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http://www.diva-portal.org

This is the published version of a paper published in Movement Disorders.

Citation for the original published paper (version of record):

Blomstedt, P., Hariz, M. (2018)

The paper that wrote itself – A ghost story Movement Disorders, 33(9): 1509-1510 https://doi.org/10.1002/mds.27467

Access to the published version may require subscription.

N.B. When citing this work, cite the original published paper.

Permanent link to this version:

http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-153138

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L E T T E R S : P U B L I S H E D A R T I C L E S

Ghost writing and Con flict of Interest — Editor’s Comments

The above correspondence deals with two important edito- rial issues that need further discussion and clari fication from the journal ’s perspective.

First is the issue of ghostwriting. The journal allows, encourages, and may even facilitate suggestions to and correc- tion of articles by medical editors. This needs to be clearly revealed on submission, explaining the role of the medical edi- tor in the article preparation, the source of funding, and explicit con firming that the article is primarily written by the author(s) and not by the medical editor. In the case of the arti- cle by Schüpbach et al,

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all of the above were accomplished.

The question raised by Blomstedt and Hariz about the role of authors in the actual writing of the article has been addressed in the reply letter by Schüpbach et al.

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Second is the very important issue of authors ’ relationships with companies marketing a given product. Currently, com- mercial companies develop the majority of projects assessing novel drug therapies and technological advances, such as the one discussed by Schüpbach et al.

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Thus, most key opinion leaders and researchers will inevitably have some degree of interaction with commercial companies. This is not an issue per se. The critical point is to reveal such relationships when publishing an article such as the Viewpoint by Schüpbach et al.

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In this instance, the authors failed to disclose that a company had actually covered the expenses and organization of the meeting from which the article originated. That infor- mation should have been explicitly indicated in both the arti- cle and the covering Letter to the Editor on submission.

Authors have now stated that the actual meeting content and discussions were free of commercial bias. The fact that a per- son who is currently working for the same company had also corrected the article should have also been communicated as part of complete transparency, but we also understand that interactions between scientists working for a given company and academics are commonplace nowadays. Nevertheless, we consider these serious omissions that passed unnoticed.

I have discussed these issues with the editorial team and publisher, the chairperson of the Oversight Publication Com- mittee, and the president of the Movement Disorder Society.

We realize that Schüpbach and his colleagues have a well- recognized academic trajectory, are highly respected col- leagues, and have an excellent record of appropriate conduct in managing their research projects and academic and clinical

responsibilities. We also agreed that the responses provided to the Letter from Drs. Blomstedt and Hariz are satisfactorily clear and recognize the omissions.

I would like to stress that revealing to the journal and reader- ship one ’s conflicts or potential conflicts of interest are an obli- gation of the authors. We rely on authors for such declaration.

Neither Movement Disorders nor any other journal can police authors to reveal their relationships and con flicts of interest. Sci- ence on the whole and publication in particular depend on the integrity of the main actors. I trust that the experience commen- ted on here will illuminate for all of us the potential problems and emphasize the need to release all relevant information regarding the preparation and generation of an article.

Jose A. Obeso, Chief Editor

Reference

1. Schüpbach WMM, Chabardes S, Matthies C, et al. Directional leads for deep brain stimulation: Opportunities and challenges. Mov Disord 2017;32:1371-1375.

The Paper That Wrote Itself —A Ghost Story

We read with interest the article by Schüpbach and col- leagues.

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What struck us was that its tone and content differ from what we are used to read in the scienti fic literature.

Hypothetical arguments are presented, focusing on possible advantages of implants from one DBS company compared with another. It is pointed out that “There are currently two commer- cially available systems ” with directional leads and, without pro- viding any patient data, the competitor of Boston Scienti fic is labeled as “problematic.” It “may not support the selection of the

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Received: 16 July 2018; Accepted: 16 July 2018

Published online 19 September 2018 in Wiley Online Library (wileyonlinelibrary.com). DOI: 10.1002/mds.27477

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This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is prop- erly cited, the use is non-commercial and no modi fications or adapta- tions are made.

© 2018 The Authors. Movement Disorders published by Wiley Periodi- cals, Inc. on behalf of International Parkinson and Movement Disorder Society.

*Corresponding author: Professor Patric Blomstedt, Unit of Deep Brain Stimulation, Department of Clinical Neuroscience, University Hospital of Umeå, SE-901 85 Umeå, Sweden; [email protected] Relevant conflicts of interests/financial disclosures: MH has received honoraria and / or travel expenses from Medtronic, StJude, Boston Scienti fic and Elekta for speaking at meetings. PB is consultant for Medtronic and Abbott and has received consultancy fees and hono- raria/travel expenses for speaking at meetings. He is a shareholder in Mithridaticum AB.

Received: 5 February 2018; Revised: 23 March 2018; Accepted: 2 April 2018

Published online 10 September 2018 in Wiley Online Library (wileyonlinelibrary.com). DOI: 10.1002/mds.27467

Movement Disorders, Vol. 33, No. 9, 2018

1509

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most advantageous field.” Another potential issue is “only explic- itly controlled ” with the system from Boston Scientific. The tech- nique used by Boston Scienti fic “may be the preferred paradigm.”

