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See also editorial by Smith
Denominator problem needs to be addressed
EDITOR The major problem with this type of research is that its results
can never be completely reliable until the problem of denominators is
addressed. The journal editors' decision accepting or rejecting a
given paper for publication can potentially seriously skew the distribution of studies with negative and positive results. I believe
that the editors of the BMJ have a unique opportunity
During my personal exchange of material with Kjaergard and
Als-Nielsen (I provided them with the equipoise scale, our data
extraction forms, etc), I commented that their association between
authors' competing interests and conclusions could have been explained
by at least two additional types of bias. The first is pervasive
authors' self selection bias (the authors tend to send their best
pieces to a high impact journal such as the BMJ) and the
second is the bias of the BMJ 's editors.1