune reactions, injury/trauma, genetic abnormality, or aging. Come on, man: the last 150 years have seen the development of:

            Vaccinations - clearly "medicine", they are responsible for saving more lives than anything else in history. Because of them we basically no longer suffer from Diptheria, Measles, Mumps, Pertussis, Polio, Smallpox, and Tetanus. Are you aware of how many people these diseases, in combination, used to kill?

            Antibiotics - Antibiotics have changed hundreds of bacterial diseases from universal death sentences to something generally handled by a single quick trip to the doctor. Among them are a few you might have heard of: Syphilis, Leprosy, Cholera, and the Black Plague. Antibiotics also have reduced the danger of infection from surgery by, oh, 95% or so, making surgery a much more realistic proposition.

            Radiation therapy and chemotherapy - when combined with improved surgery, they have changed cancer from a death sentence to something we can cure over 50% of the time (across all forms of cancer ... there are some we can cure 95% now).

            Diagnostic Imaging - starting with X-rays, and progressing to MRIs and CAT scans, the ability to see inside the body without opening it allows doctors to discover what's going on inside - making the planning of proper intervention (surgical or otherwise) possible, and even more importantly making it more possible to avoid unnecessary or unhelpful intervention.

            Diagnostic Biochemistry - It's pretty cool that now we can actually tell the difference between a virus and a bacterium, for example, and that we can diagnose diabetes, high LDL cholesterol, and a thousand other conditions through simple blood tests.

    Nutrition is a great thing. But the rest of medicine has made some pretty damn big contradictions that you are too quick to discount.

    --
    I stole this sig from someone cleverer than me.