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BMJ 2004;329:1345 (4 December), doi:10.1136/bmj.329.7478.1345-a
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EDITORIf ghost writing is defined as what happens when the identity of a writer is concealed, then Abbasi's statement, "We know that ghost writing happens, and the identity and the motivations of the ghost writer are not revealed" is self evidently true, albeit not very informative.1 However, many people understand medical ghost writing to mean that a professional medical writer, whose name does not appear on the author list, wrote the paper. When this happens, the identity of the writer is sometimes not revealed, but it often is, usually in the acknowledgments section. It is therefore misleading to state that the identity of the ghost writer is not revealed as though this were a universal truth.
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Kmietowicz's news article also misleads by saying that distinguished authors put their names to papers without ever seeing the raw data.2 This may be true but is hardly the whole story. What
Adam Jacobs, director
Dianthus Medical Limited, London SW19 3TZ ajacobs@dianthus.co.uk