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Re:How many medical studies are faked or flawed? by somenameforme on Tuesday September 19, 2023 @01:17PM (#37573105)
"For more than 150 trials, Carlisle got access to anonymized individual participant data (IPD). By studying the IPD spreadsheets, he judged that 44% of these trials contained at least some flawed data: impossible statistics, incorrect calculations or duplicated numbers or figures, for instance. And in 26% of the papers had problems that were so widespread that the trial was impossible to trust, he judged — either because the authors were incompetent, or because they had faked the data."

So, 70% fake/flawed. The finding falls in line with other large scale replication studies in medicine, which have had replication success rates ranging from 11 to 44%. [1] It's quite difficult to imagine why studies where a positive outcome is a gateway to billions of dollars in profits, while a negative outcome would result in substantial losses, might end up being somehow less than accurate.

[1] - https://en.wikipedia.org/wiki/Replication_crisis#In_medicine

Re:How many medical studies are faked or flawed? by cypress66 on Tuesday September 19, 2023 @01:22PM (#37573165)
You don't need "big pharma" for this. Researchers at universities also do these kinds of things because it helps them advance their careers.
Re:How many medical studies are faked or flawed? by jermaustin1 on Tuesday September 19, 2023 @01:27PM (#37573235)
>helps them advance their careers

... into the multi-billion dollar companies GP is talking about.

Re:How many medical studies are faked or flawed? by Tenoke on Tuesday September 19, 2023 @01:35PM (#37573350)
A lot who stay purely in Academia do it as well, presumably for the prestige.
Re:How many medical studies are faked or flawed? by Ilverin on Tuesday September 19, 2023 @01:45PM (#37573470)
Well you need peer reviewed papers in highish impact journals to get tenure. For some people, the only way they're getting that is by cheating.
Re:How many medical studies are faked or flawed? by BurningFrog on Tuesday September 19, 2023 @01:58PM (#37573680)
Doing research has a lottery element. You explore something that might reveal an important discovery. And sometimes it just doesn't.

That doesn't mean you're a bad scientist, just an unlucky one. But it does mean you can't get tenure.

So it's easy to understand why people fake results to secure a career.

Re:How many medical studies are faked or flawed? by autoexec on Tuesday September 19, 2023 @04:55PM (#37576459)
> That doesn't mean you're a bad scientist, just an unlucky one. But it does mean you can't get tenure.

That sounds like a really easy problem to solve. Just treat valid science as important regardless of the results. The results shouldn't matter unless they've been replicated and verified anyway.

Re:How many medical studies are faked or flawed? by vitalurk on Tuesday September 19, 2023 @05:53PM (#37577373)
Too easy. Define "valid" though.
Re:How many medical studies are faked or flawed? by autoexec on Tuesday September 19, 2023 @05:59PM (#37577461)
Valid as in meaningfully peer reviewed to avoid flawed/badly designed studies as well as total garbage (for example https://nerdist.com/article/fake-star-wars-midi-chlorian-pap...) but the gold standard should be replication.

We should reward quality work, not simply the number of research papers (since it's easy to churn out trash) or what the results are (because until they are verified they could be faked).

Re:How many medical studies are faked or flawed? by vitalurk on Tuesday September 19, 2023 @09:02PM (#37579186)
I wholeheartedly agree.
Re:How many medical studies are faked or flawed? by BurningFrog on Tuesday September 19, 2023 @11:15PM (#37580026)
It's a really easy solution to describe.

Actually implementing it across the academic world seems much harder.

Re:How many medical studies are faked or flawed? by robwwilliams on Tuesday September 19, 2023 @09:58PM (#37579570)
It is not all that difficult to select or find an interesting scientific questions for which a Yes, a No, or even a Maybe is publishable and interesting. Two on my highest impact studies have been fun “No” studies—-

1. No, there is minimal or no numerical matching between populations of neurons in retina (ganglion cells) and populations of principal neurons in their CNS target (the thalamus). That demolished the plausible/attractive numerical matching hypothesis. I was trying valiantly to support it ;-)

https://pubmed.ncbi.nlm.nih.gov/14657177/

2. No, there is no strong coupling of volumes of different brain regions due to “developmental constraints” in brain growth patterns. https://pubmed.ncbi.nlm.nih.gov/23011133/

That idea just struck me as silly from an evolutionary and comparative perspective. We were happy to call it into doubt.

I suspect many of the comments are being made by damn fine programmers who know right from wrong ;-) a la Dijkstra. But in biology and clinical research, defining right and wrong is an ill-defined problem with lots of barely tangible and invisible confounders.

We should still demand well designed, implemented, and analyzed experimental or observational data sets.

However, that alone is not nearly enough to ensure meaningful and generalizable results. The meta-analyses were supposed to help at this level for clinical trials but have been gamed by bad actors with career objective that don’t consider patient outcomes even a bit.

Highlighting the problem is a huge step forward and it looks like AI may provide some near-future help along with more complete data release requirements.

If you have done biology—- Hot. Wet. Mess. But beautiful.

