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BMJ 2006;333:916 (28 October), doi:10.1136/bmj.333.7574.916-a
| The first 150 words of the full text of this article appear below. |
EDITORI am amazed that the BMJ chose to publish this review, given its small sample size yet broad conclusions.1 I believe that if the results had been in the other direction it would be less likely to have been published.
It is true that Cochrane reviews report specific items more thoroughly than journal based reviews. However, much of this is due to the insistence of addressing methodological issues which are specious at times and the fact that Cochrane reviews are not limited by page length. For example, the issue of reporting allocation concealment, although it makes sense, does not mean that if not reported it was not done,2 nor does it even consistently demonstrate that it is an important methodological issue to report.3
It is disappointing that the Cochrane Library has become an ivory tower, given that many of the reviews are out of date and methodologically weak.
Marko Tostad, epidemiologist
Mount Sinai Hospital, New York, NY 10029, USA mtostad@mail.com