Thus, it was our impression that this article shared com- mon features, concerning style and arguments, with commer- cial advertisements from Boston Scienti fic.

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In the printed article, it is stated that there are no relevant con flicts of interest/financial disclosures. In “funding agency”

it is reported that “The services of the medical writer were funded by Boston Scienti fic.” It is further acknowledged that

“The draft manuscript was prepared by Deborah Nock (Medical WriteAway, Norwich, UK), with full revision and approval from all authors. Thanks are given to David Blum for additional writing and editorial support. ”

The additional material online reveals that none of the 9 listed authors have contributed with anything except “review and critique ” of the manuscript. Thus, conception, organiza- tion, execution, and the writing of the article was done by the medical writer funded by Boston Scienti fic and the person named David Blum. No further information or disclosures are given regarding David Blum. However, a Google search revealed that David Blum is employed by Boston Scienti fic and holds patents of possible relevance to the subject at hand.

Thus, none of the 9 listed authors have written the article and none of the 2 persons who have actually written the article is enlisted among the authors. The author guidelines for Movement Disorders requests that “a statement that no ghost writing by anyone not named on the author list must be included, ” referring to an editorial.

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Here, the Editors write: “We are aware of medi- cal writing enterprises that extend invitations to researchers to write articles on their behalf ” and “reports that are completely or substantially composed by people not listed as authors fall into a vague but dangerous zone that threatens the credibility of authors and the journal that would print such matter. ”

In this article, with its discussion on possible advantages of implants from Boston Scienti fic versus its competitor, it is prob- lematic if a ghost writer from Boston Scienti fic is involved with- out mentioning anywhere his allegiance to this company.

Finally, it is stated under “relevant conflict of interests/

financial disclosures” that the authors have “nothing to declare, ” which contradicts the information provided online.

In summary, this publication breaches important guidelines for publication generally and in particular for Movement Disorders.

Patric Blomstedt, MD, PhD

1,

* and Marwan Hariz, MD, PhD

1,2

1

Department of Pharmacology and Clinical Neuroscience, Umeå University, Umeå, Sweden

2

Unit of Functional Neurosurgery, University College of London, Institute of Neurology, Queen Square, London, UK

References

1. Schüpbach WMM, Chabardes S, Matthies C, et al. Directional leads for deep brain stimulation: opportunities and challenges. Mov Disord 2017;32(10):1371-1375.

2. Vercise ™ PC DBS System and Vercise Cartesia™ Directional Lead:

Reshaping the future of DBS Therapy. https:www.youtube.com/

watch?v=pndHWSs5shc.180301

3. Deuschl G, Goetz CG. Editorial. Authors ’responsibilities: no ghost writing. Mov Disord 2005;20:1536.

Reply to “The paper that wrote itself-a ghost story ”

We read the letter by Drs Blomstedt and Hariz titled “The Paper That Wrote Itself —A Ghost Story”

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concerning out viewpoint article titled “Directional Leads for Deep Brain Stimulation: Opportunities and Challenges. ”

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We disagree with the statements made by Drs Blomstedt and Hariz.

Our viewpoint article originated from an expert meeting of the authors to discuss the use of directional DBS technol- ogy, which was supported by Boston Scienti fic by paying for the meeting facilities and travel and the presence of a freelance medical writer, Deborah Nock, selected by our- selves. Her role at the meeting was to create a protocol (white paper) of the group discussion for internal purposes of Boston Scienti fic. Boston Scientific did not take any active role in the protocolled scienti fic discussions of the group.

The discussion was free of commercial bias, as it was not restricted to a speci fic product, but addressed directional DBS technology in general, including other commercial or investigational devices represented by the clinical or study experience of the group members. Deborah Nock minuted the discussion, but did not add any content on her own.

After the meeting, the group decided that the results of the discussion would be of general interest to the movement disorder community and asked Michael Schüpbach to pre- pare a manuscript for submission. It was decided that a

“viewpoint” is the appropriate publishing format, as the dis- cussion results should be clearly identi fiable as a an expert opinion and standpoint for triggering further scienti fic dis- cussions in the field rather than providing a clinical or scien- ti fic recommendation in a novelty area with insufficient evidence. We therefore chose cautious phrasings not to over- state what is our expert opinion, that is, a “viewpoint.”

The technical properties of the commercially available sys- tems, however, are physically given, and the statements in our viewpoint concerning the ensuing programming possibil- ities are free of bias as they re flect the laws of physics. We intentionally relativized these statements as there are no clin- ical data available yet to correlate the hypothetical technical advantages with outcome measures.

Michael Schüpbach, Lars Timmermann, and Jens Volk- mann elaborated the notes and summaries out of Deborah

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Relevant con flicts of interests/financial disclosures: Nothing to report.

Received: 21 May 2018; Accepted: 24 May 2018

Published online 7 September 2018 in Wiley Online Library (wileyonlinelibrary.com). DOI: 10.1002/mds.27464

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Movement Disorders, Vol. 33, No. 9, 2018

L E T T E R S : P U B L I S H E D A R T I C L E S

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