Re:How many medical studies are faked or flawed? by autoexec on Tuesday September 19, 2023 @04:52PM (#37576392)
Peer review is a joke. Too often it's a rubber stamp because there's no accountability for journals that fail to do the job. Unless peer review means something, the standard should change so that published papers only count if they're independently replicated and verified.
Re:How many medical studies are faked or flawed? by lmm on Tuesday September 19, 2023 @06:53PM (#37578184)
It's worse than that: if enough people cheat, even the best people can't make the grade without cheating.
Re:How many medical studies are faked or flawed? by robwwilliams on Tuesday September 19, 2023 @09:35PM (#37579420)
Some = very few in my experience over 40 years.
Re:How many medical studies are faked or flawed? by rqtwteye on Tuesday September 19, 2023 @02:05PM (#37573772)
I would think a successful study is way better for your academic career than a failed study.
Re:How many medical studies are faked or flawed? by ethanbond on Tuesday September 19, 2023 @03:59PM (#37575633)
Which is why you fake your data into looking successful, and you don’t even go through the effort of publishing the failed studies (leading to its own additional problems in understanding what’s true and what we know)
Re:How many medical studies are faked or flawed? by LMYahooTFY on Tuesday September 19, 2023 @02:10PM (#37573850)
What's your point? We have "big pharma" for this.

Do you think CocaCola and the Sacklers had their own unique ideas shared by no one else? That we've filtered all scrupulous people out of industry?

Scruples are an abstraction at that scale.

Re:How many medical studies are faked or flawed? by smcin on Tuesday September 19, 2023 @05:33PM (#37577071)
Is the Coca-Cola mention about their campaign to influence CDC research and policy [0], and pro-obesity astroturf [1][2]?

[0]: Politico "Coca-Cola tried to influence CDC on research and policy, new report states" [https://www.politico.com/story/2019/01/29/coke-obesity-sugar...]

[1]: "Evaluating Coca-Cola’s attempts to influence public health ‘in their own words’: analysis of Coca-Cola emails with public health academics leading the Global Energy Balance Network" https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10200649/

[2]: Forbes: "Emails Reveal How Coca-Cola Shaped The Anti-Obesity Global Energy Balance Network" https://www.forbes.com/sites/nancyhuehnergarth/2015/11/24/em...

Re:How many medical studies are faked or flawed? by smu3l on Tuesday September 19, 2023 @02:35PM (#37574206)
> Researchers at universities also do these kinds of things because it helps them advance their careers.

This is a huge problem and in my opinion is mostly due to bad incentive structures and bad statistical/methodological education. I'm sure there are plenty of cases where there is intentional or at least known malpractice, but I would argue that most bad research is done in good faith.

When I was working on a PhD in biostatistics with a focus on causal inference among other things, I frequently helped out friends in other departments with data analysis. More often than not, people were working with sample sizes that are too small to provide enough power to answer their questions, or questions that simply could not be answered by their study design. (e.g. answering causal questions from observational data*).

In once instance, a friend in an environmental science program had data from an experiment she conducted where she failed to find evidence to support her primary hypothesis. It's nearly impossible to publish null results, and she didn't have funding to collect more data and had to get a paper out of it.

She wound up doing textbook p-hacking; testing a ton of post-hoc hypotheses on subsets of data. I tried to reel things back but I couldn't convince her to not continue because "that's how they do things" in her field. In reality she didn't really have a choice if she wanted to make progress towards her degree. She was a very smart person, and p-hacking is conceptually not hard to understand, but she was incentivized to not understand it or to not look at her research in that way.

* Research in causal inference is mostly about rigorously defining the (untestable) causal assumptions you must make and developing methods to answer causal questions from observational data. Even if an argument can be made that you can make those assumptions in a particular case, there is another layer of modeling assumptions you'll end up making depending on the method you're using. In my experience it's pretty rare that you can really have much confidence that your conclusions about a causal question if you can't run a real experiment.

Re:How many medical studies are faked or flawed? by bigfudge on Tuesday September 19, 2023 @03:50PM (#37575493)
It’s so interesting to hear you say that. I became disillusioned with causal methods for observational data for similar reasons. You can’t often model your way to interesting inferences without an experiment.
Re:How many medical studies are faked or flawed? by Zalastax on Tuesday September 19, 2023 @01:50PM (#37573551)
Is there not full or at least partial overlap between the 44 % and the 26 %? Which would mean not 70 % but some smaller number?
Re:How many medical studies are faked or flawed? by morelisp on Tuesday September 19, 2023 @01:50PM (#37573565)
> The finding falls in line with other large scale replication studies in medicine, which have had replication success rates ranging from 11 to 44%.

These numbers seem almost wholly unrelated. A perfectly good study may be extremely difficult to replicate (or even the original purpose of replication - the experiment as described in the paper may simply not be sufficient); and an attempt at replication (or refutation), successful or not, is under the same pressure to be faked or flawed as the original paper.

Re:How many medical studies are faked or flawed? by qt31415926 on Tuesday September 19, 2023 @01:52PM (#37573596)
I don't think the statement reads that the 44% and the 26% should be additive. Especially given the zombie graphic where it looks like they overlap the 26 on top of the 44, where the orange bar is the 26% and the remaining yellow bar is the 44%
Re:How many medical studies are faked or flawed? by NotHowStatsWork on Tuesday September 19, 2023 @01:59PM (#37573699)
"So, 70% fake/flawed."

I think you miss read that section? Only were 44% fake or flawed acording to this study.

The 26% that were very flawed is a subset of the 44% that were flawed in general. So those precentages should not be added together.

Re:How many medical studies are faked or flawed? by cycomanic on Tuesday September 19, 2023 @03:27PM (#37575106)
Oh the irony!
Re:How many medical studies are faked or flawed? by queuebert on Tuesday September 19, 2023 @09:25PM (#37579357)
Are you saying the comment's analysis was ... flawed?
Re:How many medical studies are faked or flawed? by adasdasdas on Tuesday September 19, 2023 @02:10PM (#37573845)
I also see similar findings in tech where most experiment results are "fudged". In some cases, people run the "same" experiment 5+ times until one is stat sig.
Re:How many medical studies are faked or flawed? by paulusthe on Tuesday September 19, 2023 @02:16PM (#37573941)
It's more complex than just that. Sure, there's the people trying to make a dollar who are willing to do bad science in order to get the result they want. But there's also the general publication bias against replication studies - who wants to read them, and who wants to do them (they're not usually seen as prestigious academically: most academics want to test their ideas, not those of others.

And then there's cultural differences in which people sometimes see a negative result as a "failure", don't publish it as a result, and instead skew the data and lie their asses off in order to gain prestige in their career. As long as nobody double checks you, you're good.

Re:How many medical studies are faked or flawed? by autoexec on Tuesday September 19, 2023 @04:45PM (#37576281)
> ut there's also the general publication bias against replication studies - who wants to read them, and who wants to do them (they're not usually seen as prestigious academically: most academics want to test their ideas, not those of others.

Academia seems like the idea place for this. Why not require a certain number of replicated studies in order to get a degree? Universities could then be constantly churning out replication studies.

More importantly, why do we bother taking anything that hasn't been replicated seriously? Anyone who publishes a paper that hasn't been verified shouldn't get any kind of meaningful recognition or "credit" for their discovery until it's been independently confirmed.

Since anyone can publish trash, having your work validated should be the only means of gaining prestige in your career.

Re:How many medical studies are faked or flawed? by cm2012 on Tuesday September 19, 2023 @10:20PM (#37579712)
Maybe a school should start giving PhDs for good replications.
Re:How many medical studies are faked or flawed? by costigan on Tuesday September 19, 2023 @02:29PM (#37574111)
I think you misread the article slightly. The 26% of zombie papers are inside the 44% of papers that contained at least some flawed data. Look at the figure just below this quote where the blue bar, indicating papers he thought were ok, covers more than 50%.
Re:How many medical studies are faked or flawed? by crazygringo on Tuesday September 19, 2023 @03:26PM (#37575083)
Which, ironically, just shows how easy it is to make mistakes not just in complicated statistical methods, but in basic interpretation of what numbers mean in the first place.
Re:How many medical studies are faked or flawed? by SubiculumCode on Tuesday September 19, 2023 @05:50PM (#37577326)
not to mention that everyone here forgets to mention that the majority of submitted papers with suspected fraud came from countries with known issues with fraudulent science publishing. e.g. China. The USA, for example, looked much better (although not perfect) at 6% zombie.
Re:How many medical studies are faked or flawed? by robwwilliams on Tuesday September 19, 2023 @09:29PM (#37579387)
This. Scientific corruption probably correlates well with political corruption by nation and region.
Re:How many medical studies are faked or flawed? by onlyrealcuzzo on Tuesday September 19, 2023 @03:18PM (#37574940)
As someone who works in Data Science at FAANG - if you look hard enough - there is something questionably wrong in every step of the data funnel.

And that's when I believe people do have a somewhat best effort to maximize profits. There are plenty of people that only care about career progression and think they can get away with lying and cheating their way to the top. They wouldn't believe that if it didn't work sometimes.

These medical studies are also run mainly to maximize profits, also by some career climbers. They are not run virtuously for the betterment of society.

So I would be astounded if they are as reliable as people might like to believe.

Maybe I'm just being grossly skeptical. Actually, I'd feel better if someone could convince me I'm completely unfounded here.

Re:How many medical studies are faked or flawed? by shaburn on Tuesday September 19, 2023 @03:59PM (#37575625)
Really curious how a profitable industry like medical research ranks against less profitible.
Re:How many medical studies are faked or flawed? by verisimi on Tuesday September 19, 2023 @04:03PM (#37575700)
I don't think that's skeptical.

I do think there is an even worse issue - which is funding. The money incentive means you can fund studies that support whatever you want.

Re:How many medical studies are faked or flawed? by ancorevard on Tuesday September 19, 2023 @04:06PM (#37575753)
"And that's when I believe people do have a somewhat best effort to maximize profits."

Nope. I actually think that if you do scientific research as a company (profit) it may make you less bad/less likely to do fraud compared to academia (non-profit).

Reason is that there are more ways to punish you, employees, board, investors, etc in a profit seeking vehicle, and as a profit seeking vehicle being caught must be part of the profit seeking calculation – in the end, the world of reality/physics will weigh your contribution.

I believe there is evidence that there is more fraudulent scientific research happening in non-profit vehicles/academia. Take for example an area where there are fewer profit seeking companies participating - social sciences. It's dominated by academia. Now look at the replication rate of social sciences.

Re:How many medical studies are faked or flawed? by spicymapotofu on Tuesday September 19, 2023 @04:13PM (#37575847)
All three points in last paragraph seem wholy unrelated to each other and your larger point. I agreed with first half.
Re:How many medical studies are faked or flawed? by screye on Tuesday September 19, 2023 @04:59PM (#37576523)
I have a simpler reason for the same belief.

You can fake everything except a well designed A/B test. At FAANG scale, a statistically significant A/B test requirement will stop the worst fraud before it hits the user.

Re:How many medical studies are faked or flawed? by onlyrealcuzzo on Tuesday September 19, 2023 @05:15PM (#37576803)
And also - you can somewhat take care of bugs by evenly distributing them to your test & control group.
Re:How many medical studies are faked or flawed? by fshbbdssbbgdd on Wednesday September 20, 2023 @12:19AM (#37580331)
FAANG engineers: “hold my beer”

Seriously though, as a person who has built related systems at FAANG, yes this problem exists there. Your beautiful cathedral of an A/B testing framework is covered in knobs that are just perfect for p-hacking.

Re:How many medical studies are faked or flawed? by muzani on Tuesday September 19, 2023 @07:40PM (#37578597)
I used to work data entry as a research assistant, for some non-profit academia.

We saw flaws in the data collection - basically the people tasked to collect data were being lazy and some were making stuff up. We know the made up stuff when we see it. Outliers are fine and some groups do better than expected, but an entire group from one data collecter shouldn't be 100% outliers.

But we had to enter the data anyway. We were told to smooth the bad data to what was expected. So the outliers that were low were smoothed high, the high outliers were left alone because they seemed right. But those of us who were spending hundreds of hours on data entry had an intuitive feel of what an outlier looked like.

IMO everything should have been entered as is and the computer data would just be filtered out if it was deemed from a corrupt source. But the data in the computer was biased to match what the research wanted to prove.

So I agree that non-profits can be corrupt too, just because of the incentives each part of the way. We were being paid about half a cent per column of data. So some assistants were lazy and filling in data that could be right, or skimming on fields like address which are longer and less likely to be flagged.

Re:How many medical studies are faked or flawed? by efitz on Tuesday September 19, 2023 @08:14PM (#37578855)
Exactly this.

So many people have the opinion that private research must be flawed because of the profit motive, but the profit motive ensures that someone will be motivated to take oversight seriously, and have the power to punish misbehavior.

Free markets, as ugly as they are sometimes, are still the best way we have of ensuring that incentives align with outcomes.

Re:How many medical studies are faked or flawed? by eru on Tuesday September 19, 2023 @10:45PM (#37579862)
You might like https://gwern.net/backstop

War also works, to a certain extent, as a source of truth to align incentives with outcomes. But it's horribly expensive even in terms of economics alone, not to mention the human tragedy.

Luckily free markets work as a backstop, too. Add in free movement of people (who often want to come to better run places), and free movement of capital, and you have a winning combination.

Another stroke of luck: even if you only implement a very partial version of 'free', you still get partial benefits. Slightly freer markets are typically slightly more efficient. It's not an all or nothing proposition.

Re:How many medical studies are faked or flawed? by metta2uall on Tuesday September 19, 2023 @08:14PM (#37578857)
But work in social sciences will often be inherently harder to replicate due to, for example, groups of human beings being more complex than groups of proteins - so there are a lot more variables, confounding factors, difficulties doing double-blind randomised trials, and so on...
Re:How many medical studies are faked or flawed? by eru on Tuesday September 19, 2023 @10:41PM (#37579838)
Yes, but that's why the companies like Google or Facebook spend so much time and effort on their social science experiments.

Granted, they are mostly interested in a very small sliver of social science: 'how can you get people to directly or indirectly spend more time online and look at more ads'; but they are very, very interested in getting robust results that replicate well. They are also interested in figuring out how the results vary between different cultures and over time.

Re:How many medical studies are faked or flawed? by jcranmer on Tuesday September 19, 2023 @09:34PM (#37579418)
I think it's true that industry is more likely to produce reliable research compared to academia, but for a different reason.

In academia, you essentially have the student who does the work, the professor, and the person who funded the grant, and that's essentially the sum total of people supervising the data. There's not a lot of people to call you out on fudged (or outright faked) data, and all of them are likely to be very invested in the success of the research.

Turn to industry, and you have a similar set of people--the worker, the manager, and the head of the research department--except maybe a few more levels of manager (depending on the scale of the project). But since the goal is usually productization in industrial research, you usually have to turn to the product divisions and convince their executive chain as well of the merits of your research. And unlike everybody else mentioned so far, this group of people isn't invested in the success of the research. You might even be competing against other research teams that have different alternatives, and those people are going to be actively invested in the failure of your research so that their research makes it instead.

Re:How many medical studies are faked or flawed? by eru on Tuesday September 19, 2023 @10:40PM (#37579827)
Also the guys in the product team are interested in whether they can actually reproduce eg your novel synthesis method for your favourite molecule on a large scale.

The 'product' of academic research is a published paper. The product of industrial research is an actual product.

(This does not apply when your research is about eg effectiveness of a new drug. The product people can sell that drug on the strength of that research. Whether that research replicates or not is only of indirect concern in that case.)

Re:How many medical studies are faked or flawed? by jonlucc on Tuesday September 19, 2023 @09:57PM (#37579561)
Completely anecdotally, I find this to be true. I do pre-clinical research (disclaimer: for a pharma company), and if you hand me a paper describing some research result in my field, it’s much more likely to reproduce in my hands if it’s from industry. I know from talking to my academic research friends that there are a ton of shortcuts, rotating inexperienced staff, and misaligned incentives. I’m not saying pharma is perfect, but in my experience, they’re more reproducible.

Fwiw, I do not know of any data in my realm which have been molded, cherry picked, intentionally misrepresented, falsified, or otherwise fake or flawed. I don’t work with clinical trial data, so if that were happening, it wouldn’t be on my desk.

Re:How many medical studies are faked or flawed? by RoyalHenOil on Wednesday September 20, 2023 @08:05AM (#37583151)
I used to work in agricultural R&D in the private sector, and we collaborated with several universities.

The biggest difference I saw was that universities were very short-term focused, while we were more long-term focused.

The universities had a constant churn of personnel, as new PhD candidates appeared and old ones left, whereas our own researchers and technicians stuck around for far longer.

Additionally, they were so hyperfocused on grants and papers that they tended to not put as much effort into replication, since that didn't pay their bills. By comparison, we typically repeated our experiments ad nauseum; it was common for us to perform the same experiment twice a year (once in the northern hemisphere and then again in the southern hemisphere) for a decade or more, gradually iterating and refining our processes along the way.

Even if we initially got negative results, we'd beat that dead horse for a few years to make sure. Occasionally it turned out not to be so dead after all.

Re:How many medical studies are faked or flawed? by hackncheese on Tuesday September 19, 2023 @04:09PM (#37575799)
Objectivity and honesty can be hard to find if all someone cares about is their reputation as a competent researcher or climbing the ladder. What do you think a potential solution would be for this? I feel like even in my own experience, trying something out and it not working feels like failure, when in fact to proclaim it a success or "fix" it is truly what harms both the endeavor for truth and the people reliant on the outcomes of these surveys
Re:How many medical studies are faked or flawed? by autoexec on Tuesday September 19, 2023 @04:41PM (#37576210)
> Objectivity and honesty can be hard to find if all someone cares about is their reputation as a competent researcher or climbing the ladder.

It seems like destroying the reputation and career of people who fake science would be a great start. If you're willing to fake data and lie to get results, there will always be an industry who'd love to hire you no matter how tarnished your reputation is. We need a better means to hold researchers accountable and we need to stop putting any amount of faith in any research that hasn't been independently verified through replication.

Today the lobby for orange juice manufactures can pay a scientist to fake research which shows that drinking orange juice makes you more attractive, and then pay publications to broadcast that headline to the world to increase sales. We should have some means to hold publications responsible for this as well.

Re:How many medical studies are faked or flawed? by cutemonster on Tuesday September 19, 2023 @05:08PM (#37576686)
> destroying the reputation and career of people who fake science would be a great start

When so many reports are faulty and fraudulent, that might instead be the great start of destroying the careers of those who would have revealed the fraudulent research?

I wonder what'd happen if researchers got compensated and funding based on other things, unrelated to papers published. But what would that be

Re:How many medical studies are faked or flawed? by eru on Tuesday September 19, 2023 @10:48PM (#37579885)
> I wonder what'd happen if researchers got compensated and funding based on other things, unrelated to papers published. But what would that be

See what they do in the parts of industry where they need their research to work.

Eg how do battery manufacturers compensate and incentives their researchers that are aiming to improve various characteristics of batteries? How do steel mills manage and reward their metallurgists? How does Intel's research work?

Re:How many medical studies are faked or flawed? by cutemonster on Thursday September 21, 2023 @05:10AM (#37595112)
Aha, so they get paid the same, regardless of if their research works or not. And possibly some bonuses if things go well for the company? And if they all the time do nothing useful and manipulate data, they get fired?

But that's different from a PhD student -- they're not embedded in any organization that would notice if the research works or not?

Maybe if the universities partnered somehow with different companies, and the researchers got extra compensation if a company decided to make real world use of the research?

(On top of some base salary)

But who would determine if a company had made use of a certain research paper? What would the company gain, by keeping track and reporting back? Maybe more good research

(but I'd guess few companies would be that much forward-looking?)

Re:How many medical studies are faked or flawed? by eru on Friday September 22, 2023 @12:25AM (#37607854)
> Aha, so they get paid the same, regardless of if their research works or not.

I don't know. Is that speculation on your part, or something you figured out?

> But who would determine if a company had made use of a certain research paper? What would the company gain, by keeping track and reporting back? Maybe more good research

> (but I'd guess few companies would be that much forward-looking?)

That's why I am saying we should look what real companies are actually doing already in reality. We might have to leave our armchairs for that.

Re:How many medical studies are faked or flawed? by cutemonster on Saturday September 23, 2023 @07:20AM (#37622224)
> Is that speculation on your part, or something you figured out

That's just normal monthly wages, how things usually work.

> look what real companies are actually doing already

But you can't look at what companies are doing now, to find out if new research is useful? The companies can't yet have started doing the things that any new & good research enables (since it wasn't known before).

Could take years until they make use of the research

(But maybe you meant something else)

Re:How many medical studies are faked or flawed? by eru on Sunday September 24, 2023 @10:02AM (#37633216)
I mean look at what companies have been doing in the past to organise and incentivise research, and see what worked.

Look at what processes worked (and didn't work!). Not at what specific inventions worked.

Re:How many medical studies are faked or flawed? by cutemonster on Monday September 25, 2023 @05:38AM (#37641361)
If you have any books or articles you like related to that, it'd be interesting to hear :-)

(Research by Google about psychological safety comes to my mind.)

Re:How many medical studies are faked or flawed? by JacobThreeThree on Tuesday September 19, 2023 @06:34PM (#37577946)
>Actually, I'd feel better if someone could convince me I'm completely unfounded here.

Unfortunately, your skepticism is not unfounded. Those in the industry conclude the same. Take, for instance, the editor in chief of The Lancet:

>The case against science is straightforward: much of the scientific literature, perhaps half, may simply be untrue. Afflicted by studies with small sample sizes, tiny effects, invalid exploratory analyses, and flagrant conflicts of interest, together with an obsession for pursuing fashionable trends of dubious importance, science has taken a turn towards darkness.

https://www.thelancet.com/journals/lancet/article/PIIS0140-6...

Re:How many medical studies are faked or flawed? by hotnfresh on Tuesday September 19, 2023 @06:38PM (#37578004)
I’ve literally never seen data-driven business decisions that weren’t using fatally flawed datasets or methods so bad that you’d be a fool to believe you were getting anything but gibberish out of them, except in trivial cases.

You quickly learn not to be the guy pointing out the problem that means we’ll need several people and months or years to gather and analyze data that would allow them to (maybe) support or disprove their conclusion, though. Nobody wants to hear it… because they don’t actually care, they just want to present themselves as doing data-driven decision making, for reasons of ego or for (personal, or company) marketing. It’s all gut feelings and big personalities pushing companies this way and that, once you cut through the pretend-science shit.

“Yeah, that graph looks great (soul dies a little) let’s do it”

Re:How many medical studies are faked or flawed? by geoduck14 on Tuesday September 19, 2023 @08:03PM (#37578786)
>Nobody wants to hear it… because they don’t actually care, they just want to present themselves as doing data-driven decision making

Oh, that hits home

Re:How many medical studies are faked or flawed? by lettergram on Tuesday September 19, 2023 @08:44PM (#37579082)
I know someone who’s fabricated almost all their work. Their lab leads always cover it up and don’t retract their work. The crazy part is this person has failed upwards and is currently a senior researcher at a major research institution. They’ve been at UCLA and UCSF for medical research.

Absolutely insane to watch.

Re:How many medical studies are faked or flawed? by codingdave on Tuesday September 19, 2023 @03:50PM (#37575491)
> Carlisle got access to anonymized individual participant data (IPD)

I'm not in the industry so my question might have an obvious answer to those of you who are: How would one go about getting IPD if you wanted to run your own analysis of trial data or other data-driven research?

Re:How many medical studies are faked or flawed? by misterdad on Tuesday September 19, 2023 @04:10PM (#37575824)
You'll need to reach out to the study authors with a request. If they are interested (you're going to publish something noteworthy with a citation for them (low chance), you want to bring them in on some funded research (better chance), etc) then they'll push it to their Institutional Review Board (a group of usually faculty and sometimes administrative staff at a University/Hospital/Org) who will review the request, the conditions of the initial data collection, legal restrictions, and then decide if they'll proceed with setting up some sort of IRB agreement / data use agreement. Unless you're a tenured professor somewhere or a respected researcher with some outside group then you probably won't get past any of those steps. Even allegedly anonymized data comes with the risk of exposure (and real penalties) not to mention the administrative overhead (expense, time, attention) that you'll need to be able to cover the cost of through some funded research. That research, btw, will also need to be through some IRB structure. You can tap a private firm that acts as an IRB but that's another process entirely and most certainly requires fat stacks of cash. Legal privacy concerns, ethical concerns, careerism (nobody wants you to find the 'carry the two' you forgot so you can crash their career prospects), bloated expenses (somebody has to pay for all of that paperwork, all those IRB salaries, etc) and etc, etc, etc all keep reproducibility of individual data frozen. Even within the same institution. Within the same team! You have to tread lightly with reproduction.
Re:How many medical studies are faked or flawed? by 1vuio0pswjnm7 on Tuesday September 19, 2023 @04:26PM (#37576026)
"It's difficult to imagine why studies where a positive outcome is a gateway to billions of dollars in profits, while a negative outcome would result in substantial losses, might end up somehow less than accurate."

Note that "studies" generally means "clinical studies" and this is also true for the Wikipedia reference. That's only one category of scientific publication.

Today we see people trying to cast doubt on all scientific research based on examination of clinical or pre-clinical studies. Then we have people who want to weaken the powers FDA. Would that increase or decrease the amount of fake/flawed data. No doubt the US could be the world leader in Snake Oil if we just got rid of all those burdensome FDA requirements.

Sometimes when a company is developing a therapeutic, a paper is published by an academic that in some way casts doubt on the future potential of the therapeutic. The company's management may become quite distressed; they may try to sign an agreement with the author with confidentiality provisions in order to silence him. The company may try to portray the author as a "maverik" in the scientific community, but the paper is never assumed to be flawed/fake. It is taken seriously.

The point is that even if there is a preponderance of fake/flawed data in scientific publications, we still have to separate the wheat from the chaff. We have to do that work. The "30%" cannot be dismissed or ignored. We cannot just assume all, or even most, papers are untrustworthy. (Or vice versa.)

Re:How many medical studies are faked or flawed? by SubiculumCode on Tuesday September 19, 2023 @05:43PM (#37577224)
I'd like to point out that the study [1] reported 16 trials from the USA with just one "zombie/fatally flawed" trial. e.g. 6%

Most of the studies that were problematic came from China and Egypt.

In other words, nothing new here.

[1] https://associationofanaesthetists-publications.onlinelibrar...

Re:How many medical studies are faked or flawed? by waterheater on Tuesday September 19, 2023 @06:08PM (#37577597)
Two relevant perspectives to share:

"It is simply no longer possible to believe much of the clinical research that is published, or to rely on the judgment of trusted physicians or authoritative medical guidelines. I take no pleasure in this conclusion, which I reached slowly and reluctantly over my two decades as an editor of the New England Journal of Medicine." -Marcia Angell

"If the image of medicine I have conveyed is one wherein medicine lurches along, riven by internal professional power struggles, impelled this way and that by arbitrary economic and sociopolitical forces, and sustained by bodies of myth and rhetoric that are elaborated in response to major threats to its survival, then that is the image supported by this study." -Evelleen Richards, "Vitamin C and Cancer: Medicine or Politics?"

Re:How many medical studies are faked or flawed? by avalys on Tuesday September 19, 2023 @08:45PM (#37579085)
Ah, but don’t worry folks, those vaccines which generated $40B in profits for Pfizer and Moderna, those are just A-ok. Trust the science, which in this case is perfect, unassailable and uncorruptible (unlike everything else the pharma industry does). Don’t question the faith.
Re:How many medical studies are faked or flawed? by strken on Tuesday September 19, 2023 @09:24PM (#37579340)
"Trust the science" is dumb, but "trust that the single-most reviewed medical studies of the past decade with 30k+ participants aren't outright bullshit" is enough for me. The risk for those studies is probably closer to what happened with Astrazeneca, where a very rare side effect got missed because 30k people weren't enough to detect it.

I think skepticism is healthy to a degree, but ironically, the more adversarial the general public is to an area of study the more rigorous it usually is.

Re:How many medical studies are faked or flawed? by peyton on Tuesday September 19, 2023 @10:04PM (#37579607)
I mean I’m as vaccinated as anyone, but the originally reported 95% effectiveness against symptomatic COVID-19 with the monovalent vaccine just doesn’t seem realistic in hindsight. Who knows what complex set of incentives was at play. If you’re running a trial site and your business relies on continued contracts from Pfizer, are you reporting every cough, fever, or headache?
Re:How many medical studies are faked or flawed? by eru on Tuesday September 19, 2023 @10:35PM (#37579808)
I wonder if the 95% effectiveness was actually true: against the strains prevalent at the time they ran the trial. But effectiveness against later strains was diminished.
Re:How many medical studies are faked or flawed? by downWidOutaFite on Tuesday September 19, 2023 @11:50PM (#37580183)
I don't think the claim was 95% against symptomatic covid, it was against hospitalization or death.

The vaccine was tested against the original virus but Omicron was almost a different disease with much more immune escape. We're lucky the vaccine held up as well as it did. This is also why the alternative doctors that wanted everyone to catch covid to build up herd immunity were wrong, but nobody seems to bring them up. These discussions just devolve into the usual polarized political talking points.

Re:How many medical studies are faked or flawed? by somenameforme on Wednesday September 20, 2023 @02:02AM (#37580863)
Whether the original study said so or not, that is absolutely how it was universally sold to the public. This [1] is a collection of various high profile individuals talking about the efficacy of the vaccines, why that means you won't carry the virus, you won't get sick, and and how that will completely stop the spread of COVID.

It's only as this very obviously failed to be the case that the metric was completely shifted to hospitalization/death. I'd also add this is about the time that the 'public messaging' swapped from talking about efficacy and other topics to outright vitriol and attacks on unvaccinated individuals, which is probably where the politicization of the topic began.

[1] - https://twitter.com/i/status/1472327161352798212

Re:How many medical studies are faked or flawed? by fer on Wednesday September 20, 2023 @03:21AM (#37581368)
> Whether the original study said so or not, that is absolutely how it was universally sold to the public.

Trust the politics, blame the science?

Re:How many medical studies are faked or flawed? by somenameforme on Wednesday September 20, 2023 @04:22AM (#37581775)
By "the politics" you're including individuals like Fauci, the head of the CDC, and so on. These are individuals that were perceived as "the science." Beyond this, a peer comment motivated me to look up the original trial results and reporting. And yeah, it was entirely about cases. Here [1] are the data from Moderna. Oddly enough, it seems to have been moved, if not removed, from their website, but fortunately nothing ever dies on the internet.

"There were 11 COVID‑19 cases in the Moderna COVID‑19 Vaccine group and 185 cases in the placebo group, with a vaccine efficacy of 94.1% (95% confidence interval of 89.3% to 96.8%)."

They were claiming it outright prevented COVID, as vaccines generally do. So "the politics" and "the science" were in lockstep on this one. As were they when they seamlessly dropped this narrative and swapped over to hospitalization/death.

[1] - https://web.archive.org/web/20210202223626/https://www.moder...

Re:How many medical studies are faked or flawed? by beagle3 on Wednesday September 20, 2023 @02:36AM (#37581087)
There is no need to think, you can go read it. There was no indication that it was any help against severe disease, hospitalization, or death. The touted 95% was indeed against some definition of “symptomatic Covid” (a subjective one). In the all cause mortality section, there were more deaths in the vaccine arm than in the placebo arm. (But that was not statistically significant). At any time before 2020, the study would have been laughed at. But scientific standards were thrown out the door in 2020, and have not yet returned. (And … as it turns out from this and similar studies e.g. Ioannidis’ seminal paper showing most research is wrong from 2005 - it wasn’t as good as most people thought in 2020 already)
Re:How many medical studies are faked or flawed? by ghomem on Wednesday September 20, 2023 @06:23AM (#37582501)
I think this was the original paper:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7745181/

Sample size was 43k people split in treatment and control group. Adding it here for context.

Re:How many medical studies are faked or flawed? by avalys on Tuesday September 19, 2023 @10:08PM (#37579629)
Peer review is not a magic spell that reveals the truth. “Most-reviewed” is meaningless here if the underlying data was not collected or reported properly.
Re:How many medical studies are faked or flawed? by strken on Wednesday September 20, 2023 @02:19AM (#37580964)
Peer review, no. Review by a substantial percentage of world-wide immunologists along with everyone who's even remotely interested and a bunch of people who believe your work is killing people, still not a magic spell, but it's a hell of a lot better.
Re:How many medical studies are faked or flawed? by throwoutway on Wednesday September 20, 2023 @08:04AM (#37583139)
Did they review the raw data or did they just read the paper? AFAIK, Pfizer did not release the "summaries" of the data until March 2022 (forced by the FDA if i recall), long after these debates reached critical mass. I don't believe they released the data itself still. Google makes this hard to search for because it's still censoring...
Re:How many medical studies are faked or flawed? by fer on Wednesday September 20, 2023 @03:19AM (#37581347)
Yeah, because hundreds of health authorities simultaneously collecting their own data (often with larger groups of each cohort) wouldn't be able to replicate or disprove the outcome of the original research.
Re:How many medical studies are faked or flawed? by mharig on Wednesday September 20, 2023 @06:57AM (#37582675)
You trust health authorities? Come on.
Re:How many medical studies are faked or flawed? by fer on Wednesday September 20, 2023 @11:11AM (#37585212)
You on the other hand believe that, somehow, absolutely independent (and often confronted) authorities, both governmental and private, would magically agree on something false instead of calling each other out.

That's the-moon-landing-was-fake tier denial-ism.

Re:How many medical studies are faked or flawed? by mharig on Wednesday September 20, 2023 @04:01PM (#37589334)
If the political pressure is big enough, yes.

You cannot compare the moon landing to the COVID circus.

Re:How many medical studies are faked or flawed? by mistermann on Tuesday September 19, 2023 @10:48PM (#37579887)
> "Trust the science" is dumb, but "trust that the single-most reviewed medical studies of the past decade with 30k+ participants aren't outright bullshit" is enough for me.

What does "aren't outright bullshit" translate into in quantitative (%) terms?

Re:How many medical studies are faked or flawed? by strken on Wednesday September 20, 2023 @12:10AM (#37580294)
I'd say bullshit means data that's worthless, because it's fabricated, collected by P-hacking, or otherwise means nothing. There's no useful quantitative measurement that tells you more than "Professor Bullshit just filled out random junk in Excel."
Re:How many medical studies are faked or flawed? by riperoni on Wednesday September 20, 2023 @12:33AM (#37580403)
Severe side effects or death cases were excluded from the Pfizer phase 3 study by conveniently shifting blame on patients, inventing diagnoses or claiming they had a Covid infection.

Even if all that were not intentional, it would certainly raise the question why this should be the only case of fabricating data for studies. Since the RNA-vaccines are obviously not as positively effective as claimed, what else is there that might be not talked about? And lastly why is the topic still that controversial when the safety and effectivity claims have not stood up to the real world test?

Re:How many medical studies are faked or flawed? by Llamamoe on Wednesday September 20, 2023 @03:57AM (#37581613)
Early into the pandemic, the original COVID strains had like 40% rate of permanent aftereffects, and the hospitalisation and death rates were insane. At the time, the vaccines have definitely saved lives, and the "covered up severe side effects or death" you talk about never came up in the real world, so...
Re:How many medical studies are faked or flawed? by mharig on Wednesday September 20, 2023 @06:56AM (#37582668)
No.
Re:How many medical studies are faked or flawed? by chiefalchemist on Tuesday September 19, 2023 @08:58PM (#37579171)
And those weren't simple studies they were self-policed and self-reported trials. Trials that determined FDA green lighting. How can the FDA operate like that when the incentives to profit are 40B x more than being honest.

File under: Follow the money

Re:How many medical studies are faked or flawed? by wrp on Tuesday September 19, 2023 @09:42PM (#37579459)
Serving as editor of a major journal in any discipline can make one cynical. I read many years ago a quote from a mathematics editor that a large fraction of published proofs were faulty, and from a computer science editor that a large fraction of published theorems were false. (My foggy memory gives 1/2 and 1/3 for the fractions, but I don't remember which was which.)
Re:How many medical studies are faked or flawed? by frozenport on Tuesday September 19, 2023 @10:17PM (#37579693)
Almost nobody has the throughput to check equations at all
Re:How many medical studies are faked or flawed? by dazed_confused on Wednesday September 20, 2023 @12:52AM (#37580495)
You mean the 10 pages of the proofs located in the Appendix aren't read? I hate CS academia...
Re:How many medical studies are faked or flawed? by dimal on Tuesday September 19, 2023 @07:52PM (#37578713)
I read those two percentages as not being added to each other. In other words, the 26% is a shittier subset of the 44%. At least that's what I think they mean.
Re:How many medical studies are faked or flawed? by toss1 on Tuesday September 19, 2023 @09:37PM (#37579434)
What I wonder is, since it is so easy for this one researcher to catch these flaws and lies, why are these not being caught by peer review?

Increasing seems like peer review is a waste of everyone's time, and it's be better to just publishing when you think your ready on the likes of arXiv, and let everyone examine and criticize it.

Run it up the flagpole, see if it gets saluted or shot down. Seems like there's be much more of an incentive to run confirmation studies.

Re:How many medical studies are faked or flawed? by ekianjo on Tuesday September 19, 2023 @09:42PM (#37579460)
> It's quite difficult to imagine why studies

Why? Because its just cargo cult science at the end of the day. Once you incentivize clinical trials to be used as a tool to unlock massive profits through an arbitrary process with a single regulator as judge it WILL be hacked. At every possible part of the process including regulators.

Re:How many medical studies are faked or flawed? by enkid on Tuesday September 19, 2023 @09:44PM (#37579475)
Does the 44% not include the 26%?
Re:How many medical studies are faked or flawed? by eru on Tuesday September 19, 2023 @10:33PM (#37579796)
> So, 70% fake/flawed.

It's worse. First, there's a selection effect in what trials the author can get data for. Second, the 44% + 26% are just those where the author can detect problems from reading their data alone. If someone convincingly fakes their data, the author can't detect that.